[基层医疗中处方质量指标的定义与验证]
[Definition and validation of quality indicators of prescription in primary care].
作者信息
Torrecilla-Rojas M A, Pedregal-González M, Caraballo-Camacho M O, Rodríguez-Papalardo V, Fernández-Fernández I
机构信息
Farmacia, Distrito Condado-Campiña, Huelva, Spain.
出版信息
Aten Primaria. 2006 Mar 31;37(5):273-7. doi: 10.1157/13086314.
OBJECTIVE
To define and validate a battery of prescription indicators on the use of anti-hypertensives, lipid-lowerers, diabetes drugs, and insulin, as measurements of family doctors' quality of prescription in primary health care.
DESIGN
Transversal, descriptive study.
SETTING
Two primary care health districts, Camas and Sierra Norte, Spain.
PARTICIPANTS
Eighty three family doctors, 94.32% of the doctors in the study area. DEFINITION AND VALIDATION OF INDICATORS: To construct the prescription indicators, we used evidence found in the scientific bibliography available. To validate it, we analysed its statistical relationship with a series of selected clinical tests, collected from the clinical records.
RESULTS
For each doctor, there was a statistically significant relationship between the index of quality of prescription and the clinical quality seen in the records (P=.004). The variables of age, sex, and training fine-tuned the model.
CONCLUSIONS
There is a statistically significant relationship between a good prescription indicator and proper control of intermediate health variables.
目的
定义并验证一组关于抗高血压药、降脂药、糖尿病药物和胰岛素使用的处方指标，以此衡量基层医疗中家庭医生的处方质量。
设计
横断面描述性研究。
地点
西班牙卡马斯和北塞拉两个初级保健卫生区。
参与者
83名家庭医生，占研究区域医生总数的94.32%。
指标的定义与验证
为构建处方指标，我们利用了现有科学文献中的证据。为验证该指标，我们分析了其与从临床记录中收集的一系列选定临床检查的统计关系。
结果
对于每位医生，处方质量指数与记录中所见的临床质量之间存在统计学显著关系（P = .004）。年龄、性别和培训等变量对模型进行了微调。
结论
良好的处方指标与适当控制中间健康变量之间存在统计学显著关系。
Zotero 插件