Publication: General practitioner dementia documentation: A randomised controlled trial in Queensland, rural Australia - Testing the interventions of an educational workshop and audit feedback

General practitioner dementia documentation: A randomised controlled trial in Queensland, rural Australia - Testing the interventions of an educational workshop and audit feedback.
Millard F, Baune B, Kennedy L, Gunnarsson R.
Copenhagen: 2014 Alzheimer’s Association International Conference® (AAIC); 2014.

Abstract

Results:

•61 GPs entered the trial with 56 completing •Over 10,000 patient files provided data for audits •Analysis was performed on two data sets; intention to treat (n=56), and per protocol(n=37) •Audit significantly increased documentation in the smaller sample (p=0.017) •Audit did not produce a significant change in the intention to treat sample (p=0.52) •Education had no significant effect. •Combining education and audit did not increase the treatment effect •Neither 'over 20 years in practice' nor ‘Overseas training' significantly influenced the outcome.

Conclusions:

•Rural GPs readily engage in research that acknowledges time and resource constraints •Additional resources may improve compliance. •This study raises concerns on the adequacy of educational workshops alone versus audit activities, for improving practice. •Maybe GPs can’t improve their practice until they have measured what needs to change. •GP audit comparing documented dementia prevalence with a predicted prevalence may improve dementia documentation •Further research applying education and audit to other clinical areas could strengthen the case for wider use of audit to improve clinical practice.


, from FoU-centrum för primärvård och folktandvård Södra Älvsborg
http://au.researchweb.org/is/en/foualvsborg/user/publication?ref=2011661