A realist synthesis of educational outreach visiting and integrated academic detailing to influence prescribing in ambulatory care: why relationships and dialogue matter.

ABSTRACT:

Background

Many quality improvement initiatives in healthcare employ educational outreach visits, integrating academic detailing to bridge evidence-practice gaps and accelerate knowledge translation. Replicability of their outcomes in different contexts varies, and what makes some visiting programmes more successful than others is unclear.

Objective

We conducted a realist synthesis to develop theories of what makes educational outreach visiting integrating academic detailing work, for whom, under which circumstances and why, focusing on the clinician-visitor interaction when influencing prescribing of medicines in ambulatory care settings.

Methods

The realist review was performed in accordance with RAMESES standards. An initial programme theory was generated, academic

SUBMITTER: Luetsch K 

PROVIDER: S-EPMC10804006 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature