R Bhunia1, Y Hutin, R Ramkrishnan, P K Ghosh, S Dey, M Murhekar. 1. Field Epidemiology Training Programme, National Institute of Epidemiology, Indian Council of Medical Research, Chennai, India. rbhunia@gmail.com
Abstract
OBJECTIVE: To determine whether interactional group discussions could reduce prescriptions of injections by physicians. STUDY DESIGN: Randomized controlled trial. SETTING:Rural public health care facilities, North 24 Parganas district, West Bengal, India. SUBJECTS: 72 medical officers, 36 each in intervention and control groups. INTERVENTION: Interactional group discussions. OUTCOME MEASURE: Proportion of prescriptions including at least one injection. RESULTS: In the intervention group, 249 of 1,080 prescriptions (23%) included at least one injection compared with 79 of 1,080 prescriptions (7%) before and after the intervention, respectively. (RR: 0.32, 95% CI: 0.25-0.40). In the control group, 231 of 1,080 prescriptions (21%) included at least one injection before the intervention vs 178 of 1,080 prescriptions (16%) after the intervention (RR 0.77, 95% CI: 0.65-0.92). CONCLUSION:Interactional group discussions reduce prescription of injections.
RCT Entities:
OBJECTIVE: To determine whether interactional group discussions could reduce prescriptions of injections by physicians. STUDY DESIGN: Randomized controlled trial. SETTING: Rural public health care facilities, North 24 Parganas district, West Bengal, India. SUBJECTS: 72 medical officers, 36 each in intervention and control groups. INTERVENTION: Interactional group discussions. OUTCOME MEASURE: Proportion of prescriptions including at least one injection. RESULTS: In the intervention group, 249 of 1,080 prescriptions (23%) included at least one injection compared with 79 of 1,080 prescriptions (7%) before and after the intervention, respectively. (RR: 0.32, 95% CI: 0.25-0.40). In the control group, 231 of 1,080 prescriptions (21%) included at least one injection before the intervention vs 178 of 1,080 prescriptions (16%) after the intervention (RR 0.77, 95% CI: 0.65-0.92). CONCLUSION: Interactional group discussions reduce prescription of injections.
Authors: Gudadappa S Kasabi; Thilakavathi Subramanian; Ramesh Reddy Allam; Chitra A Grace; Shivanna Reddy; Manoj V Murhekar Journal: Indian J Med Res Date: 2015-08 Impact factor: 2.375