PMID: 11604377Oct 18, 2001Paper

Structuring prescribing data into traffic-light categories; a tool for evaluating treatment quality in primary care

Family Practice
P LagerløvI Matheson

Abstract

Prescribing feedback based on aggregated data alone does not give the information needed to improve treatment quality. Our aim was to develop a new method, or tool, of presenting prescribing feedback which, combined with guideline recommendations, makes it possible for doctors to judge their own prescribing as good or bad. Asthma was chosen as a disease model, as treatment recommendations are readily available published as national and international guidelines. Four mean daily dosage intervals of inhaled short-acting beta-agonists and four mean daily dosage intervals of inhaled steroids were combined into a 4 x 4 matrix. This matrix of 16 combined dosage boxes was presented to 68 Norwegian GPs participating in peer review groups. As a first step, the GPs in the groups reached consensus on what they considered to be appropriate and inappropriate combined dosage intervals of these drugs based on national guideline recommendations and their joint clinical experience. Accordingly, traffic-light colours, green and red, were assigned to the combined dosage boxes in the matrix. Treatments in boxes difficult to judge were coloured yellow. During a 1-year period prior to the consensus meetings, the dispensed inhaled short-acting beta-ag...Continue Reading

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Citations

Sep 28, 2005·European Journal of Clinical Pharmacology·Ahmet AkiciSule Oktay
Oct 21, 2006·BMC Family Practice·Eva Lena StrandbergMargareta Troein
Aug 9, 2007·Journal of Evaluation in Clinical Practice·Catherine MercierPatrice Nony
Sep 16, 2010·British Journal of Clinical Pharmacology·Norul Badriah HassanAbdul Rashid Abdul Rahman
Nov 12, 2016·Lancet·Veronika J WirtzMichael R Reich
Feb 9, 2007·Pharmacoepidemiology and Drug Safety·Dorte Gilså HansenWerner Vach

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