초록
“Academic detailing”(AD) is a form of interactive educational outreach to physicians or other health care staff for providing unbiased, noncommercial, evidence-based information about medications and other therapeutic decisions, with the goal of improving patient care and reducing health care costs. Many trials have been carried out to establish this technique as an effective tool for continuous education of medical staff which in response leads to safe prescribing patterns. In this review we have summarized the studies that evaluated the role of pharmacist as an academic detailer in different settings, targeting different group of medications and achieving different objectives. Some studies that compared academic detailing to other educational methods or technology oriented techniques are also included. Various factors that promote or discourage academic detailing by pharmacist have been discussed. Pharmacist led educational outreach is found to be effective in changing the prescribing behavior, but on the other hand some researchers have observed insignificant effects. Further research is required to determine the best possible structure ensuring fruitfulness of this technique.
키워드
Academic detailing, Pharmacist, Prescribing trends, Physicians
참고문헌(38)
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[학술지] Soumerai S. B. / 1986 / Economic and policy analysis of university-based drug “detailing” / Med Care 24 (4) : 313 ~ 331
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[학술지] Avorn J. / 1992 / A randomized trial of a program to reduce the use of psychoactive drugs in nursing homes / New Engl J Med 327 (3) : 168 ~ 173
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[학술지] Hartlaub P. P. / 1993 / Evaluation of an intervention to change benzodiazepine-prescribing behavior in a prepaid group practice setting / Am J Prev Med 9 (6) : 346 ~ 352
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[학술지] Diwan V. K. / 1995 / Effects of“ group detailing”on the prescribing of lipid-lowering drugs: a randomized controlled trial in Swedish primary care / J Clin Epidemiol 48 (5) : 705 ~ 711
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[학술지] Baran R. W. / 1996 / Effectiveness of academic detailing in the managed care environment: improving prescribing of lipid-lowering agents / J Managed Care Pharm 2 : 148 ~ 157
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[학술지] Peterson G. M. / 1996 / Improving drug use in rheumatic disorders / J Clin Pharm Ther 21 (4) : 215 ~ 220
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[학술지] Turner C. J. / 2000 / Community pharmacist outreach program directed at physicians treating congestive heart failure / Am J Health Syst Pharm 57 (8) : 747 ~ 752
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[학술지] Eide E. / 2001 / Assessing the effects of an intervention by a pharmacist on prescribing and administration of hypnotics in nursing homes / Pharmacy World and Science 23 (6) : 227 ~ 231
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[학술지] Siegel D. / 2003 / Academic detailing to improve antihypertensive prescribing patterns / American Journal of Hypertension 16 (6) : 508 ~ 511
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[학술지] Crotty M. / 2004 / An outreach intervention to implement evidence based practice in residential care:a randomized controlled trial [ISRCTN 67855475] / BMC Health Serv Res 4 (1) : 6
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[학술지] Seager J. M. / 2006 / A randomised controlled trial of clinical outreach education to rationalise antibiotic prescribing for acute dental pain in the primary care setting / Br Dent J 201 (4) : 217 ~ 222
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[학술지] Awad A. I. / 2006 / Changing antibiotics prescribing practices in health centers of Khartoum State, Sudan / Eur J ClinPharmacol 62 (2) : 135 ~ 142
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[학술지] Magrini N. / 2007 / Randomised controlled trials for evaluating the prescribing impact of information meetings led by pharmacists and of new information formats, in General Practice in Italy / BMC Health Serv Res 7 : 158
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[학술지] Bailey T. C. / 2007 / An intervention to improve secondary prevention of coronary heart disease / Arch Intern Med 167 (6) : 586 ~ 590
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[학술지] Eccles M. P / 2007 / Is untargeted educational outreach visiting delivered by pharmaceutical advisers effective in primary care A pragmatic randomized controlled trial / Implementation Science 2 : 23
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[학술지] Zwarenstein M. / 2007 / Educational outreach to general practitioners reduces children’s asthma symptoms: a cluster randomised controlled trial / Implement Sci 2 : 30
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[학술지] Bhargava V. / 2010 / Addition of generic medication vouchers to a pharmacist academic detailing program:effects on the generic dispensing ratio in a physician-hospital organization / Journal of Managed Care Pharmacy 16 (6) : 384 ~ 392
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[학술지] Chui D. / 2011 / Impact of academic detailing on proton pump inhibitor prescribing behaviour in a community hospital / Canadian Pharmacists Journal 144 (2) : 66 ~ 71
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[학술지] Linnebur S. A. / 2011 / Impact of a multidisciplinary intervention on antibiotic use for nursing home-acquired pneumonia / American Journal of Geriatric Pharmacotherapy 9 (6) : 442 ~ 450
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[학위논문] Lowrie R. / 2012 / A cluster randomised controlled trial of pharmacist-led Statin Outreach Support in primary care
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[학술지] Hartung D. M. / 2012 / A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics / BMC Fam Pract 13 : 129
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[학술지] Avery A. J. / 2012 / A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis / Lancet 379 (9823) : 1310 ~ 1319
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[학술지] Jin M. / 2012 / A brief overview of academic detailing in Canada: another role for pharmacists / Canadian Pharmacists Journal 145 (3) : 142 ~ 146
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[학술지] Allen M. / 2007 / Family physicians’perceptions of academic detailing: a quantitative and qualitative study / BMC Med Educ 7 : 36
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[학술지] Lunn J. / 1997 / A study of the appropriateness of prescribing in nursing homes / International Journal of Pharmacy Practice 5 (1) : 6 ~ 10
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