AB117         IS IT POSSIBLE TO EVALUATE THE IMPACT OF PRESS RELEASES OF GUIDELINES

Author(s): 
Chambonet JY, Robin M
NANTES, FRANCE
Text: 
Background:
In February 1999 00 L'Agence Nationale d'Accreditation et d'Evaluation de Sante (ANAES) released their recommendations to the professional press and then to GPs, about the follow up to complications of the Diabetic patients type 2. The recommendations repeated the value of the threshold of glycaemia, which is 1,26g/1.
Objectives:
To evaluate the impact of the release of the recommendations with the help of the new norms identified through the GPs.
Means & Methods:
A representative sample of GPs was randomly identified in the Loire-Atlantique area of France. A questionnaire was designed and submitted to the GPs by an investigator during an interview. The questionnaire contained items concerning the follow up of patients, and in particular the biological norms of diagnosis. One cohort was interviewed in February and a second in September 1999.
Results: The rate of participation was 75% 30 GPs were interviewed in February and another 23 in September. In the first group 52% of the GPs declared that they used the norm of 1,26g/l. In the second group it was 70% 7 months after the publication of the guidelines.
Discussion:
It emphasises that one doctor in two may have memorised the recommendations published in 1998, expressing correct information about the new scientific data. The press release had an impact since 20% of the GPs have modified their registered knowledge. The sample is representative even though it is small. The method used is valid, and has allowed a satisfactory rate of response, but required a lot of human input to carry out the interviews. The number of potential sources of information means that we cannot analyse the different media and methods. Clearer observations would require larger samples and a bigger budget.