ArticleAtencion primaria2011
[Patient workload and costs, intensity and quality of family doctor prescriptions].
Article in Atencion primaria, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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Who cites it
3 citing papers in PubMed.
- The effect of family physician program and health transformation plan on utilization and cost of health services.Cost effectiveness and resource allocation : C/E · 2025Article
- Effect of two major health reforms on health care cost and utilization in Fars Province of Iran: family physician program and health transformation plan.BMC health services research · 2020Article
- [Influential factors in the quality of prescription in primary care and relation to pharmaceutical expenditure].Revista espanola de salud publica · 2019Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the relationship between some characteristics (cost, intensity, quality) of prescriptions issued by general practitioners in a health district and their patient loads, controlling for possible confounders. To analyze the intensity of prescription of certain groups of therapeutic drugs according to the patient load.
designQuantitative study of consumption of medicines.
settingHealth District n° 20 of the Valencian Health Agency.
participantsAll patients on the lists of general practitioners (n=122) in the reformed model of primary healthcare in the Health District in 2007. MEASUREMENTS AND
resultsAll official prescriptions issued in 2007 to patients on the 122 lists were analysed. We defined variables relating to the patient load and the cost, intensity and quality of the prescription. The relationship between patient load and prescription characteristics was analysed, adjusting for possible confounders. The intensity of prescription of the 35 most representative groups of therapeutic drugs (81% of prescriptions) was analysed according to patient load. With statistical significance, a lower prescription cost by person (beta=-0,22) and by prescription (beta=-0,26),was found in active patients of the largest patient loads and a lower intensity of prescription of some drugs groups such as antihypertensives (r=-0.23), antidiabetics (r=-0.29) and antiaggregates (r=-0.19).
conclusionsWe put forward the hypothesis that the active patients in the largest patient loads may be under-diagnosed or undertreated for certain disorders, such as hypertension, diabetes mellitus, or the prevention of cardiovascular risk, thereby contributing to the lower prescription cost in such patient loads.
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