[Evaluation of the impact of a care program for asthmatic children on the quality of anti-asthma drug prescriptions].
OBJECTIVE
To determine the influence of a programme of care for asthmatic children (CAC) on the quality of prescription of anti-asthmatic drugs.


METHODS
A controlled non-random intervention study.


METHODS
Paediatric clinics operating before 1991 in Health Districts (HD) of Hospitalet.


METHODS
INTERVENTION GROUP: All the paediatricians ranked in the HD where the programme was set up (n = 3).


METHODS
All the paediatricians ranked in the rest of the HD (n = 9).


METHODS
In april 1992 the CAC programme, which included a pharmaco-therapeutic procedure, was set up in the HD.


RESULTS
Prescriptions were evaluated by looking at the billing data of the Catalan Health Service between january and april, 1991, 1992 and 1993. The following Quality Indicators were evaluated: 1. Percentage of dosage of beta 2 adrenergics inhaled as against the total of beta 2 (oral and inhaled). 2. Percentage of DHD of Nedocromil (NC) and Cromoglycate (CG) as against the total of preventive drugs (NC + CG + Ketotifen). 3. Number of packages of oral and/or rectal Theophyllines, counter-indicated combinations and anti-inflammatory drugs (Chromones and inhaled steroids).


CONCLUSIONS
The influence of the programme can be considered very positive, since an increase in all the quality indicators of the prescription of anti-asthmatics was observed, something that did not occur in the Control Group.
Alba
F
F
Area Básica de Salud Centro, L'Hospitalet de Llobregat, Barcelona.
Madridejos
R
R
Gimeno
J
J
González
M
M
D000280:Administration, Inhalation; D000284:Administration, Oral; D000285:Administration, Rectal; D000293:Adolescent; D000367:Age Factors; D001249:Asthma / Q000188:drug therapy*; D002648:Child; D004205:Cromolyn Sodium / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007665:Ketotifen / Q000008:administration & dosage / Q000627:therapeutic use; D017835:Nedocromil / Q000008:administration & dosage / Q000627:therapeutic use; D013806:Theophylline / Q000008:administration & dosage / Q000627:therapeutic use
D017835:Nedocromil; D013806:Theophylline; D004205:Cromolyn Sodium; D007665:Ketotifen
Evaluación del impacto de un programa de atención al niño asmático sobre la calidad de la prescripción de fármacos antiasmáticos.