Reducing use of injections through interactional group discussions: a randomized controlled trial.

Abstract:

OBJECTIVE:To determine whether interactional group discussions could reduce prescriptions of injections by physicians. STUDY DESIGN:Randomized controlled trial. SETTING:Rural public health care facilities, North 24 Parganas district, West Bengal, India. SUBJECTS:72 medical officers, 36 each in intervention and control groups. INTERVENTION:Interactional group discussions. OUTCOME MEASURE:Proportion of prescriptions including at least one injection. RESULTS:In the intervention group, 249 of 1,080 prescriptions (23%) included at least one injection compared with 79 of 1,080 prescriptions (7%) before and after the intervention, respectively. (RR: 0.32, 95% CI: 0.25-0.40). In the control group, 231 of 1,080 prescriptions (21%) included at least one injection before the intervention vs 178 of 1,080 prescriptions (16%) after the intervention (RR 0.77, 95% CI: 0.65-0.92). CONCLUSION:Interactional group discussions reduce prescription of injections.

journal_name

Indian Pediatr

journal_title

Indian pediatrics

authors

Bhunia R,Hutin Y,Ramkrishnan R,Ghosh PK,Dey S,Murhekar M

doi

10.1007/s13312-010-0076-4

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

409-14

issue

5

eissn

0019-6061

issn

0974-7559

pii

S097475590800456-1

journal_volume

47

pub_type

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