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The proposed fuzzy index combines quality indicators' prescribed thresholds extracted mainly from the Moroccan and the Quebec water legislations.
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We analysed indicators related to prescribing (prescribing indicators) separately from indicators related to monitoring (monitoring indicators).
4 Prescribing safety indicators (indicators) define prescribing patterns that can increase the risk of harm to the patient and should generally be avoided, though there will always be exceptions where the indicator is justified for clinical reasons.
The distribution between participants and non-participants was comparable in terms of the cardiovascular morbidity indicators, including prescribed medications, hospital admission and medical measures (Table 3).
We also tested a binary indicator for prescribed daily use of short- or long-acting bronchodilators as controller medications.
The GPs questioned these indicators which resulted in not including the acid suppressive drugs indicators in the program, and including indicators on prescribing antibiotics.
Though prescribing safety indicators describe prescribing patterns that can increase the risk of harm to the patient and should generally be avoided, there will always be exceptions where the indicator is clinically justified.
21 Most patients triggered just one indicator (48 504 (97.1%), prescribing indicator; 21 399 (99.5%), monitoring indicator), but a few triggered two indicators (1253 (2.5%) prescribing indicator; 102 (0.5%) monitoring indicator) and 170 (0. 3%) patients triggered three or more prescribing indicator.
The findings suggest that no polypharmacy indicator could serve as a general indicator of prescribing quality; cut-offs for such indicators need to be chosen according to purpose.
These include 65 indicators, which are mainly focused on drug drug and drug disease interactions and therapeutic duplication, and incorporate 22 evidence-based indicators of prescribing omissions.
Doctors are now being encouraged to voluntarily report to Medicare on 16 quality indicators, including prescribing aspirin and beta blocker drugs to patients who have suffered heart attacks and strict cholesterol and blood pressure control for diabetics.
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