Effect of feedback letters to physicians and pharmacists on the appropriate use of medication in the treatment of asthma

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
Régis BlaisM Paré

Abstract

Suboptimal medication treatment of asthma has been reported. More specifically, short-acting beta 2-agonists are overused, while inhaled corticosteroids are underused. This can be related in part to poor adherence by patients to the prescribed regimen and to professionals' failure to comply with practice guidelines. Feedback seems to have an effect on professional practices related to medication use. To assess the impact of feedback letters to physicians and pharmacists on their patients' appropriate use of asthma medication. Two randomized trials were set up in the province of Quebec, Canada: one with physicians and another with pharmacists. A sample of voluntary physicians and pharmacists was randomly assigned to either the experimental group or to the control group. Those in the experimental groups received three consecutive feedback letters over a 9-month period summarizing the asthma medications acquired by their patients over the preceding year. The feedback focused on short-acting beta 2-agonists, long-acting beta 2-agonists and antileukotrienes and provided information on compliance with five appropriate-use criteria. Pharmacists received aggregate profiles and individual profiles with patients' names, while most physic...Continue Reading

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Citations

Jul 8, 2016·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Thomas DelateRyan Lowe
Aug 7, 2013·Medical Care Research and Review : MCRR·Adam A PowellMelissa R Partin
Jul 13, 2016·Medical Care Research and Review : MCRR·Carrie H CollaNancy Morden
Mar 18, 2010·The Annals of Pharmacotherapy·Mark D WongLuis M Salmun
Oct 8, 2014·The Cochrane Database of Systematic Reviews·Susan M PattersonCarmel Hughes
Jun 15, 2012·The Cochrane Database of Systematic Reviews·Noah IversAndrew D Oxman
Sep 4, 2018·The Cochrane Database of Systematic Reviews·Audrey RankinCarmel Hughes
Sep 17, 2021·European Respiratory Review : an Official Journal of the European Respiratory Society·Alexander G MathioudakisChrister Janson

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