Partners for Appropriate Anti-Infective Community Therapy (PACCT) (ON222)
Recipient: Department of Family and Community Medicine, University of Toronto
This study looked at the feasibility of extending an education strategy called PACCT (Partners for Appropriate Anti-infective Community Therapy), which had proven effective in a 1996 pilot, to the whole province in order to combat antibiotic resistance. The project had six objectives: to establish a provincial network for disseminating evidence-based guidelines and educational materials; to empower family physicians to play a leadership role in improving the use of antibiotics; to contribute to decreasing regional and national bacterial resistance; to promote the appropriate use of anti-infectives; to improve patients’ understanding and use of anti-infectives; and to provide an opportunity for enhanced physician-patient-pharmacist communication about drug-related issues. The project developed a provincial network of trained facilitators and supplied them with materials as well as program and evaluation support to give training to primary care providers in their communities. The project was not designed to measure changes in antibiotic prescribing and use. The report draws out the lessons learned and extends their application to suggest that this information dissemination approach could be extended to other primary care best-practice guidelines over a wide geographic area.
This project was supported by the Health Transition Fund, which was created in 1997 to provide support for evidence-based decision-making in health care reform by supporting pilot and evaluation projects which test innovative approaches to health care delivery. The views expressed herein do no necessarily represent the official policy of federal, provincial, or territorial governments.