[通过共识小组选择基层医疗处方的质量指标]
[Selection of quality indicators for primary care prescription through a consensus group].
作者信息
Garjón Parra Francisco Javier, Aller Blanco Ana Isabel, Buisán Giral María José, Elfau Mairal María, Celaya Lecea María Concepción
机构信息
Farmacia Hospitalaria, Farmacia de Atención Primaria, Dirección Atención Primaria Sector Huesca, Huesca, España.
出版信息
Aten Primaria. 2006 Jun 15;38(1):39-44. doi: 10.1157/13090031.
OBJECTIVE
To work out a system of indicators for improvement of primary care prescription, by incorporating the values and views of the professionals issuing prescriptions.
DESIGN
Qualitative technique to search for consensus among experts, based on nominal groups.
SETTING
All primary care areas in the Health Service of Aragon, Spain.
PARTICIPANTS
Primary care doctors, doctors in primary care management teams, specialists, primary care pharmacists.
METHOD
Two parallel groups involving a total of 24 experts were formed. In the session these questions were posed: "what indicators focusing on the drug and what indicators relating diagnosis and treatment do you think most useful for evaluating prescription quality?" Each panellist put forward indicators that were then discussed and placed on a scale of 1 to 9.
RESULTS
One hundred and thirty six indicators were generated, 81 drug-focused and 55 relating diagnosis and treatment; 56% were given a weighting above 5. The 2 groups coincided in 11 cases. The most valued indicators were generally those that brought a greater degree of consensus.
CONCLUSION
It is feasible, through this technique, to produce a set of agreed indicators for evaluating primary care doctors' prescription.
目的
通过纳入开处方专业人员的价值观和观点，制定一套改善初级保健处方的指标体系。
设计
基于名义小组法的定性技术，以寻求专家之间的共识。
地点
西班牙阿拉贡卫生服务局的所有初级保健区域。
参与者
初级保健医生、初级保健管理团队的医生、专科医生、初级保健药剂师。
方法
组成两个平行小组，共有24名专家参与。在会议上提出了这些问题：“你认为哪些关注药物的指标以及哪些与诊断和治疗相关的指标对评估处方质量最有用？”每位小组成员提出指标，然后进行讨论并按1至9分进行评分。
结果
共产生了136项指标，其中81项关注药物，55项与诊断和治疗相关；56%的指标得分高于5分。两组在11个案例中达成一致。最受重视的指标通常是那些达成更高程度共识的指标。
结论
通过这种技术，制定一套用于评估初级保健医生处方的商定指标是可行的。
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