Aarhus University Seal / Aarhus Universitets segl

Peter Vedsted

Change in ranking order of prescribing patterns by age and sex standardization of the practice population--audit may be misleading

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

Change in ranking order of prescribing patterns by age and sex standardization of the practice population--audit may be misleading. / Olesen, Frede; Vedsted, Peter; Nielsen, Jørgen Nørskov.

I: Scan J Prim Health Care, Bind 14, Nr. 3, 1996, s. 159-164.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

APA

CBE

MLA

Vancouver

Author

Bibtex

@article{7fe9ee80029d11dbbee902004c4f4f50,
title = "Change in ranking order of prescribing patterns by age and sex standardization of the practice population--audit may be misleading",
abstract = "OBJECTIVE: To demonstrate whether standardization of practice populations by age and sex changes the internal prescription ranking order of a group of practices. DESIGN: Data on the prescribing of cardiovascular drugs in a group of practices were obtained from a county-based database. Information on the age, sex, and numbers of patients per practice was also obtained. The direct standardization method was used to adjust practice populations for age and sex. SETTING: The town of Randers, Aarhus County, Denmark. SUBJECTS: 35 practices, 41 GPs. MAIN OUTCOME MEASURES: Ranking of the 35 practices with respect to number of prescribed daily doses of cardiovascular drugs in crude utilization index and standardized utilization index. The slope of the regression curve of variation between the practices. RESULTS: The change from crude to standardized utilization index gave an entirely new ranking order of the practices. Only four practices did not change ranking position, while four moved more than ten places. The slope between highest and lowest ranked practice did not diminish after standardization. CONCLUSION: Care should be taken when comparing peer prescribing patterns from crude utilization data, and we recommend prior age and sex standardization. Our results are of value in creating a more reliable basis for a debate on variation in prescribing patterns between peers",
author = "Frede Olesen and Peter Vedsted and Nielsen, {J{\o}rgen N{\o}rskov}",
year = "1996",
language = "English",
volume = "14",
pages = "159--164",
journal = "Scan J Prim Health Care",
number = "3",

}

RIS

TY - JOUR

T1 - Change in ranking order of prescribing patterns by age and sex standardization of the practice population--audit may be misleading

AU - Olesen, Frede

AU - Vedsted, Peter

AU - Nielsen, Jørgen Nørskov

PY - 1996

Y1 - 1996

N2 - OBJECTIVE: To demonstrate whether standardization of practice populations by age and sex changes the internal prescription ranking order of a group of practices. DESIGN: Data on the prescribing of cardiovascular drugs in a group of practices were obtained from a county-based database. Information on the age, sex, and numbers of patients per practice was also obtained. The direct standardization method was used to adjust practice populations for age and sex. SETTING: The town of Randers, Aarhus County, Denmark. SUBJECTS: 35 practices, 41 GPs. MAIN OUTCOME MEASURES: Ranking of the 35 practices with respect to number of prescribed daily doses of cardiovascular drugs in crude utilization index and standardized utilization index. The slope of the regression curve of variation between the practices. RESULTS: The change from crude to standardized utilization index gave an entirely new ranking order of the practices. Only four practices did not change ranking position, while four moved more than ten places. The slope between highest and lowest ranked practice did not diminish after standardization. CONCLUSION: Care should be taken when comparing peer prescribing patterns from crude utilization data, and we recommend prior age and sex standardization. Our results are of value in creating a more reliable basis for a debate on variation in prescribing patterns between peers

AB - OBJECTIVE: To demonstrate whether standardization of practice populations by age and sex changes the internal prescription ranking order of a group of practices. DESIGN: Data on the prescribing of cardiovascular drugs in a group of practices were obtained from a county-based database. Information on the age, sex, and numbers of patients per practice was also obtained. The direct standardization method was used to adjust practice populations for age and sex. SETTING: The town of Randers, Aarhus County, Denmark. SUBJECTS: 35 practices, 41 GPs. MAIN OUTCOME MEASURES: Ranking of the 35 practices with respect to number of prescribed daily doses of cardiovascular drugs in crude utilization index and standardized utilization index. The slope of the regression curve of variation between the practices. RESULTS: The change from crude to standardized utilization index gave an entirely new ranking order of the practices. Only four practices did not change ranking position, while four moved more than ten places. The slope between highest and lowest ranked practice did not diminish after standardization. CONCLUSION: Care should be taken when comparing peer prescribing patterns from crude utilization data, and we recommend prior age and sex standardization. Our results are of value in creating a more reliable basis for a debate on variation in prescribing patterns between peers

M3 - Journal article

VL - 14

SP - 159

EP - 164

JO - Scan J Prim Health Care

JF - Scan J Prim Health Care

IS - 3

ER -