Rossi P, Perraro F, Tosato F, Aulenti G, Marasco M G, Del Frate B, Scocchi A, Valentinis U
Emergency Medicine Department, General Hospital, Udine, Italy.
Qual Assur Health Care. 1991;3(3):179-82. doi: 10.1093/intqhc/3.3.179.
A program for automatic reading of medical prescriptions has been introduced in Friuli Venezia Giulia (Italy), to control the quality of medical care and the physicians' prescribing methods in office-based medical practice. Data on the prescribing practice of general practitioners, drug consumption and costs are collected, and then general practitioners are confidentially informed, through patient-specific medication profiles, on the number and costs of their prescriptions. The first data often showed inappropriate prescription practice on the part of doctors. Through this program an approach based on quality assurance principles is made possible to improve prescribing practice. Being "peer review" activities, bereft of fiscal or punitive ends, they are more readily acceptable by physicians who feel directly involved in improving the use of drugs, with positive connotations for containing costs.
意大利弗留利-威尼斯朱利亚大区引入了一个医学处方自动读取程序，以控制门诊医疗服务的质量以及医生的处方开具方式。收集了全科医生的处方开具行为、药品消费及成本的数据，然后通过针对患者的用药记录，将其处方数量及成本以保密的方式告知全科医生。最初的数据常常显示医生存在不恰当的处方行为。通过该程序，基于质量保证原则的方法得以实施，以改善处方开具行为。由于这些“同行评审”活动没有财政或惩罚目的，那些直接参与改善药物使用的医生更容易接受，这对控制成本有着积极意义。
