Changing Physicians' Practices

New England Journal of Medicine

Volumn 329, Issue 17, 1993, Pages 1271-1274

  Greco, Peter J ^a   Eisenberg, John M ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CONTINUING EDUCATION; DECISION MAKING; EDITORIAL; HEALTH CARE QUALITY; HUMAN; MEDICAL CARE; MEDICAL PRACTICE; PRIORITY JOURNAL; STANDARD;

EDUCATION, MEDICAL, CONTINUING; FEEDBACK; FORECASTING; HUMAN; PATIENT CARE PLANNING; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIAN'S ROLE; PRACTICE GUIDELINES; REIMBURSEMENT MECHANISMS; SUPPORT, NON-U.S. GOV'T; SUPPORT, U.S. GOV'T, NON-P.H.S.; SUPPORT, U.S. GOV'T, P.H.S.; UNITED STATES;

EID: 0027377944     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJM199310213291714     Document Type: Editorial

References (44)

1. NIH Consensus Development Panel on Gallstones and Laparoscopic Cholecystectomy. Gallstones and laparoscopic cholecystectomy. JAMA 1993; 269: 1018-1024
2. Fineberg HV Clinical evaluation: how does it influence medical practice? Bull Cancer (Paris) 1987; 74: 333-346
3. Eisenberg JM. Doctors' decisions and the cost of medical care. Ann Arbor, Mich.: Health Administration Press, 1986.
4. Davis DA, Thomson MA, Oxman AD, Haynes RB Evidence for the effectiveness of CME: a review of 50 randomized controlled trials. JAMA 1992; 268: 1111-1117
5. White CW, Albanese MA, Brown DD, Caplan RM The effectiveness of continuing medical education in changing the behavior of physicians caring for patients with acute myocardial infarction: a controlled randomized trial. Ann Intern Med 1985; 102: 686-692
6. Audet AM, Greenfield S, Field M Medical practice guidelines: current activities and future directions. Ann Intern Med 1990; 113: 709-714
7. Kosecoff J, Kanouse DE, Rogers WH, McCloskey L, Winslow CM, Brook RH Effects of the National Institutes of Health Consensus Development Program on physician practice. JAMA 1987; 258: 2708-2713
8. Lomas J, Anderson GM, Domnick-Pierre K, Vayda E, Enkin MW, Hannah WJ Do practice guidelines guide practice? The effect of a consensus statement on the practice of physicians. N Engl J Med 1989; 321: 1306-1311
9. Lomas J Words without action? The production, dissemination, and impact of consensus recommendations. Annu Rev Public Health 1991; 12: 41-65
10. Greer AL The state of the art versus the state of the science: the diffusion of new medical technologies into practice. Int J Technol Assess Health Care 1988; 4: 5-26
11. Lomas J, Enkin M, Anderson GM, Hannah WJ, Vayda E, Singer J Opinion leaders vs audit and feedback to implement practice guidelines: delivery after previous cesarean section. JAMA 1991; 265: 2202-2207
12. Everitt DE, Soumerai SB, Avorn J, Klapholz H, Wessels M Changing surgical antimicrobial prophylaxis practices through education targeted at senior department leaders. Infect Control Hosp Epidemiol 1990; 11: 578-583
13. Soumerai SB, Avorn J Principles of educational outreach (‘academic detailing’) to improve clinical decision making. JAMA 1990; 263: 549-556
14. Avorn J, Soumerai SB A new approach to reducing suboptimal drug use. JAMA 1983; 250: 1752-1753
15. Schaffner W, Ray WA, Federspiel CF, Miller WO Improving antibiotic prescribing in office practice: a controlled trial of three educational methods. JAMA 1983; 250: 1728-1732
16. Ray WA, Schaffner W, Federspiel CF Persistence of improvement in antibiotic prescribing in office practice. JAMA 1985; 253: 1774-1776
17. Ray WA, Blazer DG II, Schaffner W, Federspiel CF, Fink R Reducing long-term diazepam prescribing in office practice: a controlled trial of educational visits. JAMA 1986; 256: 2536-2539
18. Billi JE, Duran-Arenas L, Wise CG, Bernard AM, McQuillan M, Stross JK The effects of a low-cost intervention program on hospital costs. J Gen Intern Med 1992; 7: 411-417
19. Manheim LM, Feinglass J, Hughes R, Martin GJ, Conrad K, Hughes EF Training house officers to be cost conscious: effects of an educational intervention on charges and length of stay. Med Care 1990; 28: 29-42
20. Kroenke K, Pinholt EM Reducing polypharmacy in the elderly: a controlled trial of physician feedback. J Am Geriatr Soc 1990; 38: 31-36
