Rigueira García A I, Gómez Juanes V
Rev Esp Salud Publica. 2000 Jan-Feb;74(1):65-80.
The constant gauging of drug prescription quality is part of the health-care process quality improvement programs as regards Primary Care, but generally speaking, there are no tried and true indicators which can be used in this assessment process. Measuring the degree to which certain set drugs are adhered to as a district-wide guide regarding which a consensus of opinion has been reached can be used as an overall indicator of prescribing-related quality. The objective of this study is that of setting out a method for selecting quality indicators of generalizing type, the same serving as an example with regard to selecting an indicator for gauging the degree to which the district guide is followed.
Descriptive cross-sectional study entailing the general practitioners in the Health Care District of Avilés (n = 78) as the individual district analyzed, and the prescriptions written thereby which were invoiced in 1997 as the data source. Seven (7) indicators were prepared for gauging the degree to which the District Drug Therapy Guide was followed. A selection was made by studying the following aspects: reliability, ready availability, accuracy, sensitivity, specificity and coherence.
The scores fell within the 10-23 range (out of a possible 28), the highest score being that of the percentage of prescriptions for active ingredients out of the guide in comparison to the total number of prescriptions written by each physician.
The indicators used in assessing drug-prescribing quality must first be analyzed in detail before being implemented. An innovative method is suggested for testing indicators for monitoring the prescribing of drugs as a whole. The most useful of all of the indicators studied for gauging the degree to which the Primary Care drug therapy guide was being followed is the percentage of prescriptions written for active ingredients out of the total number of prescriptions written. The degree to which the District Drug Therapy Guide is followed is related positively to quality prescribing.
持续评估药物处方质量是初级保健医疗过程质量改进计划的一部分，但一般而言，在这一评估过程中没有经过验证且可靠的指标可用。衡量某些特定药物作为全区指导用药的遵循程度，且对此已达成共识意见，可作为处方相关质量的总体指标。本研究的目的是提出一种选择通用型质量指标的方法，并以其作为一个示例，用于选择衡量遵循全区指导用药程度的指标。
描述性横断面研究，以阿维莱斯医疗区的全科医生（n = 78）作为分析的个体区域，并以他们在1997年开具发票的处方作为数据来源。准备了七项指标来衡量遵循《区域药物治疗指南》的程度。通过研究以下方面进行选择：可靠性、可得性、准确性、敏感性、特异性和连贯性。
分数在10 - 23分之间（满分28分），得分最高的是指南中活性成分处方占每位医生开具的处方总数的百分比。
用于评估药物处方质量的指标在实施前必须首先进行详细分析。建议采用一种创新方法来测试监测整体药物处方的指标。在所有用于衡量遵循初级保健药物治疗指南程度的研究指标中，最有用的是活性成分处方占开具的处方总数的百分比。遵循《区域药物治疗指南》的程度与高质量处方呈正相关。
