Effects of communication training with the MAAS-Global-D instrument on the antibiotic prescribing for respiratory infections in primary care: study protocol of a randomised controlled trialReportar como inadecuado




Effects of communication training with the MAAS-Global-D instrument on the antibiotic prescribing for respiratory infections in primary care: study protocol of a randomised controlled trial - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Trials

, 17:180

First Online: 02 April 2016Received: 09 January 2016Accepted: 16 March 2016DOI: 10.1186-s13063-016-1293-5

Cite this article as: Hammersen, F., Goetz, K., Soennichsen, A. et al. Trials 2016 17: 180. doi:10.1186-s13063-016-1293-5

Abstract

BackgroundPrimary care physicians account for the majority of antibiotic prescribing in ambulatory care in Germany. Respiratory diseases are, regardless of effectiveness, often treated with antibiotics. Research has found this use without indication to be caused largely by communication problems e.g. expectations on the patient’s part or false assumptions about them by the physician. The present randomised controlled trial RCT study evaluates whether communication training for primary care physicians can reduce the antibiotic prescribing rate for respiratory tract infections.

Methods-DesignThe study consists of three groups: group A will receive communication training; group B will be given the same, plus additional, access to an evidence-based point-of-care tool; and group C will function as the control group. The primary endpoint is the difference between intervention and control groups regarding the antibiotic prescribing rate before and after the intervention assessed through routine data. The communication skills are captured with the help of the communication instrument MAAS-Global-D, as well as individual videos of physician-patient consultations recorded by the primary care physicians. These skills will also be regarded with respect to the antibiotic prescribing rate.

A process evaluation using qualitative as well as quantitative methods should provide information about barriers and enablers to implementing the communication training.

DiscussionThe trial contributes to an insight into the effectiveness of the different components to reduce antibiotic prescribing, which will also be supported by an extensive evaluation. Communication training could be an effective method of reducing antibiotic prescribing in primary care.

Trial registrationDRKS00009566

Date registration5 November 2015.

KeywordsMAAS-Global-D Communication skills Physician-patient relationship Antibiotic prescribing Primary health care Evidence-based medicine Guidelines Communicative competencies Routine data Respiratory tract infections AbbreviationsEbMGEvidence-based Medicine – Guidelines

KVAssociation of Statutory Health Insurance Physicians

KVSHAssociation of Statutory Health Insurance Physicians Schleswig-Holstein

t0baseline: pre-intervention time period quarter II in years 2013–2015

t1post-intervention time period quarter II in 2016

PCPprimary care physician

SHSchleswig-Holstein, federal state in northern Germany

ULDIndependent Centre for Data Protection SH Unabhaengiges Landeszentrum fuer Datenschutz

ZICentral Research Institute of Ambulatory Health Care in Germany

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Autor: Friederike Hammersen - Katja Goetz - Andreas Soennichsen - Timo Emcke - Jost Steinhaeuser

Fuente: https://link.springer.com/







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