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Family Practice Vol. 21, No. 3, 248-253
Family Practice Vol. 21, No. 3 © Oxford University Press 2004, all rights reserved.

Academic detailing has no effect on prescribing of asthma medication in Danish general practice: a 3-year randomized controlled trial with 12-monthly follow-ups

Klaus Witt, Erik Knudsena, Susanne Ditlevsenb and Hanne Hollnagelc

Department of General Practice and b Department of Biostatistics, University of Copenhagen, c Central Research Unit of General Practice, Copenhagen and a County of Vestsjaelland, Denmark

Correspondence to Klaus Witt, Department of General Practice, University of Copenhagen, Blegdamsvej 3, DK 2200 Copenhagen N, Denmark; E-mail: k.witt{at}gpmed.ku.dk

Background. Educational outreach visits, particularly when combined with social marketing, appear to be a promising approach to modifying health professional behaviour, especially prescribing. Results from previous studies have shown a varying effect.

Objective. The purpose of the study is to examine the effect of academic detailing as a method of implementing a clinical guideline in general practice.

Methods. A cluster randomized, controlled, blinded study was carried out of the effect of an academic detail visit compared with postal distribution of a guideline for prescribing asthma medication. Half the practices in a Danish county with 100 practices were visited once. The outcome measure was routinely collected data from all Danish pharmacies on the sales of asthma medication. Data were collected monthly for 2 years before to 1 year after the intervention.

Results. There was no effect on the pattern of prescription of asthma medicines following the visit, neither immediately nor long term.

Conclusion. We found no effect of academic detailing as a single intervention.

Keywords. Asthma, continuing medical education, family practice, practice guidelines, randomized controlled trial.


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