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January/February 2012 Annals of Family Medicine
Date:1/9/2012

percent) and sleeping disorder (59 percent vs. 67 percent), as was the proportion of patients with more than one benzodiazepine prescription for both anxiety (36 percent vs. 43 percent) and sleeping disorder (35 percent vs. 43 percent). In fact, researchers note, benzodiazepines disappeared from the Netherlands' top 10 most prescribed medications and were among the top 10 medications with the steepest decrease in number of prescriptions. Notably, the authors found no increase in the use of alternative treatment for anxiety using selective serotonin reuptake inhibitors. These findings suggest that a policy measure can affect drug prescribing, and the authors conclude that physicians have room to reduce benzodiazepine prescribing.

Reimbursement Restriction and Moderate Decrease in Benzodiazepine Use in General Practice

By Jolle M. Hoebert, PharmD

Utrecht University, the Netherlands

Practice Facilitation Effective in Getting Practices to Adopt Evidence-Based Guidelines

As the country attempts to redesign medical practice, practice facilitation increasingly is used to assist with the needed practice changes. A systematic review of the literature found practice facilitation has a robust effect on the adoption of evidence-based guidelines in primary care. The review, which included 23 studies representing nearly 1,400 primary care practices, found practices are 2.76 times more likely to adopt evidence-based guidelines with practice facilitation than without. Further analysis found that tailoring the intensity of the intervention to the needs of the practice and the number of practices per facilitator impacted the effectiveness of the facilitation.

Systematic Review and Meta-Analysis of Practice Facilitation Within Primary Care Settings

By N. Bruce Baskerville, MHA, PhD, et al

University of Waterloo, Ontario, Canada

Viability of Urinary Tract Infection and Chlamydia trachomatis Testing Using a Single Specimen '/>"/>

Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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