Pereiró I, Rodríguez R, Bartual M J, Guijarro M D, Sánchez G, Suberviola V
Unidad de Investigación de Atención Primaria. Areas 11 y 12, Dirección de Ateción Primaria Areas 11 y 12, Valencia.
Aten Primaria. 1995 Mar 31;15(5):286-8.
To find the origin of pharmacological prescriptions written in the primary care ambit, the effect of training on the prescribers and the influence of the organisational structure of the centres where they work on the quality of the drugs prescribed.
Observational study of a crossover type.
Two health centres and two consulting-rooms in Areas 11 and 12, Valencia.
The sample calculated corresponded to 664 prescriptions per centre. The origin of the prescription differed, depending on the model, so that in the consulting-rooms the origin of 55% of prescriptions was specialist care, whereas in the health centres this percentage went down to 31%. There were significant differences (p < 0.0001) in the quality of prescription in different organisational structures, but there were no significant differences among professionals with different training.
A high percentage of pharmacological prescriptions have their origin in specialist care. Prescription quality is conditioned basically by the organisational model and is appreciably better in health centres.
探寻基层医疗领域开具的药物处方的来源、培训对开处方者的影响以及他们工作的中心的组织结构对所开药物质量的影响。
交叉类型的观察性研究。
瓦伦西亚第11和12区的两个健康中心和两个诊疗室。
每个中心计算得出的样本量为664张处方。处方来源因模式而异，在诊疗室中，55%的处方来自专科护理，而在健康中心这一比例降至31%。不同组织结构中的处方质量存在显著差异（p < 0.0001），但不同培训背景的专业人员之间没有显著差异。
很大一部分药物处方来自专科护理。处方质量主要受组织模式制约，在健康中心明显更好。
