Dahye Park, Jeehye Jun
Factors Influencing Sleep Duration and Sleep Difficulty in People with Chronic Obstructive Pulmonary Disease
Iranian journal of public health
dyspepsia commonly encountered clinical condition dutch general practice often treated prescription acidreducing medication arm however recent studies indicate majority chronic arm users lack indication use longterm use associated adverse outcomes developed patientfocussed educational intervention aiming reduce lowvalue chronic use arm conducted randomized controlled study evaluated effect lowvalue chronic prescription arm using data subset n 26 practices nivel primary care database intervention involved distributing educational waiting room posters flyers informing patients general practitioners gps regarding appropriate indications prescription arm dyspepsia also referred online decision aid interventions effect evaluated calculation odds ratio patient receiving lowvalue chronic arm prescription second half 2021 2022 ie preintervention vs postintervention control intervention groups proportion patients receiving chronic lowvalue arm prescriptions slightly increased control group decreased 503 2021 497 2022 intervention group increased 513 2021 531 2022 subsequent statistical analysis revealed significant difference lowvalue chronic prescriptions control intervention groups odds ratio 111 084147 p 005 educational intervention result change lowvalue chronic prescription arm approximately half patients intervention control still received lowvalue chronic arm prescriptions absence effect might explained selection bias participating practices awareness topic chronic amr prescriptions relative low proportion lowvalue chronic arm prescribing intervention well control group compared assessment conducted two years prior 10312023 nct06108817