Saturno Hernández P J, Gascón Cánovas J J
Unidad Docente de Medicina Preventiva y Salud Pública, Universidad de Murcia.
Aten Primaria. 1997 May 15;19(8):400-6.
To determine the validity of intrinsic value and therapeutic utility.
The medicines prescribed in a random sample of 50 cases of common cold from each health centre evaluated were classified according to their intrinsic value (ordinal classification using five categories) and therapeutic use (dichotomized classification based on their intrinsic value). Patients with immunodeficiency or underlying pathology (COPD, cardiopathy, diabetes) were excluded. Each of the generic and non-specific indicators were studied to determine sensitivity and specificity for detecting problems in the rational prescription of medicines.
A representative sample from 8 primary care centres in the Murcia region.
The operative replies curve for intrinsic value revealed that this indicator was of little use in evaluating the quality of prescription.
The low validity of the generic prescription indicators suggests that systems to monitor quality based on a specific focus (linking the prescription to the disease treated) should be designed.
确定内在价值和治疗效用的有效性。
从每个评估的健康中心随机抽取50例普通感冒病例所开的药物，根据其内在价值（使用五类的序数分类）和治疗用途（基于其内在价值的二分法分类）进行分类。排除免疫缺陷或有基础疾病（慢性阻塞性肺疾病、心脏病、糖尿病）的患者。研究每种通用和非特异性指标，以确定检测药物合理处方问题的敏感性和特异性。
穆尔西亚地区8个初级保健中心的代表性样本。
内在价值的操作应答曲线显示，该指标在评估处方质量方面用处不大。
通用处方指标的有效性较低，这表明应设计基于特定重点（将处方与所治疗的疾病联系起来）的质量监测系统。
