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Electronic Prescription Data to Improve Primary Care Prescribing

Information source: University of Dundee
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Physician's Practice Patterns

Intervention: Prescription Data Feedback to GP Practices (Behavioral)

Phase: N/A

Status: Not yet recruiting

Sponsored by: University of Dundee

Official(s) and/or principal investigator(s):
Sean PD MacBride-Stewart, MSc, Principal Investigator, Affiliation: University of Dundee

Overall contact:
Sean PD MacBride-Stewart, MSc, Phone: +447903680954, Email: s.p.d.macbridestewart@dundee.ac.uk


This is a randomised controlled study to evaluate the effect of providing prescribing feedback that includes individual patient data to General Practitioners (GP) in Scotland on high risk or low quality prescribing.

Clinical Details

Official title: Electronic Prescription Data to Improve Primary Care Prescribing

Study design: Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Primary outcome: Number of people identified by the measures of high risk or low quality prescribing

Secondary outcome: Cost-effectiveness of feedback

Detailed description: This study makes use of data held in the Prescription Information System (PIS), the national database available to national health service (NHS) health boards in Scotland, on all prescriptions dispensed by community pharmacists which include the unique patient identifier for Scotland (CHI). The design is a two parallel arm cluster randomised trial with general practices as the unit of randomisation to whom the feedback intervention is directed, and outcomes measured at patient level. Both arms receive the same active interventions but focused on different topics, with each acting as control to the other. The primary outcome in the asthma arm is a composite of measure of potentially high-risk asthma prescribing (multiple short acting beta-agonists or single agent long acting beta-agonists both in the absence of inhaled corticosteroid therapy). The primary outcome in the urinary tract infection antibiotic arm is a measure of repeated use of single (likely long-term prevention) or multiple (repeated treatment courses) urinary tract infection antibiotics. Within the feedback, alongside the patient-level analysis, there will be action-orientated messages to guide the GP practice. GP practices will get the reports three times at six-monthly intervals.


Minimum age: N/A. Maximum age: N/A. Gender(s): Both.


Inclusion Criteria:

- GP practices in the participating Health Board area (NHS Greater Glasgow and Clyde)

Exclusion Criteria:

- GP practices with registered list sizes <250 patients (all of these are unusual

practices in various ways, for example serving the homeless or people with challenging behaviour).

- GP practices with <80% of prescriptions for inhaled bronchodilators and UTI

antibiotics in the prescription database with a recorded patient identifier for each month from January 2014 to December 2014.

- GP practices which were created after 1 January 2015.

Locations and Contacts

Sean PD MacBride-Stewart, MSc, Phone: +447903680954, Email: s.p.d.macbridestewart@dundee.ac.uk

NHS Greater Glasgow and Clyde, Glasgow City, Glasgow G12 0XH, United Kingdom; Not yet recruiting
Sean PD MacBride-Stewart, MSc, Phone: +447903680954, Email: sean.macbride-stewart@ggc.scot.nhs.uk
Margaret Ryan, MSc, Phone: +01412015639, Email: Margaret.Ryan@ggc.scot.nhs.uk
Additional Information

Starting date: July 2015
Last updated: July 28, 2015

Page last updated: August 23, 2015

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