Figueiras A, Caamaño F, Gestal-Otero J J
Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Spain.
Eur J Clin Pharmacol. 2000 Dec;56(9-10):747-53. doi: 10.1007/s002280000217.
To identify factors associated with low prescription quality in primary care.
We carried out a cross-sectional study on a sample of 405 primary care physicians in Galicia (Northwest Spain). The following independent variables were collected through a mail questionnaire survey: physician's education and speciality, physician's perception of the quality of available drug information sources, type of practice and number of patients. We constructed multiple regression models using as dependent variables four indicators of the quality of drugs prescribed.
The response rate was 75.2%. The quality of drugs prescribed was found to be associated with regulated physician training (P = 0.001), perceived credibility of information sources (P = 0.013) and environmental characteristics of the practice (reform model and number of patients' cards).
Study results suggest that in order to improve the quality of drugs prescribed, physician education and training must be improved and the role of pharmaceutical companies in physician training should be limited, emphasising more objective sources of information, such as therapeutic guidelines. Our results also underline the need to complete the reform of our primary care system and promote better relationships among physicians and between physicians and patients.
确定基层医疗中与低处方质量相关的因素。
我们对加利西亚（西班牙西北部）的405名基层医疗医生样本进行了一项横断面研究。通过邮寄问卷调查收集了以下自变量：医生的教育程度和专业、医生对现有药物信息来源质量的认知、执业类型和患者数量。我们构建了多元回归模型，将所开药物质量的四个指标用作因变量。
回复率为75.2%。发现所开药物的质量与规范的医生培训（P = 0.001）、信息来源的可信度（P = 0.013）以及执业的环境特征（改革模式和患者病历数量）相关。
研究结果表明，为了提高所开药物的质量，必须改进医生的教育和培训，限制制药公司在医生培训中的作用，强调更客观的信息来源，如治疗指南。我们的结果还强调了完成基层医疗系统改革以及促进医生之间以及医生与患者之间更好关系的必要性。
