Quality Assessment of Long-Term Prescription Records: QMP Study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058 |
Resumo: | Introduction: The growing concern surrounding health safety issues makes it essential that everyone, in particular the elderly due to their commonly prescribed multiple drugs, has a complete and up to date list of prescriptions. We planned to assess the quality of the electronic records of prolonged medication.Material and Methods: This is an observational, transversal and descriptive study, with an analytical component, in which we assessed the technical quality of prolonged medication records of elderly patients of four primary health care, before and after a guided intervention. The doctors received training in good practice recording methods and both professionals and patients were stimulated to use the prolonged medication guide.Results: We evaluated 388 medical records of 33 physicians. The ideal category ‘Appropriated medication with posology’ improved from 23.5% to 48% (p < 0,001). The remaining categories ‘Inappropriated Medication’ and ‘Appropriated medication but absent posology’ decreased from 16.7% to 7% (p = 0,006) and from 59.8% to 46.0% (p = 0,02), respectively. The variables mentor’s training skills, workplace, length of family practice and the percentage of elderly in the physician’s list showed statistical significance differences at the beginning of the study which disappeared after the intervention, except for the latter.Discussion: In this study, physicians accepted the proposed changes, regardless of age, gender, mentor’s training skills, workplace or length of family practice. Longer duration appointments in the eldery group may be an obstacle in achieving the best results.Conclusion: This original study reveals the necessity to implement periodic postgraduate training to encourage physicians to keep medical records up to date.Keywords: Long-term Care; Electronic Prescribing; Drug Prescriptions; Family Practice; Aged. |
id |
RCAP_6d1e62a58c47baf9a4434a9d0b72f985 |
---|---|
oai_identifier_str |
oai:ojs.www.actamedicaportuguesa.com:article/5058 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Quality Assessment of Long-Term Prescription Records: QMP StudyAvaliação da Qualidade dos Registos de Medicação Prolongada: Estudo QMPIntroduction: The growing concern surrounding health safety issues makes it essential that everyone, in particular the elderly due to their commonly prescribed multiple drugs, has a complete and up to date list of prescriptions. We planned to assess the quality of the electronic records of prolonged medication.Material and Methods: This is an observational, transversal and descriptive study, with an analytical component, in which we assessed the technical quality of prolonged medication records of elderly patients of four primary health care, before and after a guided intervention. The doctors received training in good practice recording methods and both professionals and patients were stimulated to use the prolonged medication guide.Results: We evaluated 388 medical records of 33 physicians. The ideal category ‘Appropriated medication with posology’ improved from 23.5% to 48% (p < 0,001). The remaining categories ‘Inappropriated Medication’ and ‘Appropriated medication but absent posology’ decreased from 16.7% to 7% (p = 0,006) and from 59.8% to 46.0% (p = 0,02), respectively. The variables mentor’s training skills, workplace, length of family practice and the percentage of elderly in the physician’s list showed statistical significance differences at the beginning of the study which disappeared after the intervention, except for the latter.Discussion: In this study, physicians accepted the proposed changes, regardless of age, gender, mentor’s training skills, workplace or length of family practice. Longer duration appointments in the eldery group may be an obstacle in achieving the best results.Conclusion: This original study reveals the necessity to implement periodic postgraduate training to encourage physicians to keep medical records up to date.Keywords: Long-term Care; Electronic Prescribing; Drug Prescriptions; Family Practice; Aged.Introdução: A preocupação com a segurança na saúde torna essencial que todos os utentes, em particular os idosos por serem maioritariamente polimedicados, possuam uma lista completa e atualizada da sua medicação. Assim, propusemo-nos avaliar a qualidade dos registos eletrónicos de medicação prolongada.Material e Métodos: Estudo observacional, transversal e descritivo, com componente analítico, no qual avaliámos a qualidade técnica dos registos de medicação prolongada nos idosos de quatro unidades de cuidados de saúde primários da região norte, antes e após uma intervenção. Nesta, efetuámos formação de boas práticas de registo aos médicos e promovemos a utilização do guia de Medicação Prolongada aos profissionais e utentes.Resultados: Avaliámos 388 registos de 33 médicos. A categoria ideal, ‘Medicação apropriada e posologia presente’, aumentou de 23,5% para 48% (p < 0,001). As restantes categorias ‘Medicação inapropriada’ e ‘Medicação apropriada e posologia ausente’ diminuíram de 16,7% para 7% (p = 0,006) e de 59,8% para 46,0% (p = 0,02), respetivamente. As variáveis condição de orientador de formação, local de trabalho, anos de Medicina Geral e Familiar e percentagem de idosos, apresentaram