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Physician's Practice Patterns clinical trials

View clinical trials related to Physician's Practice Patterns.

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NCT ID: NCT03411525 Completed - Health Care Costs Clinical Trials

Effects of Provider Commitments to Choose Wisely

Start date: January 26, 2018
Phase: N/A
Study type: Interventional

Clinicians' decisions to order potentially unnecessary services -- such as those targeted in the Choosing Wisely® campaign -- are often affected by their high-pressure practice environments, which can make it hard to consistently avoid ordering low-value care. The field of behavioral economics offers a promising and highly scalable approach to decreasing use of low-value services: asking clinicians to commit to avoid ordering such services and providing them and their patients with resources to support adherence to this commitment. This project will evaluate the effects of such an intervention across 2 large health systems, Michigan Medicine and IHA, through a mixed-methods, stepped wedge cluster randomized trial. In each of the study clinics, clinicians will be invited to commit to following a set of targeted Choosing Wisely® recommendations. Clinicians who make such a commitment, and their patients, will receive access to key resources to support adherence to this commitment. To measure the effects of the intervention, automated clinical data and medical record data before and after the intervention will be examined. Surveys and semi-structured interviews of both clinicians and patients will also be conducted to determine the effects of the intervention on their decision-making and experiences.

NCT ID: NCT02512198 Completed - Clinical trials for Physician's Practice Patterns

Electronic Prescription Data to Improve Primary Care Prescribing

EPIPP
Start date: July 2015
Phase: N/A
Study type: Interventional

This is a randomised controlled study to evaluate the effect of providing prescribing feedback that includes individual patient data to General Practitioners (GP) in Scotland on high risk or low quality prescribing.

NCT ID: NCT02247050 Completed - Health Care Costs Clinical Trials

Primary Care Clinician Commitments to Choosing Wisely®

Start date: September 2014
Phase: N/A
Study type: Interventional

This pragmatic trial examines the uptake and effects of primary care clinician commitments to follow 3 Choosing Wisely® recommendations. The investigators hypothesize that pre-encounter invitations to clinicians to commit to the recommendations will decrease ordering of: (1) imaging tests for low back pain, (2) antibiotics for acute sinusitis, and (3) imaging tests for headaches. The study is a mixed-methods, stepped wedge cluster randomized trial in which the intervention will be sequentially introduced to 6 clinics in southeastern Michigan in a randomly assigned order.