Improving prevention in primary care: evaluating the effectiveness of outreach facilitation

Family Practice
William HoggK O'Rourke

Abstract

Out reach facilitation is designed to promote uptake of evidence-based guidelines. There is evidence indicating that outreach facilitation can be effective in improving implementation of preventive care in GPs' offices. In this trial, we test a modified version of an outreach facilitation intervention. To evaluate whether a comprehensive preventive intervention program using outreach facilitators improves preventive care delivery. Match-paired, cluster-randomized controlled trial. Fee-for-service primary care practices in Eastern Ontario, Canada, at a time of physician shortage. Volunteer sample of 54 primary care practices. Mean difference between trial arms in practices' delivery of preventive manoeuvres, measured by preventive performance indices estimated from chart reviews and patient survey data. No difference was detected between the trial's arms for the primary outcome's overall prevention index [2.0%; 95% confidence interval (CI) -3.2 to 7.3; P = 0.44]. A small significant difference between the arms was detected for the secondary outcome's overall prevention index (2.8%; 95% CI 0.7-4.8; P = 0.01). In contrast to similar facilitation trials, this outreach facilitation program did not produce improvements in the deliver...Continue Reading

Citations

Nov 12, 2009·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Robert D ReidAndrew L Pipe
Jan 11, 2012·Annals of Family Medicine·N Bruce BaskervilleWilliam Hogg
Dec 7, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Simone DahrougeJohn Fletcher
Jul 3, 2010·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Antonia F H SmeltWillem J J Assendelft
Apr 14, 2016·International Journal for Equity in Health·Lauralie RichardJane Gunn
May 25, 2005·Contemporary Clinical Trials·Paolo Giorgi RossiGabriella Guasticchi
Aug 1, 2015·BMC Family Practice·Jyoti KotechaRichard Birtwhistle
Sep 30, 2015·Implementation Science : IS·Janet E SquiresJeremy M Grimshaw
Jun 15, 2012·The Cochrane Database of Systematic Reviews·Noah IversAndrew D Oxman
Feb 26, 2010·Worldviews on Evidence-based Nursing·Elizabeth J DoghertyIan D Graham
Jul 8, 2014·The Cochrane Database of Systematic Reviews·Roger E Thomas, Diane L Lorenzetti
Jun 20, 2014·International Journal of Evidence-based Healthcare·Elizabeth J DoghertyLisa Keeping-Burke
Jan 30, 2015·Journal of Nursing Care Quality·LisaAnn S GittnerRobert S Levine
May 31, 2018·The Cochrane Database of Systematic Reviews·Roger E Thomas, Diane L Lorenzetti

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