[Criteria for the development of a formulary of drugs in a basic health area and impact on prescription].
OBJECTIVE
To promote rational prescription in Primary Care by elaborating a restricted list of medicines in a PC, the implementation of the list and the evaluation of its influence.


METHODS
Controlled intervention study.


METHODS
Intervention group: Castelldefels Health Centre.


METHODS
Molí Nou HC in same health sector.


METHODS
Doctors from the PC teams of both centres.


METHODS
Initially the prescription for 1992 of the intervention group was analysed. The main therapeutic groups prescribed for on the initiative of the General Practitioners (GP) of the Castelldefels HC were identified and the intervention was then carried out on them. The PC team from the intervention group, chose the drugs by consensus, on the basis of pharmaceutical advice.


RESULTS
Castelldefels HD presented worse indicators than the rest of the Sector's. It was observed that the GPs decided 63.4% +/- 3.9% of their therapeutic prescriptions. The groups most prescribed for on GP initiative were systemic (J) and respiratory apparatus (R) anti-infection therapies. The intervention was verified with Macrolids, Beta-lactamics (excluding Cephalosporins) and Quinolones. In neither of the two HDs were statistically significant differences (p < 0.05) in the consumption of the selected antibiotics between the two periods observed.


CONCLUSIONS
This process is aimed at altering GPs' attitudes, it is essential that they participate in the choice of medicines in order to keep them involved; and that the ongoing records of the chosen drugs are verified, with the evaluation of their influence then being just one more tool in this process.
Centro de Atención Primaria Jaume I, Vilanova i la Geltrú, Barcelona.
M T
MT
Pérez Rodríguez
A
A
Catalán Ramos
N
N
Parellada Esquius
D002391:Catchment Area, Health; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D005569:Formularies as Topic; D011320:Primary Health Care; D013030:Spain
Criterios de elaboración de un formulario de medicamentos en un área básica de salud e impacto sobre la prescripción.