diferenças com significado estatístico no início do estudo, no entanto após a ‘intervenção’, apenas a percentagem de idosos continuou a apresentá-las.Discussão: Neste estudo, os médicos aderiram à proposta de mudança, independentemente da idade, género, condição de orientador de formação, local de trabalho e anos de Medicina Geral e Familiar. Consultas mais prolongadas na população idosa poderão ter impedido alcançar a melhor categoria de registo.Conclusão: Este trabalho original mostra que é necessário implementar medidas periódicas de formação pós-graduada para manutenção de registos médicos atualizados.Palavras-chave: Cuidados de Longa Duração; Prescrição Electrónica; Prescrição de Medicamentos; Polimedicação.Ordem dos Médicos2014-09-25info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/bmpapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058oai:ojs.www.actamedicaportuguesa.com:article/5058Acta Médica Portuguesa; Vol. 27 No. 5 (2014): September-October; 561-567Acta Médica Portuguesa; Vol. 27 N.º 5 (2014): Setembro-Outubro; 561-5671646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058/4066https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058/4180https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058/7064https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058/7357Azevedo, AnaDomingues, BrendaPimenta da Rocha, RaquelEiriz, RitaXavier, Vanessainfo:eu-repo/semantics/openAccess2022-12-20T11:04:11Zoai:ojs.www.actamedicaportuguesa.com:article/5058Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:01.577565Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Quality Assessment of Long-Term Prescription Records: QMP Study Avaliação da Qualidade dos Registos de Medicação Prolongada: Estudo QMP |
title |
Quality Assessment of Long-Term Prescription Records: QMP Study |
spellingShingle |
Quality Assessment of Long-Term Prescription Records: QMP Study Azevedo, Ana |
title_short |
Quality Assessment of Long-Term Prescription Records: QMP Study |
title_full |
Quality Assessment of Long-Term Prescription Records: QMP Study |
title_fullStr |
Quality Assessment of Long-Term Prescription Records: QMP Study |
title_full_unstemmed |
Quality Assessment of Long-Term Prescription Records: QMP Study |
title_sort |
Quality Assessment of Long-Term Prescription Records: QMP Study |
author |
Azevedo, Ana |
author_facet |
Azevedo, Ana Domingues, Brenda Pimenta da Rocha, Raquel Eiriz, Rita Xavier, Vanessa |
author_role |
author |
author2 |
Domingues, Brenda Pimenta da Rocha, Raquel Eiriz, Rita Xavier, Vanessa |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Azevedo, Ana Domingues, Brenda Pimenta da Rocha, Raquel Eiriz, Rita Xavier, Vanessa |
description |
Introduction: The growing concern surrounding health safety issues makes it essential that everyone, in particular the elderly due to their commonly prescribed multiple drugs, has a complete and up to date list of prescriptions. We planned to assess the quality of the electronic records of prolonged medication.Material and Methods: This is an observational, transversal and descriptive study, with an analytical component, in which we assessed the technical quality of prolonged medication records of elderly patients of four primary health care, before and after a guided intervention. The doctors received training in good practice recording methods and both professionals and patients were stimulated to use the prolonged medication guide.Results: We evaluated 388 medical records of 33 physicians. The ideal category ‘Appropriated medication with posology’ improved from 23.5% to 48% (p < 0,001). The remaining categories ‘Inappropriated Medication’ and ‘Appropriated medication but absent posology’ decreased from 16.7% to 7% (p = 0,006) and from 59.8% to 46.0% (p = 0,02), respectively. The variables mentor’s training skills, workplace, length of family practice and the percentage of elderly in the physician’s list showed statistical significance differences at the beginning of the study which disappeared after the intervention, except for the latter.Discussion: In this study, physicians accepted the proposed changes, regardless of age, gender, mentor’s training skills, workplace or length of family practice. Longer duration appointments in the eldery group may be an obstacle in achieving the best results.Conclusion: This original study reveals the necessity to implement periodic postgraduate training to encourage physicians to keep medical records up to date.Keywords: Long-term Care; Electronic Prescribing; Drug Prescriptions; Family Practice; Aged. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-09-25 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058 oai:ojs.www.actamedicaportuguesa.com:article/5058 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/5058 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058/4066 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058/4180 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058/7064 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5058/7357 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf image/bmp application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 27 No. 5 (2014): September-October; 561-567 Acta Médica Portuguesa; Vol. 27 N.º 5 (2014): Setembro-Outubro; 561-567 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130641421303808 |