Irrational prescribing of over-the-counter OTC medicines in general practice: testing the feasibility of an educational intervention among physicians in five European countriesReport as inadecuate




Irrational prescribing of over-the-counter OTC medicines in general practice: testing the feasibility of an educational intervention among physicians in five European countries - Download this document for free, or read online. Document in PDF available to download.

1 UOC - University of Crete 2 National School of Public Health Athens 3 Ioannina University 4 LIU - Linköping University 5 iPLESP - Institut Pierre Louis d-Epidémiologie et de Santé Publique 6 Mediterranean institute of primary care 7 TAHUD 8 University of Cyprus Nicosia 9 University Hospital Hradec Kralove 10 Greek association of general practitioners

Abstract : Background: Irrational prescribing of over-the-counter OTC medicines in general practice is common in Southern Europe. Recent findings from a research project funded by the European Commission FP7, the - OTC SOCIOMED - , conducted in seven European countries, indicate that physicians in countries in the Mediterranean Europe region prescribe medicines to a higher degree in comparison to physicians in other participating European countries. In light of these findings, a feasibility study has been designed to explore the acceptance of a pilot educational intervention targeting physicians in general practice in various settings in the Mediterranean Europe region.Methods: This feasibility study utilized an educational intervention was designed using the Theory of Planned Behaviour TPB. It took place in geographically-defined primary care areas in Cyprus, France, Greece, Malta, and Turkey. General Practitioners GPs were recruited in each country and randomly assigned into two study groups in each of the participating countries. The intervention included a one-day intensive training programme, a poster presentation, and regular visits of trained professionals to the workplaces of participants. Reminder messages and email messages were, also, sent to participants over a 4-week period. A pre-and post-test evaluation study design with quantitative and qualitative data was employed. The primary outcome of this feasibility pilot intervention was to reduce GPs- intention to provide medicines following the educational intervention, and its secondary outcomes included a reduction of prescribed medicines following the intervention, as well as an assessment of its practicality and acceptance by the participating GPs.Results: Median intention scores in the intervention groups were reduced, following the educational intervention, in comparison to the control group. Descriptive analysis of related questions indicated a high overall acceptance and perceived practicality of the intervention programme by GPs, with median scores above 5 on a 7-point Likert scale.





Author: Christos Lionis - Elena Petelos - Sue Shea - Georgia Bagiartaki - Ioanna G Tsiligianni - Apostolos Kamekis - Vasiliki Tsiantou -

Source: https://hal.archives-ouvertes.fr/



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