How do Swiss general practitioners agree with and report adhering to a top-five list of unnecessary tests and treatments? Results of a cross-sectional survey.
BACKGROUND
In 2014, the 'Smarter Medicine' campaign released a top five list of unnecessary tests and treatments in Swiss primary care, such as imaging for acute low-back pain and long-term prescribing of proton pump inhibitors.


OBJECTIVES
Measure general practitioners' (GPs) agreement with the recommendations and self-reported adherence.


METHODS
Cross-sectional, online survey of GPs in the 'Swiss primary care active monitoring' (SPAM) network, which assessed awareness of 'Smarter Medicine' and views on each recommendation. Questions included whether the clinical situation is common, whether the recommendation is followed, whether GPs agree with the recommendation and reasons why the recommendation would not be followed.


RESULTS
One-hundred-and-sixty-seven of 277 GPs from the SPAM network participated (60%), of which 104 (62%) knew of 'Smarter Medicine', including 79% in German areas, 49% in French areas and 38% in Italian areas (P < 0.001). Agreement with the five recommendations was high, with scores around nine out of 10. The proportion saying they typically follow each recommendation was 68 to 74%, except not continuing long-term PPI prescriptions without attempting dose reduction, with only 34%. Common reasons for not following the recommendations were patient or other provider requests and situations that might suggest the need for more aggressive care.


CONCLUSION
Two years after the launch of the campaign, awareness and acceptance of 'Smarter Medicine' appear to be high among Swiss GPs. By self-report, the recommendations are adhered to by most of the respondents but there may be room for improvement, especially for long-term PPI prescriptions.
['Selby|Kevin|K|', 'Cornuz|Jacques|J|', 'Cohidon|Christine|C|', 'Gaspoz|Jean-Michel|JM|', 'Senn|Nicolas|N|']
D001291:Attitude of Health Personnel D003430:Cross-Sectional Studies D005260:Female D058005:General Practitioners D019983:Guideline Adherence D006801:Humans D057970:Inappropriate Prescribing D008297:Male D008875:Middle Aged D010818:Practice Patterns, Physicians' D011320:Primary Health Care D054328:Proton Pump Inhibitors D057566:Self Report D011795:Surveys and Questionnaires D013557:Switzerland D019564:Unnecessary Procedures
proton pump inhibitors Clinical decision-making general practice medical overuse rational use of medications