Effectiveness and costs of implementation strategies to reduce acid suppressive drug prescriptions: a systematic reviewReport as inadecuate




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BMC Health Services Research

, 7:177

First Online: 05 November 2007Received: 17 January 2007Accepted: 05 November 2007DOI: 10.1186-1472-6963-7-177

Cite this article as: Smeets, H.M., Hoes, A.W. & de Wit, N.J. BMC Health Serv Res 2007 7: 177. doi:10.1186-1472-6963-7-177

Abstract

BackgroundEvaluation of evidence for the effectiveness of implementation strategies aimed at reducing prescriptions for the use of acid suppressive drugs ASD.

MethodsA systematic review of intervention studies with a design according to research quality criteria and outcomes related to the effect of reduction of ASD medication retrieved from Medline, Embase and the Cochrane Library. Outcome measures were the strategy of intervention, quality of methodology and results of treatment to differences of ASD prescriptions and costs.

ResultsThe intervention varied from a single passive method to multiple active interactions with GPs. Reports of study quality had shortcomings on subjects of data-analysis. Not all outcomes were calculated but if so rction of prescriptions varied from 8% up to 40% and the cost effectiveness was in some cases negative and in others positive. Few studies demonstrated good effects from the interventions to reduce ASD.

ConclusionPoor quality of some studies is limiting the evidence for effective interventions. Also it is difficult to compare cost-effectiveness between studies. However, RCT studies demonstrate that active interventions are required to reduce ASD volume. Larger multi-intervention studies are necessary to evaluate the most successful intervention instruments.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-7-177 contains supplementary material, which is available to authorized users.

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Author: Hugo M Smeets - Arno W Hoes - Niek J de Wit

Source: https://link.springer.com/







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