The Effect of Informative Letters on the Prescription and Receipt of Seroquel
NCT02467933 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 5055
Last updated 2021-08-09
Summary
Abusive prescribing exposes patients to unnecessary health risks and results in wasteful public expenditures. This study will evaluate an innovative approach to fighting abusive prescription: sending letters to suspected inappropriate prescribers warning them that they are outliers compared to their peers and have been flagged for review. The study will target high prescribers of Seroquel (Quetiapine), an atypical antipsychotic. Using claims data, the investigators will assess the effect of the letters on prescribing of Seroquel, receipt of Seroquel by patients, substitution behavior by prescribers and patients, and health outcomes of patients.
Conditions
- Economics
- Fraud
- Delivery of Health Care
- Health Expenditures
- Centers for Medicare and Medicaid Services (U.S.)
Interventions
- OTHER
-
Placebo letter
The placebo letter describes a new rule in Medicare that requires prescribers to enroll in Medicare
- OTHER
-
Initial Informative letter
The intervention is a letter that describes the Seroquel prescribing activity of the individual in comparison to a peer group of similar prescribers. It highlights the fact that the prescriber's activity is highly unlike her peers.
- OTHER
-
Followup Informative Letter
The followup informative letter is identical to the initial informative letter except it provides an update on more recent prescribing rather than a description of earlier prescribing.
Sponsors & Collaborators
-
Centers for Medicare and Medicaid Services
collaborator FED -
General Services Administration (GSA)
collaborator FED -
Abdul Latif Jameel Poverty Action Lab
lead OTHER
Principal Investigators
-
Adam Sacarny, PhD · Columbia University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2015-04-30
- Primary Completion
- 2016-01-31
- Completion
- 2017-04-30
More Related Trials
-
The Usefulness of Patients Receiving Their Own Letter After an Outpatient Attendance
NCT00129636 ·Status: COMPLETED ·Phase: NA
-
Minimizing Harm From ADEs by Improving Nurse-Physician Communication
NCT00574990 ·Status: COMPLETED
-
The Influence of Doctor-patient Communication on Patients' Willingness to Take Medication
NCT03046940 ·Status: COMPLETED ·Phase: NA
-
Consumer Understanding and Use of Medication Guides
NCT01731405 ·Status: COMPLETED
-
Shared Decision-making: Effects on Cardiac Risk Factor Modification Behavior
NCT00714935 ·Status: COMPLETED ·Phase: NA
-
Compassion Strikes Back
NCT06988995 ·Status: RECRUITING ·Phase: NA
-
Randomized Controlled Study to Incentivize Doctors for Appropriate Use of Medical Care in NL
NCT03488121 ·Status: WITHDRAWN ·Phase: NA
-
The Influence of a Medication Adherence Smartphone Application on Medication Adherence in Chronic Illness
NCT05098743 ·Status: COMPLETED ·Phase: NA
-
Understanding Community Considerations, Opinions, Values, Impacts, and Decisions for COVID-19
NCT04373135 ·Status: COMPLETED ·Phase: NA
-
Online Mindful Self-Compassion Training for Medical Students: an Exploratory Feasibility Study
NCT06538597 ·Status: RECRUITING ·Phase: NA
-
The Influence of Doctor-patient Communication on Treatment Expectation, Placebo and Nocebo Response
NCT03949816 ·Status: UNKNOWN ·Phase: NA
-
Investigating the Impact of a Shared Decision-Making Tool
NCT05411939 ·Status: COMPLETED ·Phase: NA
-
The Impact of Community and Patient Engagement Practices on Vaccine Confidence in the United States
NCT06374134 ·Status: NOT_YET_RECRUITING
-
Cognitive Behavioral Therapy and Ageism
NCT04319393 ·Status: COMPLETED ·Phase: NA
-
Community Members as Reviewers of Medical Journal Manuscripts
NCT03432143 ·Status: COMPLETED ·Phase: NA
-
Impact on Antibiotic Prescriptions of a Bundle Intervention Conducted by Medical Representatives in General Practitioner Facilities, Based on Operational Demonstration of an Internet Decision Support Tool: Antibioclic
NCT04028830 ·Status: COMPLETED ·Phase: NA
-
Evaluating a Patient-Centered Tool to Help Medicare Beneficiaries Choose Prescription Drug Plans
NCT02895295 ·Status: COMPLETED ·Phase: NA
-
Online Access to Clinical Treatment Notes for Outpatients
NCT07135726 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Testing the Effect of a Caution for Drugs Approved on Surrogate Outcomes Alone
NCT00950157 ·Status: COMPLETED ·Phase: NA
-
DÉCISION+, a Continuous Professional Development Program to Improve Optimal Drug Prescription : a Feasibility Study
NCT00354315 ·Status: COMPLETED ·Phase: NA
-
Influence of Additional Physician's Consultations and Short Message Service (SMS) Reminders to Patient Compliance
NCT04863274 ·Status: COMPLETED
-
Effective Communication to Improve Decision Making About Health Care Plans
NCT01986790 ·Status: COMPLETED ·Phase: NA
-
Reducing the Unnecessary Use of Heavily Marketed Medications: A Randomized Controlled Trial
NCT00788346 ·Status: COMPLETED ·Phase: NA
-
Uncertainty Management Intervention
NCT00938795 ·Status: COMPLETED ·Phase: NA
-
Impact of Information Prescriptions on Medication Adherence in Emergency Department (ED) Patients
NCT01174706 ·Status: COMPLETED ·Phase: NA