RESUMEN
This study assessed whether training physicians on the Practical Approach to Lung Health (PAL) reduces drug prescribing and the cost of drugs prescribed to respiratory patients in the primary health care setting. Data were compared before and after training general practitioners on standard guidelines for case management of respiratory conditions in primary care. A total of 56 general practitioners practising in 25 health centres in 3 out of 12 governorates of Jordan participated in both the baseline survey (n = 6260 respiratory patients) and the impact survey (n = 2709 patients). Training in PAL decreased by 12.2% the number of drugs prescribed per patient, increased the prescription of inhaled medications and reduced the mean cost of a drug prescription per patient by 8.7%.
Asunto(s)
Prescripciones de Medicamentos/estadística & datos numéricos , Educación Médica Continua/organización & administración , Medicina Familiar y Comunitaria , Enfermedades Pulmonares/tratamiento farmacológico , Guías de Práctica Clínica como Asunto , Atención Primaria de Salud/estadística & datos numéricos , Adulto , Distribución de Chi-Cuadrado , Costos de los Medicamentos/estadística & datos numéricos , Utilización de Medicamentos/estadística & datos numéricos , Medicina Familiar y Comunitaria/educación , Medicina Familiar y Comunitaria/estadística & datos numéricos , Estudios de Factibilidad , Femenino , Adhesión a Directriz/estadística & datos numéricos , Encuestas de Atención de la Salud , Humanos , Jordania/epidemiología , Enfermedades Pulmonares/epidemiología , Masculino , Pautas de la Práctica en Medicina/estadística & datos numéricos , Evaluación de Programas y Proyectos de Salud , Estadísticas no ParamétricasRESUMEN
This study assessed whether training physicians on the Practical Approach to Lung Health [PAL] reduces drug prescribing and the cost of drugs prescribed to respiratory patients in the primary health care setting. Data were compared before and after training general practitioners on standard guidelines for case management of respiratory conditions in primary care. A total of 56 general practitioners practising in 25 health centres in 3 out of 12 governorates of Jordan participated in both the baseline survey [n = 6260 respiratory patients] and the impact survey [n = 2709 patients]. Training in PAL decreased by 12.2% the number of drugs prescribed per patient, increased the prescription of inhaled medications and reduced the mean cost of a drug prescription per patient by 8.7%