Compliance with quality prescribing indicators in terms of their relationship to financial incentives

Fernández-Urrusuno, Rocío; Balosa, Ma Carmen Montero; Pérez-Pérez, Pastora; Pisa, Beatriz Pascual de la

doi:10.1007/s00228-013-1542-4

Cited by 15 publications

(13 citation statements)

References 35 publications

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“…Ten indicator sets provided detailed information on instructions of indicators (Table ). The instructions could help users understand what these indicators mean, why these indicators should be used, and how to use these indicators.…”

Section: Resultsmentioning

confidence: 99%

Indicators for assessing quality of drug use: A systematic literature review

Song

Zhang

et al. 2017

J Evidence Based Medicine

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Section: Resultsmentioning

confidence: 99%

Indicators for assessing quality of drug use: A systematic literature review

Song

Zhang

et al. 2017

J Evidence Based Medicine

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“…Assessors will review all prescriptions written to patients in control and intervention arms using independently developed explicit patient-level prescribing appropriateness indicators. We will either use an existing set of appropriateness indicators 33 or one based on an ongoing systematic review. 34 The quality prescribing indicators relate to the management of chronic diseases such as hypertension, diabetes and asthma in a primary care setting.…”

Section: Methods and Analysismentioning

confidence: 99%

“…34 The quality prescribing indicators relate to the management of chronic diseases such as hypertension, diabetes and asthma in a primary care setting. 33 Prescribing appropriateness is a dichotomous variable and thus each prescription will be counted as appropriate or not appropriate.…”

Section: Methods and Analysismentioning

confidence: 99%

Protocol for a randomised controlled trial evaluating the effects of providing essential medicines at no charge: the Carefully seLected and Easily Accessible at No Charge Medicines (CLEAN Meds) trial

et al. 2017

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IntroductionCost-related non-adherence to medicines is common in low-income, middle-income and high-income countries such as Canada. Medicine non-adherence is associated with poor health outcomes and increased mortality. This randomised trial will test the impact of a carefully selected list of essential medicines at no charge (compared with usual medicine access) in primary care patients reporting cost-related non-adherence.Methods and analysisThis is an open-label, parallel two-arm, superiority, individually randomised controlled trial conducted in three primary care sites (one urban, two rural) in Ontario, Canada, that was codesigned by a community guidance panel. Adult patients (≥18 years) who report cost-related non-adherence to medicines are eligible to participate in the study. Participants will be randomised to receive free and convenient access to a carefully selected list of 125 essential medicines (based on the WHO’s Model List of Essential Medicines) or usual means of medicine access. Care for patients in both groups will otherwise be unchanged. The primary outcome of this trial is adherence to appropriately prescribed medicines. Secondary outcomes include medicine adherence, appropriate prescribing, blood pressure, haemoglobin A1c, low-density lipoprotein cholesterol, patient-oriented outcomes and healthcare costs. All participants will be followed for at least 12 months.Ethics and disseminationEthics approval was obtained in all three participating sites. Results of the main trial and secondary outcomes will be submitted for publication in a peer-reviewed journal and discussed with members of the public and decision makers.Trial registration numberNCT02744963.

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“…However, just delivering guidelines is not usually enough to achieve major changes [1, 34,35]. Interventions like those carried out in our region, such as the integration of evidence-based antimicrobial guides within the electronic medical records [9,14,15,[34][35][36], active clinical education, the introduction of antibiotic prescribing indicators linked to financial incentives [37], audit and feedback of antimicrobial prescribing [6,9,35], visits by peer academic detailers [8], and the recommendation of delayed prescription strategies in acute uncomplicated respiratory infections [12], have shown good results in increasing guidelines-concordant prescribing and reducing antibiotic prescribing rates in Primary Care.…”

Section: Plos Onementioning

confidence: 99%

Successful improvement of antibiotic prescribing at Primary Care in Andalusia following the implementation of an antimicrobial guide through multifaceted interventions: An interrupted time-series analysis

et al. 2020

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Background Most effective strategies designed to improve antimicrobial prescribing have multiple approaches. We assessed the impact of the implementation of a rigorous antimicrobial guide and subsequent multifaceted interventions aimed at improving antimicrobial use in Primary Care. Methods A quasi-experimental study was designed. Interventions aimed at achieving a good implementation of the guide consisted of the development of electronic decision support tools, local training meetings, regional workshops, conferences, targets for rates of antibiotic prescribing linked to financial incentives, feedback on antibiotic prescribing, and the implementation of a structured educational antimicrobial stewardship program. Interventions started in 2011, and continued until 2018. Outcomes: rates of antibiotics use, calculated into defined daily doses per 1,000 inhabitants-day (DID). An interrupted time-series analysis was conducted. The study ran from January 2004 until December 2018.

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Compliance with quality prescribing indicators in terms of their relationship to financial incentives

Abstract: This study shows better compliance by GPs with indirect and incentivized quality prescribing indicators, included in pay-for-performance programs, compared with not-incentivized indicators based on the relative use of drugs and on the appropriateness prescribing.

Cited by 15 publications

References 35 publications

Indicators for assessing quality of drug use: A systematic literature review

Indicators for assessing quality of drug use: A systematic literature review

Protocol for a randomised controlled trial evaluating the effects of providing essential medicines at no charge: the Carefully seLected and Easily Accessible at No Charge Medicines (CLEAN Meds) trial

Successful improvement of antibiotic prescribing at Primary Care in Andalusia following the implementation of an antimicrobial guide through multifaceted interventions: An interrupted time-series analysis

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