Variabilidad en la prescripción de antidepresivos en Atención Primaria de la provincia de Toledo / Variability in the prescription of antidepressants at the Primary Care level in the Toledo province
Rev. clín. med. fam
; 1(2): 58-63, oct. 2005. ilus, tab
Article
en Es
| IBECS
| ID: ibc-68966
Biblioteca responsable:
ES15.1
Ubicación: ES15.1 - BNCS
ABSTRACT
Objetives: to describe the prescription of antidepressants in Primary Care in the province of Toledo,and to analyze possible explanatory factors of the existing variability.Design: descriptive transversal study.Setting: Areas of Toledo and Talavera (32 and 16 Primary Health Centers).Subjects: Prescriptions of antidepressants generated during 2004 by 342 general practicioners ofthe province of Toledo.Principal measurements: the number of packets of antidepressants prescribed by each physicianand paid by SESCAM during 2004 were offered by the Digitalis information system. The DefinedDaily Dose (DDD) and the DDD by 1000 head of population per day (DHD) were used as units of measurement. The next variables were studied as possible explanatory factors of the variability: sex, age, MIR training, location (rural / urban), Primary Health Area, assigned population (TIS) and percentage of patients older than 65 years. It was calculated as a model of linear multiple regression.Results: 7.768.998 DDD of antidepressants were prescribed during 2004 in the province of Toledo,which is equivalent to 43,2 DHD. The mean of DHD prescribed by physician was 45,8 , with a 35,2% coefficient of variation. There were no differences found in the matter of sex or MIR training. The prescription was lower in the Area of Toledo (40,0 vs 58,1 DHD). We found a significant relationship between DHD and the age of the doctor (Spearman´s rho= -0,233), TIS (-0,408) and the percentage of older than 65 years in the quota (+0,407). The multivariant analysis showed an association between the prescription and the variables area, age of the doctor and percentageof patients older than 65 years in assigned population. The coefficient of determination R2 of themodel was 0,435.Conclusions: we have confirmed an important variability in the prescription of antidepressants. The age of the doctor, the percentage of patients older than 65 years and the Primary Health Area can explain part of the variability (AU)
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Colección:
06-national
/
ES
Base de datos:
IBECS
Asunto principal:
Trastorno Depresivo
/
Antidepresivos
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
Es
Revista:
Rev. clín. med. fam
Año:
2005
Tipo del documento:
Article