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