Understanding the Context of High- and Low-Testosterone Prescribing Facilities in the Veterans Health Administration (VHA): a Qualitative Study.

ABSTRACT:

Background

Inappropriate testosterone use and variations in testosterone prescribing patterns exist in the Veterans Health Administration (VHA) despite the presence of clinical guidelines.

Objective

We examined system and clinician factors that contribute to patterns of potentially inappropriate testosterone prescribing in VHA.

Design

Qualitative study using a positive deviance approach to understand practice variation in high- and low-testosterone prescribing sites.

Participants

Twenty-two interview participants included primary care and specialty clinicians, key opinion leaders, and pharmacists at 3 high- and 3 low-testosterone prescribing sites.

Approach

Semi-structured phone interviews were conducted, transcribed, and coded using a priori theoretical

SUBMITTER: Jasuja GK 

PROVIDER: S-EPMC6848590 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature