Selección de indicadores de calidad de prescripción en atención primaria mediante un grupo de consenso

Abstract

Objective. To work out a system of indicators for improvement of primary care prescription, by incorporating the values and views of the professionals issuing prescriptions. Design. Qualitative technique to search for consensus among experts, based on nominal groups. Setting. All primary care areas in the Health Service of Aragon, Spain. Participants. Primary care doctors, doctors in primary care management teams, specialists, primary care pharmacists. Method. Two parallel groups involving a total of 24 experts were formed. In the session these questions were posed: "what indicators focusing on the drug and what indicators relating diagnosis and treatment do you think most useful for evaluating prescription quality?" Each panellist put forward indicators that were then discussed and placed on a scale of 1 to 9. Results. One hundred and thirty six indicators were generated, 81 drug-focused and 55 relating diagnosis and treatment; 56% were given a weighting above 5. The 2 groups coincided in 11 cases. The most valued indicators were generally those that brought a greater degree of consensus. Conclusion. It is feasible, through this technique, to produce a set of agreed indicators for evaluating primary care doctors' prescription.