Sustaining practice change in health care: the impact of a national quality improvement program on the uptake of collaborative medicines reviews
Journal of pharmacy practice and research(2018)
Abstract
Aim We evaluated the impact of quality improvement interventions at different time points on the uptake of collaborative Home Medicines Reviews ( HMR s). Methods National interventions to promote HMR s, comprising patient‐specific prescriber feedback and tailored educational materials for patients and clinicians, were conducted in 2004, 2006 and 2011 through the Veterans’ Medicines Advice and Therapeutics Education Services (Veterans’ MATES ) program. Primary care patients taking multiple medicines were targeted in each intervention, while primary care patients taking multiple medicines who did not receive the intervention served as comparisons. Monthly HMR rates among targeted patients and a comparison group in the 9 months post‐intervention were determined using health claims data from the Australian Government Department of Veterans’ Affairs and compared using log binomial regression models. Overall trends in the rate of HMRs between November 2001 and December 2016 were also determined. Results Over 40 000 patients were targeted in each HMR intervention. Relative increases in HMR uptake were observed among patients targeted in the 2004 intervention (rate ratio ( RR ) 1.76 (1.39, 2.22), p < 0.0001), the 2006 intervention ( RR 1.45 (1.19, 1.76), p = 0.0002) and the 2011 intervention ( RR 2.81 (2.34, 3.37), p < 0.0001) compared to the comparison group. Overall, the monthly HMR rate increased from 0.2 per 1000 patients in November 2001 to 2.7 per 1000 patients in December 2012. Conclusion Regular repetition of quality improvement messages has led to sustained increases in HMR uptake among Australian veterans over the last decade.
MoreTranslated text
Key words
national quality improvement program,health care,improvement program,practice change,medicines
AI Read Science
Must-Reading Tree
Example
![](https://originalfileserver.aminer.cn/sys/aminer/pubs/mrt_preview.jpeg)
Generate MRT to find the research sequence of this paper
Chat Paper
Summary is being generated by the instructions you defined