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首页> 美国卫生研究院文献>The British Journal of General Practice >Setting standards of prescribing performance in primary care: use of a consensus group of general practitioners and application of standards to practices in the north of England.
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Setting standards of prescribing performance in primary care: use of a consensus group of general practitioners and application of standards to practices in the north of England.

机译：设定初级保健处方药的标准：使用全科医生共识小组并将标准应用于英格兰北部的实践。

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BACKGROUND: There is considerable variation in prescribing, and existing standards against which primary care prescribing is routinely judged consist largely of local or national averages. There is thus a need for more sophisticated standards, which must be widely applicable and have credibility among the general practice profession. AIM: A study aimed to develop a range of criteria of prescribing quality, to set standards of performance for these criteria, and apply these standards to practices. METHOD: A consensus group consisting of eight general practitioners and a resource team was convened to develop and define criteria and set standards of prescribing performance using prescribing analyses and cost (PACT) data. The standards were applied to 1992-93 prescribing data from all 518 practices in the former Northern Regional Health Authority. RESULTS: The group developed criteria and set numeric standards for 13 aspects of prescribing performance in four areas: generic prescribing, prescribing within specific therapeutic groups, drugs of limited clinical value and standards based on prescribing volume. Except for generic prescribing, standards for individual criteria were achieved by between 9% and 34% of practices. For each criterion, a score was allocated based on whether the standard was achieved or not. Total scores showed considerable variation between practices. The distribution of scores was similar between fundholding and non-fundholding practices, and also between dispensing and non-dispensing practices. CONCLUSION: Using a consensus group of general practitioners it is possible to agree criteria and standards of prescribing performance. This novel approach offers a professionally driven method for assessing the quality of prescribing in primary care.
机译：背景：处方存在很大差异，常规判断初级保健处方的现有标准主要由当地或全国平均水平组成。因此，需要更复杂的标准，这些标准必须广泛适用，并在全科医生行业中具有信誉。目的：一项旨在制定一系列规定质量的标准，为这些标准设定绩效标准并将这些标准应用于实践的研究。方法：召集一个由八名全科医生和一个资源团队组成的共识小组，以使用处方分析和成本（PACT）数据制定和定义处方性能标准并制定处方标准。该标准适用于1992-93年前北方地区卫生局所有518种做法的处方数据。结果：该小组制定了标准，并为四个方面的13个方面的处方制定了数字标准：通用处方，特定治疗组内的处方，临床价值有限的药物和基于处方量的标准。除通用处方外，个别标准的标准在实践中达到9％到34％。对于每个标准，根据是否达到标准分配分数。总分显示实践之间存在很大差异。分数分配在基金持有和非基金持有惯例之间以及分配和非分配惯例之间相似。结论：使用全科医生的共识小组，可以商定绩效标准和标准。这种新颖的方法为评估初级保健处方质量提供了一种专业驱动的方法。

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