[Does budgeting modify quality and efficiency of ambulatory drug therapy? Use of indicators exemplified by the prescribing behavior of established physicians of a North German region with predetermined quality deficits before introduction of the Health Structural Law].
Application of indicators exemplified by the prescribing conduct of physicians in a specific region of northern Germany showing deficits before implementation of the new GSG (Health Structure Law). The prescriptions of physicians in a specific region of northern Germany were examined to see whether the quality of drug therapy in this region, which showed deficits before the implementation of the GSG, had been influenced by this law. After encoding the prescription data the 100 most often prescribed drugs were identified as physician-related the resulting costs determined and arranged in order of precedence ("medicine charts"). The indicators were defined as to which "medicine-chart" drug they related, to facilitate a qualitative analysis of the prescriptions. The indicators were: Drugs, whose therapeutic advantage is not proven Drugs based on obsolete therapeutic concepts Drugs with lower-priced and/or therapeutic equal alternatives Standard-Therapeutics.
Vitt
K D
KD
MDK Schleswig-Holstein, Abt. Grundfragen/Krankenhaus, Lübeck.
Buss
G
G
Erben
C M
CM
Schönhöfer
P S
PS
D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000191:economics* / Q000331:legislation & jurisprudence; D002017:Budgets / Q000331:legislation & jurisprudence*; D003363:Cost Control / Q000331:legislation & jurisprudence; D011307:Drug Prescriptions / Q000191:economics*; D004358:Drug Therapy / Q000191:economics*; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D011785:Quality Assurance, Health Care / Q000191:economics* / Q000331:legislation & jurisprudence
Beeinflusst eine Budgetierung Qualität und Wirtschaftlichkeit der ambulanten Arzneimitteltherapie? Anwendung von Indikatoren am Beispiel des Verorrdnungsverhaitens niedergelassener Arzte einer norddeutschen Region mit festgestellten Qualitätsdefiziten vor der Einführung des GSG.