Drug utilisation 90% profiles--a useful tool for quality assessment of prescribing in primary health care in Stockholm.

作者: Bj�rn Wettermark , �ke Pehrsson , Dane Jinnerot , Ulf Bergman

DOI: 10.1002/PDS.852

关键词:

摘要: Purpose To analyse strengths and weaknesses of a simple method for assessing the general quality drug prescribing to study acceptance among practitioners (GPs). Methods Prescriptions dispensed during October–December 1999 2000, respectively, were analysed 38 Primary Health Care centres (PHC) in Stockholm participating an intervention project with aim increasing cost-consciousness GPs. Focus was on rather than costs. Prescribing profiles focusing number drugs constituting 90% volume (= DU90%) adherence local committee guideline within this segment presented prescribers. The credibility usefulness evaluated by questionnaire. Result Among PHCs, total prescribed varied between 358 674. DU90%-segment 117 194. 56% 74% increased over time. prescribers found DU90%-profiles clear relevant considered be useful tool improving prescribing. Conclusion Providing as feedback shown valuable practice overall form basis more disease- or patient-specific analyses. Copyright © 2003 John Wiley & Sons, Ltd.

参考文章(35)
Ruth I. Ferguson, Clare E. Salmond, Timothy J.B. Maling, The Nelson Prescribing Project PharmacoEconomics. ,vol. 7, pp. 555- 561 ,(1995) , 10.2165/00019053-199507060-00009
M McCarthy, K Wilson-Davis, H McGavock, Relationship between the number of partners in a general practice and the number of different drugs prescribed by that practice. British Journal of General Practice. ,vol. 42, pp. 10- 12 ,(1992)
Stephen B. Soumerai, Sumit Majumdar, Helene L. Lipton, Evaluating and Improving Physician Prescribing Pharmacoepidemiology, Fifth Edition. pp. 483- 503 ,(2002) , 10.1002/0470842555.CH30
Björn Wettermark, Vera Vlahović‐Palčevski, David Lee, Ulf Bergman, Studies of Drug Utilization Pharmacoepidemiology,. pp. 373- 410 ,(2019) , 10.1002/9781119413431.CH18
Jane Robertson, Jayne L. Fryer, Dianne L. O'Connell, Anthony J. Smith, David A. Henry, Personal formularies. An index of prescribing quality European Journal of Clinical Pharmacology. ,vol. 57, pp. 333- 341 ,(2001) , 10.1007/S002280100310
A. J. Avery, T. Heron, D. Lloyd, C. M. Harris, D. Roberts, Investigating relationships between a range of potential indicators of general practice prescribing: an observational study Journal of Clinical Pharmacy and Therapeutics. ,vol. 23, pp. 441- 450 ,(1998) , 10.1046/J.1365-2710.1998.00187.X
C M Bond, R J Taylor, Change in the established prescribing habits of general practitioners: an analysis of initial prescriptions in general practice. British Journal of General Practice. ,vol. 41, pp. 244- 248 ,(1991)
COLIN P BRADLEY, Decision making and prescribing patterns--a literature review. Family Practice. ,vol. 8, pp. 276- 287 ,(1991) , 10.1093/FAMPRA/8.3.276
C.Stålsby Lundborg, R Wahlström, T Oke, G Tomson, V.K Diwan, Influencing prescribing for urinary tract infection and asthma in primary care in Sweden: a randomized controlled trial of an interactive educational intervention. Journal of Clinical Epidemiology. ,vol. 52, pp. 801- 812 ,(1999) , 10.1016/S0895-4356(99)00036-0