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Practice costs of implementing guidelines for asthma and angina: findings from a randomised controlled trial

Richard Baker, David Turner, Robin C Fraser, Margaret Stone and Keith Stevenson
British Journal of General Practice 2005; 55 (516): 548-550.
Richard Baker
Roles: Professor of Quality in Health Care
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David Turner
Roles: Research Associate in Health Economics
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Robin C Fraser
Roles: Professor of General Practice
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Margaret Stone
Roles: Research Fellow
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Keith Stevenson
Roles: Lecturer in Clinical Audit
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Article Figures & Data

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    Table 1

    The cost of providing the interventions — guidelines, prioritised criteria or criteria plus feedback (total number of practices = 81).

    InterventionAsthmaAngina
    Guidelines
     Total purchase cost (£)791.23849.24
     Practices (n)2727
     Mean cost per practice (£)29.3031.45
    Prioritised criteria
     Development time (£)397.74397.74
     Cost of printed cards (£)122.64154.31
     Total for audit criteria (£)518.38551.05
     Practices (n)5454
     Mean cost per practice (£)9.6010.20
    Feedback
     Data collection costs (£)152.14152.14
     Provision of feedback (£)17.9317.93
     Practices (n)2727
     Audit criteria/practice (£)9.6010.20
     Mean total cost per practice (£)179.67180.29
    • Values are 1999/2000 £ sterling.

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    Table 2

    Mean and median costs (£ sterling) borne by practices implementing guidelines for asthma and angina.a

    Mean cost in £ sterling (95% CI)Median cost in £ sterling (IQR)
    Intervention groupMeetings in practicePractice leadTrainingOther practice costsTotalMeetings in practicePractice leadTrainingOther practice costsTotal
    Asthma
     Guidelines79 (9 to 49)1136 (262 to 2011)425 (−289 to 1139)23 (−9 to 56)1664 (312 to 3016)12 (0–59)255 (1–1375)0 (0–93)0 (0–0)676 (143–1522)
     Criteria21 (0 to 42)549 (38 to 1060)792 (−191 to 1776)2 (−2 to 5)1364 (122 to 2605)0 (0–19)0 (0–713)0 (0–470)0 (0–0)230 (6–1486)
     Criteria with feedback17 (5 to 29)181 (−54 to 416)679 (57 to 1301)0 (0 to 0)877 (111 to 1643)6 (0–30)0 (0–33)106 (0–811)0 (0–0)219 (6–1375)
    Angina
     Guidelines80 (−41 to 202)727 (−233 to 1686)31 (−35 to 97)0 (0 to 0)838 (−296 to 1973)15 (0–35)0 (0–451)0 (0–0)0 (0–0)45 (0–471)
     Criteria26 (1 to 50)2015 (−1336 to 5367)83 (−41 to 206)4 (−3 to 11)2127 (−1216 to 5470)7 (0–20)0 (0–230)0 (0–15)0 (0–0)125 (0–788)
     Criteria with feedback67 (−25 to 160)955 (−18 to 1928)14 (−5 to 33)7 (−4 to 17)1043 (52 to 2034)13 (0–30)0 (0–303)0 (0–0)0 (0–0)26 (0–618)
    • ↵a Values are 1999/2000 £ sterling. IQR = interquartile range.

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British Journal of General Practice: 55 (516)
British Journal of General Practice
Vol. 55, Issue 516
July 2005
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Practice costs of implementing guidelines for asthma and angina: findings from a randomised controlled trial
Richard Baker, David Turner, Robin C Fraser, Margaret Stone, Keith Stevenson
British Journal of General Practice 2005; 55 (516): 548-550.

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Practice costs of implementing guidelines for asthma and angina: findings from a randomised controlled trial
Richard Baker, David Turner, Robin C Fraser, Margaret Stone, Keith Stevenson
British Journal of General Practice 2005; 55 (516): 548-550.
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Keywords

  • angina
  • asthma
  • feedback
  • practice guidelines
  • randomised controlled trials

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