Publications by authors named "M Maclure"
Objective: To evaluate the impact of a personalised audit and feedback prescribing report (AF) and brief educational summary (ES) on empiric treatment of uncomplicated lower urinary tract infections (UTIs) by family physicians (FPs).
Design: Cluster randomised control trial.
Setting: The intervention was conducted in British Columbia, Canada between 23 September 2021 and 28 March 2022.
Article Synopsis
- The study aimed to compare family physicians working in walk-in clinics with those providing long-term care in Ontario, focusing on their characteristics and patient demographics.
- The research linked a 2019 physician survey with health care data, revealing differences such as a higher percentage of male physicians and a diverse language background among walk-in clinic practitioners.
- Results showed that walk-in clinic physicians typically served younger, less frequently seeking patients, many of whom were from diverse backgrounds and often attached to other family physicians.
Background: Instrumental variable (IV) analysis provides an alternative set of identification assumptions in the presence of uncontrolled confounding when attempting to estimate causal effects. Our objective was to evaluate the suitability of measures of prescriber preference and calendar time as potential IVs to evaluate the comparative effectiveness of buprenorphine/naloxone versus methadone for treatment of opioid use disorder (OUD).
Methods: Using linked population-level health administrative data, we constructed five IVs: prescribing preference at the individual, facility, and region levels (continuous and categorical variables), calendar time, and a binary prescriber's preference IV in analyzing the treatment assignment-treatment discontinuation association using both incident-user and prevalent-new-user designs.
Background: Exposure to opioid analgesics have historically raised concern for a risk of developing opioid use disorder. Prescriber audit-and-feedback interventions may reduce opioid prescribing, but some studies have shown detrimental effects for current users. We examined the effectiveness of an audit and feedback intervention, named Portrait, to reduce initiation of opioid analgesics among opioid-naïve patients experiencing pain.
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