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Wayne A. Ray, PhD; William Schaffner, MD; Charles F. Federspiel, PhD

JAMA. 1985;253(12):1774-1776.

Abstract
We evaluated persistence of the prescribing improvement seen in a previous statewide controlled trial, which measured improvement in the prescribing of contraindicated antibiotics and oral cephalosporins in the year after an educational intervention. Doctors visited by physician-counselors substantially improved their prescribing of both classes of drugs. The beneficial effect of the physician-counselors persisted throughout year 2, with attributable reductions in prescribing of 30% and savings of $950 for each doctor visited. The marked and lasting improvement in prescribing produced by the physician-counselors suggests using this model to develop ongoing programs to improve prescribing.

(JAMA 1985;253:1774-1776)

Author Affiliations
From the Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, Tenn.

Footnotes
Reprint requests to Vanderbilt University Medical Center, Nashville, TN 37232 (Dr Ray).

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