Using aggregate data on dispensed drugs to evaluate the quality of prescribing in urban primary health care in Sweden

Public Health
Björn WettermarkI Krakau

Abstract

Valuable evaluations of the quality of drug prescribing in routine health care are difficult to perform. It is even more difficult to study prescribing in a non-gatekeeping healthcare system with a variety of caregivers involved in patient care. Consequently, there is a need to develop methods for evaluation using data available in routine health care. The aim of this study was to analyse possibilities and limitations for evaluation of the quality of drug prescribing using routinely collected aggregate data on dispensed drugs and health care provision. A secondary aim was to study the effects of allocating more resources to primary health care (PHC) on the quality of drug prescribing. The study was performed with routinely collected data from 10 PHC centres in Stockholm, Sweden that were participating in an intervention project that aimed to decrease the number of inhabitants per PHC doctor. Time periods for analysis were October-December 1999, 2000 and 2001. Data on dispensed prescriptions were analysed by age using Anatomical Therapeutic Chemical (ATC) classification/defined daily dose (DDD) methodology. The general quality of prescribing was determined using DU90% methodology (identifying the number of drugs constituting 90%...Continue Reading

References

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Citations

Aug 23, 2007·BMC Health Services Research·Dinny H de BakkerPeter P Groenewegen
Dec 17, 2014·BMC Family Practice·Veronica MilosEva Lena Strandberg
May 24, 2016·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·John MuscedereUNKNOWN Canadian Frailty Network (CFN)
Nov 28, 2008·Pharmacy World & Science : PWS·Staffan CastenssonBjörn Wettermark
Nov 17, 2015·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Margaret J McGregorStirling Bryan
Nov 7, 2013·PloS One·Kamil A BraimaNoraishah M Abdul-Aziz

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