[Follow-up of the quality of drug prescriptions: the Primary Care Center of Badia City (1986-1990)].
OBJECTIVE
To determine the variation in the quality of prescription of medicines in Primary Attention Centre in two different periods, 1986 and 1990.


METHODS
Longitudinal, retrospective study with direct intervention. SITE. Primary Attention Centre, Ciudad Badía.


METHODS
1986: 9 general practitioners in medicine (GPs) and 7 pediatricians. 1990: 9 Gps, 7 pediatricians, and 7 residential doctors (MFC based) who were not included in the earlier evaluation.


METHODS
Once the 1986 prescriptions had been analysed qualitatively, the results were made available to and discussed with the doctors who made out the prescriptions (passive feedback). As ongoing intervention the periodic clinical sessions should be considered.


RESULTS
Increase in the substances included in Index/Guide: MG 6.5% and P 13% (p < 0.00001). Increase in the number of substances with an active principle and in the combinations accepted: MG 2.3% and P 9% (p < 0.00001). Increase in the percentage of specialties with high V1: MG 1% (p = 0.12) and P 10% (p < 0.00001).


CONCLUSIONS
There has been an increase in the quality of medical prescriptions according to the indicators analysed. There are other external factors that effect prescriptions that are difficult to measure. This type of study allows one to pinpoint the excessive or wrong use of intrinsically not very valuable sub-groups of therapeutic substances, and will serve as a base for indication-prescription studies.
Azagra Ledesma
R
R
CAP Ciudad Badía, Programa Docente de Medicina Familiar y Comunitaria de Barcelona, Barberà del Vallès.
Bonet Simó
J M
JM
Bravo Vicien
M L
ML
Freixas Laporta
M
M
Campanera Radua
M T
MT
Fuentes Díaz
M
M
D003151:Community Health Centers; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D008137:Longitudinal Studies; D011320:Primary Health Care; D011446:Prospective Studies; D011786:Quality Control; D013030:Spain
Seguimiento en la calidad de la prescripción de medicamentos: el CAP de Ciudad Badía (1986-1990).