• Atencion primaria · Jan 2017

    Review Meta Analysis

    [Effectiveness of interventions for improving drug prescribing in Primary Health Care].

    • Marco Antonio Zavala-González, Carlos Enrique Cabrera-Pivaral, Orozco-ValerioMaría de JesúsMJPrograma de Doctorado en Ciencias de la Salud Pública, Departamento de Salud Pública, División de Disciplinas para el Desarrollo, Promoción y Preservación de la Salud, Centro Universitario de Ciencias de la Salud, Universidad, and Igor Martín Ramos-Herrera.
    • Programa de Doctorado en Ciencias de la Salud Pública, Departamento de Salud Pública, División de Disciplinas para el Desarrollo, Promoción y Preservación de la Salud, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México. Electronic address: zgma_51083@yahoo.com.mx.
    • Aten Primaria. 2017 Jan 1; 49 (1): 132013-20.

    ObjectiveTo determine the effectiveness of interventions for improving drug prescribing in Primary Health Care units.DesignSystematic review and meta-analysis.Data SourcesSearches were made in MedLine©, ScienceDirect©, Springer©, SciELO©, Dialnet©, RedALyC© and Imbiomed©, in Spanish, English and Portuguese, using keywords "drug prescribing", "intervention studies" and "primary health care", indexed in each data base up to August 2014.Selection Of StudiesExperimental and quasi-experimental studies were included that had a CASP-score>5 and that evaluated effect of any type intervention on the quality of drug prescription in Primary Health Care.ResultsA total of 522 articles were found, and an analysis was performed on 12 that reported 17 interventions: 64.7% educational, 23.5% incorporating pharmacists into the health team, and 11.8% on the use of computer applications. The strong "intervention/improvement" associations were educational interventions OR=2.47 (95% CI; 2.28 - 2.69), incorporation of pharmacists OR=3.28 (95% CI; 2.58 4.18), and use of computer applications OR=10.16 (95% CI; 8.81 -11.71).ConclusionsThe use of interventions with computer applications showed to be more effective than educational interventions and incorporation pharmacists into the health team. Future studies are required that include economic variables such as, implementation costs, drug costs and other expenses associated with health care and treatment of diseases.Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

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