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Related Experiment Videos

Prescribing indicators for UK general practice: Delphi consultation study.

S M Campbell1, J A Cantrill, D Roberts

  • 1National Primary Care Research and Development Centre, University of Manchester, Manchester M13 9PL. stephan.campbell@man.ac.uk

BMJ (Clinical Research Ed.)
|August 11, 2000
PubMed
Summary
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This study identified valid prescribing indicators using expert consensus. Few indicators met criteria for measuring prescribing quality or cost-effectiveness, suggesting limitations in current data analysis.

Area of Science:

  • Health Services Research
  • Pharmaceutical Policy
  • Clinical Quality Measurement

Background:

  • Prescribing analysis and cost (PACT) data are used to evaluate healthcare quality and cost.
  • Developing valid indicators is crucial for effective performance measurement and resource allocation.

Purpose of the Study:

  • To identify prescribing indicators with face validity for measuring quality and cost minimization.
  • To assess the validity and reliability of these indicators among healthcare professionals.

Main Methods:

  • A modified two-round Delphi technique was employed.
  • Questionnaires were distributed to medical and pharmaceutical advisors in English health authorities.
  • Face validity and reliability were assessed using a nine-point rating scale.

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Main Results:

  • 79 out of 99 experts completed the second round.
  • Indicators were rated higher for cost minimization (median 7) than for quality (median 6).
  • Only seven indicators were valid for cost minimization and five for quality.

Conclusions:

  • Twelve indicators were rated as valid by prescribing advisors.
  • These indicators possess a narrow focus, limiting comprehensive prescribing examination.
  • The findings highlight challenges in developing robust indicators for quality and cost assessment.