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Protocol of a tailored educational intervention for general practitioners on potentially inappropriate medications among older patients at community healthcare institutions in Beijing, China: a cluster-randomised controlled trial

INTRODUCTION: Prescribing of potentially inappropriate medications (PIMs) has become a prominent issue of public concern among elderly patients. However, no research has involved interventions on PIMs of Chinese elderly patients seeking care at primary healthcare. This study aims to evaluate the eff...

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Autores principales: Fu, Mengyuan, Wushouer, Haishaerjiang, Nie, Xiaoyan, Li, Nan, Zhang, Xinyan, Wang, Fang, Guan, Xiaodong, Shi, Luwen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311309/
https://www.ncbi.nlm.nih.gov/pubmed/34301655
http://dx.doi.org/10.1136/bmjopen-2020-046942
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author Fu, Mengyuan
Wushouer, Haishaerjiang
Nie, Xiaoyan
Li, Nan
Zhang, Xinyan
Wang, Fang
Guan, Xiaodong
Shi, Luwen
author_facet Fu, Mengyuan
Wushouer, Haishaerjiang
Nie, Xiaoyan
Li, Nan
Zhang, Xinyan
Wang, Fang
Guan, Xiaodong
Shi, Luwen
author_sort Fu, Mengyuan
collection PubMed
description INTRODUCTION: Prescribing of potentially inappropriate medications (PIMs) has become a prominent issue of public concern among elderly patients. However, no research has involved interventions on PIMs of Chinese elderly patients seeking care at primary healthcare. This study aims to evaluate the effectiveness of a tailored educational intervention programme for general practitioners (GPs), aiming at reducing the occurrence of PIMs in elderly patients. METHODS AND ANALYSIS: This is a parallel group, controlled, cluster-randomised trial, with blinded evaluation of outcomes and data analysis, and un-blinded intervention. Twenty primary community healthcare stations (CHSs) in Dongcheng district in Beijing will be randomised to intervention and control arm with an allocation ratio of 1:1. GPs in CHSs randomised to the intervention arm will receive a two-component intervention: general training of PIMs and distribution of PIMs handbook. GPs in the control arm will assess and manage patients according to the institutions’ routine practice. The primary outcome is the change in PIMs patient visit rate. ETHICS AND DISSEMINATION: Ethics committee approval of this study was obtained from Peking University Institution Review Board (IRB00001052-19074). The findings will be published in scientific and conference presentations. TRIAL REGISTRATION NUMBER: ChiCTR2100047788.
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spelling pubmed-83113092021-08-13 Protocol of a tailored educational intervention for general practitioners on potentially inappropriate medications among older patients at community healthcare institutions in Beijing, China: a cluster-randomised controlled trial Fu, Mengyuan Wushouer, Haishaerjiang Nie, Xiaoyan Li, Nan Zhang, Xinyan Wang, Fang Guan, Xiaodong Shi, Luwen BMJ Open Geriatric Medicine INTRODUCTION: Prescribing of potentially inappropriate medications (PIMs) has become a prominent issue of public concern among elderly patients. However, no research has involved interventions on PIMs of Chinese elderly patients seeking care at primary healthcare. This study aims to evaluate the effectiveness of a tailored educational intervention programme for general practitioners (GPs), aiming at reducing the occurrence of PIMs in elderly patients. METHODS AND ANALYSIS: This is a parallel group, controlled, cluster-randomised trial, with blinded evaluation of outcomes and data analysis, and un-blinded intervention. Twenty primary community healthcare stations (CHSs) in Dongcheng district in Beijing will be randomised to intervention and control arm with an allocation ratio of 1:1. GPs in CHSs randomised to the intervention arm will receive a two-component intervention: general training of PIMs and distribution of PIMs handbook. GPs in the control arm will assess and manage patients according to the institutions’ routine practice. The primary outcome is the change in PIMs patient visit rate. ETHICS AND DISSEMINATION: Ethics committee approval of this study was obtained from Peking University Institution Review Board (IRB00001052-19074). The findings will be published in scientific and conference presentations. TRIAL REGISTRATION NUMBER: ChiCTR2100047788. BMJ Publishing Group 2021-07-23 /pmc/articles/PMC8311309/ /pubmed/34301655 http://dx.doi.org/10.1136/bmjopen-2020-046942 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Geriatric Medicine
Fu, Mengyuan
Wushouer, Haishaerjiang
Nie, Xiaoyan
Li, Nan
Zhang, Xinyan
Wang, Fang
Guan, Xiaodong
Shi, Luwen
Protocol of a tailored educational intervention for general practitioners on potentially inappropriate medications among older patients at community healthcare institutions in Beijing, China: a cluster-randomised controlled trial
title Protocol of a tailored educational intervention for general practitioners on potentially inappropriate medications among older patients at community healthcare institutions in Beijing, China: a cluster-randomised controlled trial
title_full Protocol of a tailored educational intervention for general practitioners on potentially inappropriate medications among older patients at community healthcare institutions in Beijing, China: a cluster-randomised controlled trial
title_fullStr Protocol of a tailored educational intervention for general practitioners on potentially inappropriate medications among older patients at community healthcare institutions in Beijing, China: a cluster-randomised controlled trial
title_full_unstemmed Protocol of a tailored educational intervention for general practitioners on potentially inappropriate medications among older patients at community healthcare institutions in Beijing, China: a cluster-randomised controlled trial
title_short Protocol of a tailored educational intervention for general practitioners on potentially inappropriate medications among older patients at community healthcare institutions in Beijing, China: a cluster-randomised controlled trial
title_sort protocol of a tailored educational intervention for general practitioners on potentially inappropriate medications among older patients at community healthcare institutions in beijing, china: a cluster-randomised controlled trial
topic Geriatric Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311309/
https://www.ncbi.nlm.nih.gov/pubmed/34301655
http://dx.doi.org/10.1136/bmjopen-2020-046942
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