ArticleBritish journal of clinical pharmacology2006
General practitioners' ranking of evidence-based prescribing quality indicators: a comparative study with a prescription database.
Article in British journal of clinical pharmacology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Identifying potential prescribing safety indicators related to mental health disorders and medications: A systematic review.PloS one · 2019Pooled it
- Compliance with quality prescribing indicators in terms of their relationship to financial incentives.European journal of clinical pharmacology · 2013Article
- A review of the differences and similarities between generic drugs and their originator counterparts, including economic benefits associated with usage of generic medicines, using Ireland as a case study.BMC pharmacology & toxicology · 2013Review
- A pilot qualitative study to explore stakeholder opinions regarding prescribing quality indicators.BMC health services research · 2012Article
- Identifying how age and gender influence prescription drug use in a primary health care environment in Catalonia, Spain.British journal of clinical pharmacology · 2008Article
- Inappropriate medication use and prescribing indicators in elderly Australians: development of a prescribing indicators tool.Drugs & aging · 2008Article
- Risk perception in drug therapy.British journal of clinical pharmacology · 2006Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo ensure that indicators for assessing prescribing quality are appropriate and relevant, physicians should be involved in their development. How general practitioners (GPs) rank these indicators is not fully understood.
aims(i) To determine how GPs in Ireland rank a set of evidence-based prescribing quality indicators in order of importance and relevance to their practice, and (ii) to compare the GPs' ranking of the defined set of indicators with actual prescribing practice using a prescription database.
methodsA postal questionnaire was sent to 105 GPs, who were asked to rank a set of 11 prescribing quality indicators, identified from the literature from most to least important. The results were aggregated and a weighted score for each indicator determined. These same prescribing indicators were then applied to a prescription database to compare the ranking provided with actual prescribing practice.
resultsEighty-six GPs (82%) returned the completed questionnaire. The higher ranks were for quality issues-use of inhaled corticosteroids, statins and benzodiazepines. Actual prescribing data showed prolonged use of benzodiazepines in over half of the prescriptions dispensed (n = 18 171), 52.48% (95% confidence interval 51.95, 53.01) and low usage of generic drugs, 17.78% (17.70, 17.90) despite their high ranking by the GPs.
conclusionWhile GPs have diverse views about the value of different prescribing quality indicators, the results suggest that they do rank evidence-based guidelines on patient management highly, but those based on costs and less evidence the lowest. There was considerable divergence between theory and practice in the application of quality indices.
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