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Investigation of the effect of a countywide protected learning time scheme on prescribing rates of ramipril: interrupted time series study

Investigation of the effect of a countywide protected learning time scheme on prescribing rates... Background. Protected learning time (PLT) schemes have been set up in primary care across the UK. There is little published evidence of their effectiveness.Objective. To investigate the effect of a PLT intervention for general practice to increase prescribing of ramipril for prevention of cardiovascular outcomes.Design. Quasi-experimental, interrupted time series.Setting. Lincolnshire, UK.Methods. Prescribing data were analysed one year before and after the education for change in rate of increase of prescribing of ramipril, whether change in prescribing was related to postulated explanatory variables and to determine intervention costs.Main outcome. The primary outcome was the rate of change of ramipril (10 mg) prescription items 12 months after compared with before the educational intervention. Secondary outcomes included cost.Results. Ramipril prescribing at therapeutic dosage increased significantly (odds ratio 1.50, 95% CI 1.071.93) following education by 52345 items (31132 items at 10 mg) at a cost of 292k to 460k depending on formulation. This occurred despite a background of secular change. Most practices were represented by GPs, nurses or both during the education. Single-handed GPs were less likely to attend. Practices showed considerable variation in response to the educational intervention. The only predictor of whether practices increased in prescribing rate after the education was whether a practice nurse had undertaken specific diabetes training. Total list size, dispensing, training or single-handed status and GP attendance did not predict a change in prescribing.Conclusion. PLT schemes can contribute to beneficial changes in prescribing across a large geographical area. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Family Practice Oxford University Press

Investigation of the effect of a countywide protected learning time scheme on prescribing rates of ramipril: interrupted time series study

Family Practice , Volume 24 (1) – Oct 18, 2006

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References (20)

Publisher
Oxford University Press
Copyright
The Author (2006). Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org
ISSN
0263-2136
eISSN
1460-2229
DOI
10.1093/fampra/cml051
pmid
17052988
Publisher site
See Article on Publisher Site

Abstract

Background. Protected learning time (PLT) schemes have been set up in primary care across the UK. There is little published evidence of their effectiveness.Objective. To investigate the effect of a PLT intervention for general practice to increase prescribing of ramipril for prevention of cardiovascular outcomes.Design. Quasi-experimental, interrupted time series.Setting. Lincolnshire, UK.Methods. Prescribing data were analysed one year before and after the education for change in rate of increase of prescribing of ramipril, whether change in prescribing was related to postulated explanatory variables and to determine intervention costs.Main outcome. The primary outcome was the rate of change of ramipril (10 mg) prescription items 12 months after compared with before the educational intervention. Secondary outcomes included cost.Results. Ramipril prescribing at therapeutic dosage increased significantly (odds ratio 1.50, 95% CI 1.071.93) following education by 52345 items (31132 items at 10 mg) at a cost of 292k to 460k depending on formulation. This occurred despite a background of secular change. Most practices were represented by GPs, nurses or both during the education. Single-handed GPs were less likely to attend. Practices showed considerable variation in response to the educational intervention. The only predictor of whether practices increased in prescribing rate after the education was whether a practice nurse had undertaken specific diabetes training. Total list size, dispensing, training or single-handed status and GP attendance did not predict a change in prescribing.Conclusion. PLT schemes can contribute to beneficial changes in prescribing across a large geographical area.

Journal

Family PracticeOxford University Press

Published: Oct 18, 2006

Keywords: Education family practice diabetes prescribing angiotensin-converting-enzyme inhibitor

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