Interventions to improve OP management had a significant positive impact on prescription of BMD measurement but a more limited impact on treatment prescription
Osteoporosis ( OP ) is a major public health concern , but still OP care does not meet guidelines .
Interventions have been developed to improve appropriate OP management .
The objective of the present study was to systematic ally review the current literature to ascertain the efficacy of interventions to improve OP care and characterize interventions taking into account elements related to their potential cost and feasibility .
General Practitioners reduced benzodiazepine prescriptions in an intervention study: a multilevel application.
OBJECTIVE This study investigated the effects of general practitioner , patient , and prescription characteristics on the reduction of long-term benzodiazepine prescribing by sending a letter to chronic users . The data were analyzed with a method respecting the hierarchical data structure . STUDY DESIGN AND SETTING Data were obtained from 8,170 chronic users nested in 147 general practice s. One thous and two hundred fifty-six chronic users in 19 general practice s received a letter with the advice to reduce or stop the use of benzodiazepines after the general practitioners had attended a course on benzodiazepine use . In a three-level r and om intercept multilevel regression model , long-term prescribing of benzodiazepines was the dependent variable . RESULTS The reduction in benzodiazepine prescribing was significantly larger in the intervention than in the control group : 16 % after 6 months and 14 % after 12 months , respectively . The age of the patient , gender , and the interaction between age and gender were significant . The combination of the duration ( long acting or short acting ) with the type of benzodiazepine ( anxiolytic or hypnotic ) was an important pharmacological baseline covariate . CONCLUSIONS The reduction of benzodiazepine prescribing was mainly explained by the letter intervention and individual patient characteristics . Multilevel analysis was a worthwhile method for application in this study with its unbalanced design
Interventions to improve OP management had a significant positive impact on prescription of BMD measurement but a more limited impact on treatment prescription
Osteoporosis ( OP ) is a major public health concern , but still OP care does not meet guidelines .
Interventions have been developed to improve appropriate OP management .
The objective of the present study was to systematic ally review the current literature to ascertain the efficacy of interventions to improve OP care and characterize interventions taking into account elements related to their potential cost and feasibility .