Cengotitabengoa Inés Azpilicueta, Tamayo Clara Bermúdez, Castro Martha Milena Silva, Merino Isabel Valverde, Ayestaran Amaia Martiarena, Gutiérrez José Francisco García, Jiménez-Pernett Jaime, Valls Laura Tuneu, Dáder María José Faus
Grupo de Investigación en Atención Farmacéutica, Facultad de Farmacia, Universidad de Granada, Granada, España.
Gac Sanit. 2007 May-Jun;21(3):204-9. doi: 10.1157/13106802.
To assess adherence to four codes of conduct in websites providing information useful for pharmacotherapy follow-up.
We performed a descriptive study of adherence to quality criteria in 19 websites. These sites had been identified in a previous study as being those most frequently used by pharmacists. A descriptive analysis was performed and the kappa coefficient was calculated to evaluate interrater concordance (Fleiss' criteria for evaluation of the kappa index).
The most highly rated source of clinical practice guidelines and that which adhered most closely to the 4 codes of conduct was Fisterra. The websites most highly rated in reviews and secondary sources were the Cochrane Library and PubMed. The most highly rated journals were JAMA and the BMJ, followed by Atención Primaria and Medicina Clínica. Among drug information guides, the highest scores were obtained by BOT and Martindale's. The highest rated drug bulletins were the Boletín Terapéutico Andaluz and Butlletí Groc. The most highly rated agency was the World Health Organization. The journals with the lowest scores were Pharmaceutical Care and Seguimiento Farmacoterapéutico followed by the Spanish Internacional Vademecum MediMedia-Medicom. According to Fleiss's criteria, interrater concordance was acceptable for the 4 codes.
The quality of the web sites evaluated varied widely, although most received scores of more than 60 points (out of 100) in the 4 codes of conduct used for evaluation.
评估提供药物治疗随访有用信息的网站对四项行为准则的遵守情况。
我们对19个网站遵守质量标准的情况进行了描述性研究。这些网站在之前的一项研究中被确定为药剂师最常使用的网站。进行了描述性分析，并计算了kappa系数以评估评分者间的一致性（根据Fleiss评估kappa指数的标准）。
临床实践指南评分最高且最严格遵守四项行为准则的来源是Fisterra。在综述和二级来源中评分最高的网站是Cochrane图书馆和PubMed。评分最高的期刊是《美国医学会杂志》和《英国医学杂志》，其次是《初级保健》和《临床内科医学》。在药物信息指南中，BOT和《马丁代尔药物大典》得分最高。评分最高的药物公报是《安达卢西亚治疗公报》和《布利特蒂格罗克》。评分最高的机构是世界卫生组织。得分最低的期刊是《药学保健与药物治疗随访》，其次是西班牙的《国际用药指南》（MediMedia - Medicom）。根据Fleiss的标准，评分者间对这四项准则的一致性是可以接受的。
尽管在用于评估的四项行为准则中，大多数网站得分超过60分（满分100分），但所评估网站的质量差异很大。
