ArticleEuropean journal of clinical pharmacology2004
Prescribing indicators. Development and validation of guideline-based prescribing indicators as an instrument to measure the variation in the prescribing behaviour of general practitioners.
Article in European journal of clinical pharmacology, 2004. 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.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- How do physicians and trainers experience outcome-based education in "Rational prescribing"?BMC research notes · 2014Article
- A pilot qualitative study to explore stakeholder opinions regarding prescribing quality indicators.BMC health services research · 2012Article
- Change in antihypertensive drug prescribing after guideline implementation: a controlled before and after study.BMC family practice · 2011Article
- Defining antimicrobial prescribing quality indicators: what is a new prescription?European journal of clinical pharmacology · 2011Article
- Explanatory model of prescribing behavior in prescription of statins in family practice.Wiener klinische Wochenschrift · 2010Article
- How useful are prescribing indicators based on the DU90% method to distinguish the quality of prescribing between pharmacotherapy audit meetings with different levels of functioning?European journal of clinical pharmacology · 2007Article
- Determinants of the range of drugs prescribed in general practice: a cross-sectional analysis.BMC health services research · 2007Article
- Factor analysis improves the selection of prescribing indicators.European journal of clinical pharmacology · 2006Article
- Pharmaceutical care and its relationship to prescribing behaviour of general practitioners.Pharmacy world & science : PWS · 2006Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDifferences in prescribing behaviour among general practitioners (GPs).
aimTo formulate and validate clinical prescribing indicators based on general practice guidelines.
designValidatory study.
settingPharmacies and general practices in the Netherlands in 2003.
participantsA total of 379 pharmacies, 947 general practices and 3.8 million patients.
methodsA total of 51 potential indicators were formulated, based on medicinal recommendations from the evidence-based guidelines of the Dutch College of General Practitioners and the corresponding recommendations from the Commission Pharmaceutical Help of the Health Care Insurance Board. These indicators were submitted to an expert panel to assess content validity. The panel assessment was analysed using the RAND-UCLA appropriateness method (RAM). Then, for the remaining indicators, it was assessed to what extent these could be used to determine the prescribing behaviour of GPs and the level to which this behaviour varies among GPs. This was done using a prescribing analyses and cost (PACT) database that was compiled from prescription databases from 379 pharmacies, with all prescriptions from 1,434 GPs over an entire year to 3.8 million patients.
resultsThe panel considered 34 of the 51 potential indicators to be valid with respect to providing an adequate reflection of the central recommendations in the guideline and in terms of relevance with respect to health gain and/or efficiency. Of these 34 indicators, 20 revealed considerable differences in the prescribing behaviour of GPs.
conclusionOn the basis of existing general practice guidelines, 20 prescribing indicators could be formulated that were assessed by an expert panel to be sufficiently valid and which could also discriminate the prescribing behaviour of GPs as reflected in the prescription databases of pharmacies.
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