Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Using large-scale linkage data to evaluate the effectiveness of a national educational program on antithrombotic prescribing and associated stroke prevention in primary care

    Access Status
    Open access via publisher
    Authors
    Liu, Z.
    Moorin, Rachael
    Worthington, J.
    Tofler, G.
    Bartlett, M.
    Khan, R.
    Zuo, Y.
    Date
    2016
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Liu, Z. and Moorin, R. and Worthington, J. and Tofler, G. and Bartlett, M. and Khan, R. and Zuo, Y. 2016. Using large-scale linkage data to evaluate the effectiveness of a national educational program on antithrombotic prescribing and associated stroke prevention in primary care. Journal of the American Heart Association. 5 (10): e003729.
    Source Title
    Journal of the American Heart Association
    DOI
    10.1161/JAHA.116.003729
    ISSN
    2047-9980
    School
    Department of Health Policy and Management
    URI
    http://hdl.handle.net/20.500.11937/46755
    Collection
    • Curtin Research Publications
    Abstract

    Background-—The National Prescribing Service (NPS) MedicineWise Stroke Prevention Program, which was implemented nationally in 2009–2010 in Australia, sought to improve antithrombotic prescribing in stroke prevention using dedicated interventions that target general practitioners. This study evaluated the impact of the NPS MedicineWise Stroke Prevention Program on antithrombotic prescribing and primary stroke hospitalizations. Method and Results-—This population-based time series study used administrative health data linked to 45 and Up Study participants with a high risk of cardiovascular disease (CVD) to assess the possible impact of the NPS MedicineWise program on first-time aspirin prescriptions and primary stroke-related hospitalizations. Time series analysis showed that the NPS MedicineWise program was significantly associated with increased first-time prescribing of aspirin (P=0.03) and decreased hospitalizations for primary ischemic stroke (P=0.03) in the at-risk study population (n=90 023). First-time aspirin prescription was correlated with a reduction in the rate of hospitalization for primary stroke (P=0.02). Following intervention, the number of first-time aspirin prescriptions increased by 19.8% (95% confidence interval, 1.6–38.0), while the number of first-time stroke hospitalizations decreased by 17.3% (95% confidence interval, 1.8–30.0). Conclusions-—Consistent with NPS MedicineWise program messages for the high-risk CVD population, the NPS MedicineWise Stroke Prevention Program (2009) was associated with increased initiation of aspirin and a reduced rate of hospitalization for primary stroke. The findings suggest that the provision of evidence-based multifaceted large-scale educational programs in primary care can be effective in changing prescriber behavior and positively impacting patient health outcomes.

    Related items

    Showing items related by title, author, creator and subject.

    • Validity of self-reported versus hospital-coded diagnosis of stroke: A cross-sectional and longitudinal study
      Jamrozik, E.; Hyde, Z.; Alfonso, Helman; Flicker, L.; Almeida, O.; Yeap, B.; Norman, P.; Hankey, G.; Jamrozik, K. (2014)
      Background: Population-based studies, as well as clinicians, often rely on self-report and hospital records to obtain a history of stroke. This study aimed to compare the validity of the diagnosis of stroke by self-report ...
    • Arm motor control as predictor for hypertonia after stroke: A prospective cohort study
      De Jong, Lex; Hoonhorst, M.; Stuive, I.; Dijkstra, P. (2011)
      Objectives: To analyze the development of hypertonia in the hemiparetic elbow flexors, and to explore the predictive value of arm motor control on hypertonia in a cohort of first-ever stroke survivors in the first 6 months ...
    • A randomized controlled trial of very early rehabilitation in speech after stroke
      Godecke, E.; Armstrong, E.; Rai, T.; Middleton, S.; Ciccone, N.; Whitworth, Anne; Rose, M.; Holland, A.; Ellery, F.; Hankey, G.; Cadilhac, D.; Bernhardt, J. (2016)
      Rationale The efficacy of rehabilitation therapy for aphasia caused by stroke is uncertain. Aims and hypothesis The Very Early Rehabilitation of Speech (VERSE) trial aims to determine if intensive prescribed aphasia therapy ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.