21. Frazier LM, Brown JT, Divine GW, Can physician education lower the cost of prescription drugs? A prospective, controlled trial. Ann Intern Med 1991; 115: 116-121
22. Berwick DM, Coltin KL Feedback reduces test use in a health maintenance organization. JAMA 1986; 255: 1450-1454
23. McPhee SJ, Bird JA, Jenkins CN, Fordham D Promoting cancer screening: a randomized, controlled trial of three interventions. Arch Intern Med 1989; 149: 1866-1872
24. Tierney WM, Hui SL, McDonald CJ Delayed feedback of physician performance versus immediate reminders to perform preventive care: effects on physician compliance. Med Care 1986; 24: 659-666
25. Hershey CO, Goldberg HI, Cohen DI The effect of computerized feedback coupled with a newsletter upon outpatient prescribing charges: a randomized controlled trial. Med Care 1988; 26: 88-93
26. Meyer TJ, Van Kooten D, Marsh S, Prochazka AV Reduction of polypharmacy by feedback to clinicians. J Gen Intern Med 1991; 6: 133-136
27. Parrino TA The nonvalue of retrospective peer comparison feedback in containing hospital antibiotic costs. Am J Med 1989; 86: 442-448
28. Headrick LA, Speroff T, Pelecanos HI, Cebul RD Efforts to improve compliance with the National Cholesterol Education Program guidelines: results of a randomized controlled trial. Arch Intern Med 1992; 152: 2490-2496
29. Klein D. Some notes on the dynamics of resistance to change: the defender role. In: Bennis WG, Benne KD, Chin R, Corey KE, eds. The planning of change. 3rd ed. New York: Holt, Rinehart & Winston, 1976:117-24.
30. Spiegel JS, Shapiro MF, Berman B, Greenfield S Changing physician test ordering in a university hospital: an intervention of physician participation, explicit criteria, and feedback. Arch Intern Med 1989; 149: 549-553
31. Wachtel TJ, O'Sullivan P Practice guidelines to reduce testing in the hospital. J Gen Intern Med 1990; 5: 335-341
32. Laffel G, Blumenthal D The case for using industrial quality management science in health care organizations. JAMA 1989; 262: 2869-2873
33. Berwick DM Continuous improvement as an ideal in health care. N Engl J Med 1989; 320: 53-56
34. McEachern JE, Makens PK, Buchanan ED, Schiff L Quality improvement: an imperative for medical care. J Occup Med 1991; 33: 364-371
35. Berwick DM, Godfrey AB, Roessner J. Curing health care: new strategies for quality improvement. San Francisco: Jossey-Bass, 1990.
36. Coleman RW, Rodondi LC, Kaubisch S, Granzella NB, O'Hanley PD Cost-effectiveness of prospective and continuous parenteral antibiotic control: experience at the Palo Alto Veterans Affairs Medical Center from 1987 to 1989. Am J Med 1991; 90: 439-444
37. Avorn J, Soumerai SB, Taylor W, Wessels MR, Janousek J, Weiner M Reduction of incorrect antibiotic dosing through a structured educational order form. Arch Intern Med 1988; 148: 1720-1724
38. Zaat JO, Van Eijk JT, Bonte HA Laboratory test form design influences test ordering by general practitioners in the Netherlands. Med Care 1992; 30: 189-198
39. Lindsey PA, Newhouse JP The cost and value of second surgical opinion programs: a critical review of the literature. J Health Polit Policy Law 1990; 15: 543-570
40. Gray BH, Field MJ, eds. Controlling costs and changing patient care? The role of utilization management. Washington, D.C.: National Academy Press, 1989.
41. Soumerai SB, Ross-Degnan D, Avorn J, McLaughlin TJ, Choodnovskiy I Effects of Medicaid drug-payment limits on admission to hospitals and nursing homes. N Engl J Med 1991; 325: 1072-1077
42. Hickson GB, Altemeier WA, Perrin JM Physician reimbursement by salary or fee-for-service: effect on physician practice behavior in a randomized prospective study. Pediatrics 1987; 80: 344-350
43. Hillman AL, Pauly MV, Kerstein JJ How do financial incentives affect physicians' clinical decisions and the financial performance of health maintenance organizations? N Engl J Med 1989; 321: 86-92
44. Kahn KL, Keeler EB, Sherwood MJ, Comparing outcomes of care before and after implementation of the DRG-based prospective payment system. JAMA 1990; 264: 1984-1988