Effectiveness of a multifaceted implementation strategy compared to usual care on low back pain guideline adherence among general practitioners

• DOI: 10.1186/s12913-018-3166-y
• Publication Date: 2018-05-11T09:19:13Z
• Authors: Arnela Suman; Frederieke G. Sch...; Peter M. van de Ven; Pauline Slottje; Rachelle Buchbinder; Maurits W. van Tu...; Johannes R. Anema
• Keywords: Guideline; Medical record; eHealth

To improve patient care, and to reduce unnecessary referrals for diagnostic imaging medical specialist care low back pain, an evidence-based guideline pain was developed in the Netherlands 2010. The current study evaluated effect of a multifaceted implementation strategy on adherence among Dutch general practitioners. included multidisciplinary training, provision educational material interactive website healthcare professionals, supported by multimedia eHealth intervention patients with pain. Adherence measured using performance indicators based 3 months data extracted from contacts recorded electronic records participating Performance were compared between two groups: usual group group. consultations specialists, imaging, psychosocial and/or occupational physician consultations, inquiries about risk factors. 5130 LBP analysed; 2453 2677 Overall, rates referral regarding factors remained both groups over time. only statistically significant difference found reduction number neurologists (from 100 (7%) 50 (4%)) 48 (4%) (4%), (p < 0.01)). There no other between-group differences referrals. In short term, did not result improved practitioners, it is recommended widespread use. However, baseline practices already low, possibly leaving little room improvement. Inquiries this leaves This trial registered Trial Register (NTR): NTR4329 . Registration date: December 20th, 2013.