Background: This systematic review evaluates the effect of audit and feedback (A&F) interventions targeting antibiotic prescribing in primary care and examines factors that may explain the variation in effectiveness.
Methods: Randomized controlled trials (RCTs) involving A&F interventions targeting antibiotic prescribing in primary care were included in the systematic review. Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, and ClinicalTrials.
I greatly respect the authors of the target article. However, in contrast to the target article's assertion, practitioners of behavioral public policy are indeed involved in developing and promoting systemic solutions. Its "i-frame"/"s-frame" distinction is incoherent, unhelpful, and obscures promising future directions for behavioral public policy.
View Article and Find Full Text PDFRecent years have seen a rapid increase in the use of behavioural science to address the priorities of public and private sector actors. There is now a vibrant ecosystem of practitioners, teams and academics building on each other's findings across the globe. Their focus on robust evaluation means we know that this work has had an impact on important issues such as antimicrobial resistance, educational attainment and climate change.
View Article and Find Full Text PDFBackground: Unsolicited feedback can solicit changes in prescribing.
Objectives: Determine whether a low-cost intervention increases clinicians' engagement with data, and changes prescribing; with or without behavioural science techniques.
Methods: Randomized trial (ISRCTN86418238).
Background: Unnecessary antibiotic prescribing contributes to antimicrobial resistance. In this trial, we aimed to reduce unnecessary prescriptions of antibiotics by general practitioners (GPs) in England.
Methods: In this randomised, 2 × 2 factorial trial, publicly available databases were used to identify GP practices whose prescribing rate for antibiotics was in the top 20% for their National Health Service (NHS) Local Area Team.
Background: Missed hospital appointments are a major cause of inefficiency worldwide. Healthcare providers are increasingly using Short Message Service reminders to reduce 'Did Not Attend' (DNA) rates. Systematic reviews show that sending such reminders is effective, but there is no evidence on whether their impact is affected by their content.
View Article and Find Full Text PDFBackground: The National Institute for Health Research (NIHR) was established in 2006 with the aim of creating an applied health research system embedded within the English National Health Service (NHS). NIHR sought to implement an approach for monitoring its performance that effectively linked early indicators of performance with longer-term research impacts. We attempted to develop and apply a conceptual framework for defining appropriate key performance indicators for NIHR.
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