Department of Pharmacy, UiT The Arctic University of Norway, Tromsø, Norway
Hospital Pharmacy of North Norway Trust, Tromsø, Norway.
BMJ Open Qual. 2024 Oct 18;13(4):e002444. doi: 10.1136/bmjoq-2023-002444.
Inappropriate prescribing may have detrimental consequences for the patient and increase healthcare utilisation and costs. Academic detailing (AD) is an interactive outreach method to deliver non-commercial evidence-based medical information to healthcare professionals, aiming to improve patient care. Performing AD virtually has recently become more relevant, especially with the COVID-19 pandemic.
The aim of this study was to explore general practitioners' (GP's) experiences and perceptions of virtually delivered AD.
We invited practicing GPs that had received virtual AD in Norway during autumn 2020. Semistructured individual interviews were audio and video recorded during February-May 2021. Interviews were transcribed and analysed applying thematic analysis according to Braun and Clarke.
From interviews with nine GPs, we identified five themes concerning (1) informants' satisfaction with virtual AD and their opinions about the detailers and their characteristics, (2) factors that are important for participation in AD, with the campaign topic being the most important, (3) a paradox between the informants' desire for more time for discussion and the time constraint they are facing, (4) the many benefits of virtual AD compared with in-person AD and (5) the informants' perceived learning outcomes are unaffected by mode of AD delivery.
Virtual AD worked very well in terms of scheduling the visit, using technology to facilitate the visit and achieving the same learning outcomes. Virtual AD should be offered to GPs as an alternative to the traditional in-person AD, especially in remote geographical areas or in circumstances when physical outreach is challenging.
不适当的处方可能对患者产生不利影响，并增加医疗保健的利用和成本。学术细化（AD）是一种向医疗保健专业人员提供非商业循证医学信息的互动外展方法，旨在改善患者护理。最近，虚拟执行 AD 变得更加相关，尤其是在 COVID-19 大流行期间。
本研究旨在探讨全科医生（GP）对虚拟传递 AD 的经验和看法。
我们邀请了 2020 年秋季在挪威接受过虚拟 AD 的执业全科医生。2021 年 2 月至 5 月期间，对他们进行了半结构化的个人访谈，并进行了音频和视频记录。访谈记录被转录，并根据 Braun 和 Clarke 的主题分析进行了分析。
从对 9 名全科医生的访谈中，我们确定了五个主题，涉及（1）信息提供者对虚拟 AD 的满意度以及他们对详细信息提供者及其特征的看法，（2）参与 AD 的重要因素，其中活动主题最重要，（3）信息提供者希望有更多的讨论时间与他们面临的时间限制之间的矛盾，（4）虚拟 AD 与面对面 AD 相比的诸多优势，以及（5）信息提供者认为他们的学习成果不受 AD 传递方式的影响。
就预约安排、使用技术促进访问以及实现相同的学习成果而言，虚拟 AD 效果非常好。虚拟 AD 应该作为传统面对面 AD 的替代方案提供给全科医生，特别是在偏远地区或实际外展具有挑战性的情况下。
