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dc.contributor.authorMUrie, J
dc.contributor.authorAllen, J
dc.contributor.authorSimmonds, R
dc.contributor.authorDe Wet, C
dc.date.accessioned2018-04-17T02:49:13Z
dc.date.available2018-04-17T02:49:13Z
dc.date.issued2012
dc.identifier.issn1479-1072
dc.identifier.urihttp://hdl.handle.net/10072/340649
dc.description.abstractBackgroundMany patients unnecessarily receive proton-pump inhibitor (PPI) drugs long term with significant financial and safety implications. Educating, empowering and supporting patients to selfmanage their symptoms can lead to significant and sustained reductions in PPI prescribing. We aimed to implement a programme to reduce inappropriate PPI prescribing. MethodEligible patients in one general medical practice in rural Scotland were invited for participation between November 2008 and February 2010. Patients attended special nurse advisor clinics, completed dyspepsia questionnaires, received information, formulated self-management plans and were offered flexible support. ResultsOf the study population, 437/2883 (15%) were prescribed PPIs. Of these, 166 (38%) were judged eligible for participation. After 12 months,138/157 (83%) had reduced or stopped their PPIs, while 19/157 (11%) had reverted. The estimated annual net saving in the prescribing budget was £3180.67. Self-reported understanding of symptom self-management increased from 6/20 (30%) to 18/ 20 (90%) patients after participation in the programme. Conclusion A patient-centred programme delivered by a specialist nurse significantly reduced PPI prescribing with financial and potential therapeutic benefits. The vast majority of eligible patients were able to ‘step down and off’ or ‘step off’ PPI use after 12 months without any complications or deteriorating symptom control. Further research with larger cohorts of practices and patients is needed to develop a feasible, acceptable and effective programme if similar benefits are to be achieved for primary care in general.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherRadcliffe Publishing Ltd
dc.publisher.urihttp://primarycare.imedpub.com/abstract/glad-you-brought-it-up-a-patientcentred-programme-to-reduce-protonpump-inhibitor-prescribing-in-general-medical-practice-412.html
dc.relation.ispartofpagefrom141
dc.relation.ispartofpageto148
dc.relation.ispartofissue2
dc.relation.ispartofjournalQuality in Primary Care
dc.relation.ispartofvolume20
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classified
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111799
dc.subject.fieldofresearchcode1117
dc.titleGlad you brought it up: A patient-centred programme to reduce proton-pump inhibitor prescribing in general medical practice
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.description.versionPublished
gro.rights.copyright© The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorde Wet, Carl


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