ArticleAtencion primaria2002
[Evaluating, improving and monitoring generic drug prescription].
Article in Atencion primaria, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Behaviour change interventions to promote prescribing of generic drugs: a rapid evidence synthesis and systematic review.BMJ open · 2014Pooled it
- [Plan for improving pharmacy indicators in a primary health area of Madrid. Description and results].Atencion primaria · 2011Article
- [Do we primary care doctors improve our prescription of generic medicines after the intervention of the area pharmacist?].Atencion primaria · 2006Article
- [Substitution of generic for brand medicines in primary care. Factors associated to refuse the change].Atencion primaria · 2005Article
- [Generic drugs again].Atencion primaria · 2005Article
- [Prescription of drugs in family medicine: on the trail of efficiency].Atencion primaria · 2004Article
- [Study of brands in the prescription of generic drugs at 6 health centers in 2001].Atencion primaria · 2003Article
- [Clinical data that are essential for the primary care clinical records: an experience of evaluation and improvement].Atencion primaria · 2002Article
- [Commentary: Opportunities to improve generic drug prescribing].Atencion primaria · 2002Article
- [Effectiveness of an intervention strategy in the biosimilar glargine prescription pattern in primary care].Atencion primariaArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate and improve generic drug prescription by family physicians in a regional primary care district with a specially-designed intervention.
designUncontrolled study of an intervention, based quality evaluation and improvement methods. We selected an indicator that could be constructed with the available data (monthly reports of prescriptions dispensed through the public national health system) and determined the proportion of prescriptions for generic drugs to the total number of prescriptions dispensed, for those medications that had a generic alternative (percentage of generic prescriptions, PGP). After these data were evaluated, an intervention was implemented to increase generic prescriptions. Prescribing behavior was again evaluated and monitored at the end of the intervention period. Setting. Forty-five primary care teams in the Murcia (Southeast Spain) regional primary care district.
participantsA total of 339 family physicians. Interventions. During 15 months, individual reports of prescribing practices, in which changes over time were graphed, were sent to each participating prescriber. Each semester the physicians received a personal letter and a specially-printed, updated card showing the generic medications available and their pharmaceutical forms. One to three face-to-face clinical outreach sessions were held with each primary care team. Specific prescribing goals for the PGP were set and incentives to attain the goals were included in the terms of the contract for clinical services signed between the regional office of primary care management and each primary care team.
main outcome measuresThe PGP increased from a pre-intervention rate of 2.7% to a post-intervention rate of 17.63%. Absolute improvement was therefore 14.84%, and relative improvement was 15.27%. Variability was monitored and analyzed with control charts. There was no significant variability within the pre- and post-intervention phases, whereas variability increased significantly (indicating improvement) during the intervention phase.
conclusionsThe increase in PGP showed that prescribing for generic preparations improved. Statistical quality control tests were useful in evaluating and tracking the results of the intervention, and were indispensable for monitoring and promptly detecting opportunities to improve prescribing behavior and take appropriate measures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.