engleski

Attitudes to feedback with prescribing profiles among prescribers in Rijeka, Croatia and Stockholm, Sweden

Feedback on prescribing is essential for quality assurance. Several drug-related quality indicators have been introduced, focusing on irrational drugs, ratios between treatment alternatives, range of drugs, drug combinations or adherence to guidelines. DU90% - Drug Utilization 90% - focusing on 90% of the drug use and the adherence to guideline – has been introduced as a simple method for assessing the quality of drug prescribing. As drug-related quality-indicators have been suggested to be of limited value for prescribers to support the decision-making we evaluated the credibility and usefulness of DU90%-method among physicians in Rijeka, Croatia, and Stockholm, Sweden. 217 physicians in Rijeka and 215 in Stockholm received DU90%-profiles and a questionnaire. On a VAS-scale of zero to 10 (most positive) the prescribers were asked to what extent the prescribing profiles provided a relevant and clear picture and to what extent they considered that DU90% profiles would increase the quality in drug prescribing and use at their practices. 184 and 166 physicians participated, giving a response-rate of 85% and 77% respectively. The prescribers found the profiles clear and relevant (median 9 and 8) and considered that they would increase the quality in drug prescribing at their practices (median 10 and 8).

prescribing; feedback

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