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"resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar la calidad de prescripción en un área de atención primaria (AP) a partir de indicadores elaborados por los médicos de equipo y estudiar su relación con los indicadores de prescripción usados por el Insalud en el área.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio de tipo observacional transversal. Se llevó a cabo en un área de AP de Asturias con 156.614 habitantes y 9 centros de salud. Se obtuvo una puntuación global de calidad para cada uno de los médicos de equipo de AP a partir de unos indicadores y estándares de calidad consensuados por los prescriptores. Se estudió la relación de la puntuación con los indicadores medidos de forma habitual en el área por el Insalud y con el gasto farmacéutico.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El promedio de cumplimiento del estándar óptimo se situó en un 29%. Se obtuvo un valor promedio para la puntuación global de calidad de 3,24. Ningún médico alcanzó la máxima puntuación de 11.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">No se encontró ninguna asociación significativa de la puntuación con el indicador de fármacos con utilidad terapéutica baja.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La adhesión a la Guía Farmacoterapéutica del Área se correlacionó positivamente con la calidad (r = 0,44; p < 0,001).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se halló una asociación lineal negativa (p < 0,001) entre la puntuación global de calidad y el gasto. El coeficiente de determinación ajustado fue de 0,29.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se halló una baja calidad de prescripción de forma generalizada. El indicador de fármacos con utilidad terapéutica baja, frecuentemente usado para medir la calidad, no demostró tener una relación con la misma. La adhesión a la Guía Farmacoterapéutica del Área mantiene su validez como indicador de calidad de prescripción. Además, aunque no individualizadamente, existió una correlación entre la mayor calidad y el menor coste de la prescripción.</p>"
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"titulo" => "Abstract"
"resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">To assess the quality of prescriptions in primary care area through indicators established by a team of physicians and to analyze the relationship between these indicators and those used by the Spanish public health system (INSALUD) in the same area.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">An observational, cross sectional study was performed in a primary care area in Asturias with 156,614 inhabitants and 9 health centers. An overall quality score was obtained for each of the physicians in the primary care area by using quality indicators and standards agreed on by the prescribers themselves. The relationship between the score obtained and the indicators normally used in the area by INSALUD and pharmaceutical cost was also analyzed.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Mean compliance with the optimal standard was 29%. The mean overall quality score was 3.24. None of the physicians achieved the maximum score of 11. No significant association was found between the score and the indicators for drugs of limited clinical value. Adherence to the pharmaceutical guide for the area was positively correlated with quality (r = 0.44, p < 0.001). A negative linear association (p < 0.001) was found between the overall quality score and incurred cost. The adjusted coefficient of determination was 0.29.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Poor prescribing quality was widespread. Indicators for drugs of limited clinical value, frequently used as a measure of quality, showed no relationship with quality. Adherence to the area's pharmaceutical guide remains a valid indicator of prescribing quality. Overall, there was a correlation between higher quality and lower prescribing cost, although this correlation was not found for individual physicians.</p>"
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