Literature DB >> 6352967

Reducing physician visits for colds through consumer education.

C R Roberts, P B Imrey, J D Turner, M C Hosokawa, J M Alster.   

Abstract

A randomized, controlled, blinded clinical trial was conducted to determine if self-care instructions, coupled with a health education program, could reduce unnecessary visits to physicians for minor respiratory illness. A symptom-based algorithm was developed for determining the necessity of a physician visit and provided, along with a brief educational package on proper care of the common cold, to a randomly selected group of 433 families attending a family practice clinic. Subsequent clinic visits by family members were monitored and evaluated in relation to the algorithm, and results were compared with those obtained from a control group of 444 families. The subsequent rate of visits for upper respiratory tract infections classified as unnecessary using the algorithm was 44% lower in the test as compared with the control group, while the rate of necessary visits was only 15% lower. No increase was seen in complications of upper respiratory tract infections.

Entities:  

Mesh:

Year:  1983        PMID: 6352967

Source DB:  PubMed          Journal:  JAMA        ISSN: 0098-7484            Impact factor:   56.272


  17 in total

1.  A path towards self care.

Authors:  M A Ribas Batllori; M Soler Vila; M López Aguilera; M González Solanellas; R Moreno Feliu; V Zahonero Bellmunt
Journal:  Br J Gen Pract       Date:  1990-05       Impact factor: 5.386

2.  Development and randomized controlled trial of a booklet of advice for parents.

Authors:  T P Usherwood
Journal:  Br J Gen Pract       Date:  1991-02       Impact factor: 5.386

Review 3.  Reducing demand for physician visits through public education: a look at the pilot cold-and-flu campaign in London, Ontario.

Authors:  E M Brown; V Goel
Journal:  CMAJ       Date:  1996-03-15       Impact factor: 8.262

Review 4.  Treatment of the common cold.

Authors:  S B Mossad
Journal:  BMJ       Date:  1998-07-04

Review 5.  Compliance and self-help in an office practice.

Authors:  W Richards
Journal:  Clin Rev Allergy       Date:  1987-08

6.  The effect of a self-care minimal intervention for colds and flu on the use of medical services.

Authors:  A Stergachis; W E Newmann; K J Williams; M M Schnell
Journal:  J Gen Intern Med       Date:  1990 Jan-Feb       Impact factor: 5.128

7.  Public beliefs and use of antibiotics for acute respiratory illness.

Authors:  A A Wilson; L A Crane; P H Barrett; R Gonzales
Journal:  J Gen Intern Med       Date:  1999-11       Impact factor: 5.128

8.  Defining basic services and de-insuring the rest: the wrong diagnosis and the wrong prescription.

Authors:  M M Rachlis
Journal:  CMAJ       Date:  1995-05-01       Impact factor: 8.262

9.  Developing health education materials for inner-city low literacy parents.

Authors:  D Berger; M Inkelas; S Myhre; A Mishler
Journal:  Public Health Rep       Date:  1994 Mar-Apr       Impact factor: 2.792

10.  Effect of using an interactive booklet about childhood respiratory tract infections in primary care consultations on reconsulting and antibiotic prescribing: a cluster randomised controlled trial.

Authors:  Nick A Francis; Christopher C Butler; Kerenza Hood; Sharon Simpson; Fiona Wood; Jacqueline Nuttall
Journal:  BMJ       Date:  2009-07-29
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