ArticleEuropean journal of clinical pharmacology2005
The application of prescribing indicators to a primary care prescription database in Ireland.
Article in European journal of clinical pharmacology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Identifying potential prescribing safety indicators related to mental health disorders and medications: A systematic review.PloS one · 2019Pooled it
- Quality indicators assessing antibiotic use in the outpatient setting: a systematic review followed by an international multidisciplinary consensus procedure.The Journal of antimicrobial chemotherapy · 2018Pooled it
- Identification of an updated set of prescribing--safety indicators for GPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Pooled it
- Patterns of pain medication usage and self-reported pain in older Irish adults with osteoarthritis: A latent class analysis of data from the Irish Longitudinal Study on Ageing.BMC musculoskeletal disorders · 2024Article
- Point prevalence audit surveys of respiratory tract infection consultations and antibiotic prescribing in primary care before and during the COVID-19 pandemic in Ireland.The Journal of antimicrobial chemotherapy · 2023Article
- Prescriber variation in potentially inappropriate prescribing in older populations in Ireland.BMC family practice · 2014Article
- Co-medication of statins and CYP3A4 inhibitors before and after introduction of new reimbursement policy.British journal of clinical pharmacology · 2009Article
- The Norwegian General Practice (NORGEP) criteria for assessing potentially inappropriate prescriptions to elderly patients. A modified Delphi study.Scandinavian journal of primary health care · 2009Article
- Prescribing behaviour after the introduction of decentralized drug budgets: is there an association with employer and type of care facility?Scandinavian journal of primary health care · 2009Article
- Usage of paracetamol-containing combination analgesics remains high in primary care.British journal of clinical pharmacology · 2005Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop appropriate prescribing indicators and apply these to Irish prescription data.
methodsA postal survey of 145 randomly selected general practitioners working within the Eastern Health Board region of the State-supported General Medical Services scheme in Ireland regarding the applicability of selected prescribing indicators was carried out. Such indicators were then applied to aggregate prescription data.
resultsPrescribing indicators based on agents of questionable efficacy/poor quality prescribing and those based on good prescribing practice were thought to make suitable indicators. Low rates of prescribing were noted for indicators based on drugs of limited efficacy, e.g. cerebral and peripheral vasodilators (rate 3.1 per 1,000 prescriptions), whilst indicators based on drugs associated with good prescribing practice were associated with higher prescribing rates, e.g. the prescription of aspirin in patients receiving nitrate therapy(rate 7.13 per 1,000 patients). However, a low rate of generic prescribing (4.6%) was found amongst general practitioners in the study. The largest variability in prescribing was seen with the prescribing of peripheral and cerebral vasodilators (75th/25th centile=5.6) and the prescription of long-acting sulphonylureas (75th/25th centile=66.6).
conclusionsQuality indicators based on aggregate prescribing provide valuable information on prescribing standards and should be developed with the close involvement of prescribers.
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