Abstract
Sustained delivery of programs to improve the use of medicines and medical tests in primary care is a worthy objective. However, in order to be successful and to deliver interventions at scale, some prerequisites are needed. Programs should take account of the local culture and health system and have a clear understanding of the drivers for change when adapting or designing interventions. Being realistic about what the capacity of the implementation agency to influence change and/or control the environment ensures that resources are efficiently deployed. Similarly being absolutely clear about the behavior that one is trying to influence and the barriers and enablers for change will assist in designing effective programs and in guiding their evaluation. Investing in workforce, partnerships and strong evaluation will set implementation agencies up for long-term impact.
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References
Agency for Healthcare Research and Quality. (2019). Improving Primary Care Practice. Retrieved from https://www.ahrq.gov/professionals/prevention-chronic-care/improve/index.html.
Charani, E., Castro-Sanchez, E., Sevdalis, N., Kyratsis, Y., Drumright, L., Shah, N., & Holmes, A. (2013). Understanding the determinants of antimicrobial prescribing within hospitals: The role of “prescribing etiquette”. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 57(2), 188–196. https://doi.org/10.1093/cid/cit212.
Eijkenaar, F., Emmert, M., Scheppach, M., & Schöffski, O. (2013). Effects of pay for performance in health care: A systematic review of systematic reviews. Health Policy, 110(2–3), 115–130. https://doi.org/10.1016/j.healthpol.2013.01.008.
Fontil, V., Gupta, R., Moise, N., Chen, E., Guzman, D., McCulloch, C. E., & Bibbins-Domingo, K. (2018). Adapting and evaluating a health system intervention from Kaiser Permanente to improve hypertension management and control in a large network of safety-net clinics. Circulation: Cardiovascular Quality and Outcomes, 11(7), e004386. https://doi.org/10.1161/circoutcomes.117.004386.
Langdown, C., & Peckham, S. (2014). The use of financial incentives to help improve health outcomes: Is the quality and outcomes framework fit for purpose? A systematic review. Journal of Public Health, 36(2), 251–258. https://doi.org/10.1093/pubmed/fdt077.
Lavergne, M. R. (2017). Financial incentives for physicians to improve health care (Commentary: Health Services). CMAJ: Canadian Medical Association Journal, 189(49), E1505. https://doi.org/10.1503/cmaj.171126.
McCarthy, D., Mueller, K., & Wrenn, J. (2009). Kaiser Permanente: Bridging the qualty divide with integrated practice, group accountability and health information technology. Retrieved from Boston: www.commonwealthfund.org.
Michie, S., Atkins, L., & West, R. (2014). The behaviour change wheel: A guide to designing interventions. London: Silverback Publishing.
Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., … Wood, C. E. (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions. Annals of Behavioral Medicine, 46(1), 81–95. https://doi.org/10.1007/s12160-013-9486-6.
NHS Scotland. (2013). A prescription for excellence. Edinburgh: National Health Service.
Pinto, D., Heleno, B., Rodrigues, D. S., Papoila, A. L., Santos, I., & Caetano, P. A. (2014). An open cluster-randomized, 18-month trial to compare the effectiveness of educational outreach visits with usual guideline dissemination to improve family physician prescribing (Report). Implementation Science, 9(1). https://doi.org/10.1186/1748-5908-9-10.
Sturm, H., Austvoll-Dahlgren, A., Aaserud, M., Oxman, A. D., Ramsay, C., Vernby, A., & Koesters, J. P. (2007). Pharmaceutical policies: Effects of financial incentives for prescribers. Cochrane Database of Systematic Reviews(3), 006731. https://doi.org/10.1002/14651858.CD006731.
Vellinga, A., Galvin, S., Duane, S., Callan, A., Bennett, K., Cormican, M., … Murphy, A. (2016). Intervention to improve the quality of antimicrobial prescribing for urinary tract infection: A cluster randomized trial. Canadian Medical Association Journal, 188(2), 108–111. https://doi.org/10.1503/cmaj.150601.
World Health Organisation. (1993). How to investigate drug use in health facilities: Selected drug use indicators. EDM Series No. 7. Geneva: World Health Organisation.
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Weekes, L.M. (2020). Lessons for Success. In: Weekes, L. (eds) Improving Use of Medicines and Medical Tests in Primary Care. Springer, Singapore. https://doi.org/10.1007/978-981-15-2333-5_14
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DOI: https://doi.org/10.1007/978-981-15-2333-5_14
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