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Clinical Trial
. 2004 Jun;21(3):248-53.
doi: 10.1093/fampra/cmh306.

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  1 , Erik Knudsen, Susanne Ditlevsen, Hanne Hollnagel
Affiliations
Clinical Trial

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 et al. Fam Pract. 2004 Jun.

Abstract

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.

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