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European Surveillance of Antimicrobial Consumption (ESAC): quality indicators for outpatient antibiotic use in Europe

European Surveillance of Antimicrobial Consumption (ESAC): quality indicators for outpatient antibiotic use in Europe
European Surveillance of Antimicrobial Consumption (ESAC): quality indicators for outpatient antibiotic use in Europe
Background and objective: Indicators to measure the quality of healthcare are increasingly used by healthcare professionals and policy makers. In the context of increasing antimicrobial resistance, this study aimed to develop valid drug-specific quality indicators for outpatient antibiotic use in Europe, derived from European Surveillance of Antimicrobial Consumption (ESAC) data.
Methods: 27 experts (15 countries), in a European Science Foundation workshop, built on the expertise within the European Drug Utilisation Research Group, the General Practice Respiratory Infections Network, the ESCMID Study Group on Primary Care Topics, the Belgian Antibiotic Policy Coordination Committee, the World Health Organization, ESAC, and other experts. A set of proposed indicators was developed using 1997–2003 ESAC data. Participants scored the relevance of each indicator to reducing antimicrobial resistance, patient health benefit, cost effectiveness and public health policy makers (scale: 1 (completely disagree) to 9 (completely agree)). The scores were processed according to the UCLA-RAND appropriateness method. Indicators were judged relevant if the median score was not in the 1–6 interval and if there was consensus (number of scores within the 1–3 interval was fewer than one third of the panel). From the relevant indicators providing overlapping information, the one with the highest scores was selected for the final set of quality indicators—values were updated with 2004 ESAC data.
Results: 22 participants (12 countries) completed scoring of a set of 22 proposed indicators. Nine were rated as relevant antibiotic prescribing indicators on all four dimensions; five were rated as relevant if only relevance to reducing antimicrobial resistance and public health policy makers was taken into account. A final set of 12 indicators was selected.
Conclusion: 12 of the proposed ESAC-based quality indicators for outpatient antibiotic use in Europe have face validity and are potentially applicable. These indicators could be used to better describe antibiotic use in ambulatory care and assess the quality of national antibiotic prescribing patterns in Europe.
1475-3898
440-445
Coenen, Samuel
3d0dc4e0-e5ba-4d66-ba92-15900ccc551e
Ferech, Matus
7f379755-0174-4067-94ee-3b9fcf24a7d3
Haaijer-Ruskamp, Flora M.
030035ee-5459-4802-b5b4-eeb68052aa80
Butler, Chris C.
cedab343-9e0c-420f-ba80-f2f824969687
Stichele, Robert H. Vander
2c37fd50-6c8f-4984-9f1a-d30234706380
Verheij, Theo J. M.
0164f6e4-2c95-4233-8c2e-29b616c8ff66
Monnet, Dominique L.
62fe0ef6-4e04-438d-a842-7e042a752160
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Goossens, Herman
31f8e1ae-7da0-473c-bd49-f911c2187451
Coenen, Samuel
3d0dc4e0-e5ba-4d66-ba92-15900ccc551e
Ferech, Matus
7f379755-0174-4067-94ee-3b9fcf24a7d3
Haaijer-Ruskamp, Flora M.
030035ee-5459-4802-b5b4-eeb68052aa80
Butler, Chris C.
cedab343-9e0c-420f-ba80-f2f824969687
Stichele, Robert H. Vander
2c37fd50-6c8f-4984-9f1a-d30234706380
Verheij, Theo J. M.
0164f6e4-2c95-4233-8c2e-29b616c8ff66
Monnet, Dominique L.
62fe0ef6-4e04-438d-a842-7e042a752160
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Goossens, Herman
31f8e1ae-7da0-473c-bd49-f911c2187451

Coenen, Samuel, Ferech, Matus, Haaijer-Ruskamp, Flora M., Butler, Chris C., Stichele, Robert H. Vander, Verheij, Theo J. M., Monnet, Dominique L., Little, Paul and Goossens, Herman (2007) European Surveillance of Antimicrobial Consumption (ESAC): quality indicators for outpatient antibiotic use in Europe. Quality and Safety in Health Care, 16 (6), 440-445. (doi:10.1136/qshc.2006.021121).

Record type: Article

Abstract

Background and objective: Indicators to measure the quality of healthcare are increasingly used by healthcare professionals and policy makers. In the context of increasing antimicrobial resistance, this study aimed to develop valid drug-specific quality indicators for outpatient antibiotic use in Europe, derived from European Surveillance of Antimicrobial Consumption (ESAC) data.
Methods: 27 experts (15 countries), in a European Science Foundation workshop, built on the expertise within the European Drug Utilisation Research Group, the General Practice Respiratory Infections Network, the ESCMID Study Group on Primary Care Topics, the Belgian Antibiotic Policy Coordination Committee, the World Health Organization, ESAC, and other experts. A set of proposed indicators was developed using 1997–2003 ESAC data. Participants scored the relevance of each indicator to reducing antimicrobial resistance, patient health benefit, cost effectiveness and public health policy makers (scale: 1 (completely disagree) to 9 (completely agree)). The scores were processed according to the UCLA-RAND appropriateness method. Indicators were judged relevant if the median score was not in the 1–6 interval and if there was consensus (number of scores within the 1–3 interval was fewer than one third of the panel). From the relevant indicators providing overlapping information, the one with the highest scores was selected for the final set of quality indicators—values were updated with 2004 ESAC data.
Results: 22 participants (12 countries) completed scoring of a set of 22 proposed indicators. Nine were rated as relevant antibiotic prescribing indicators on all four dimensions; five were rated as relevant if only relevance to reducing antimicrobial resistance and public health policy makers was taken into account. A final set of 12 indicators was selected.
Conclusion: 12 of the proposed ESAC-based quality indicators for outpatient antibiotic use in Europe have face validity and are potentially applicable. These indicators could be used to better describe antibiotic use in ambulatory care and assess the quality of national antibiotic prescribing patterns in Europe.

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Published date: December 2007

Identifiers

Local EPrints ID: 79626
URI: https://eprints.soton.ac.uk/id/eprint/79626
ISSN: 1475-3898
PURE UUID: 13dc68f4-2356-4301-8454-7b7373879f8a

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Date deposited: 18 Mar 2010
Last modified: 18 Jul 2017 23:16

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Contributors

Author: Samuel Coenen
Author: Matus Ferech
Author: Flora M. Haaijer-Ruskamp
Author: Chris C. Butler
Author: Robert H. Vander Stichele
Author: Theo J. M. Verheij
Author: Dominique L. Monnet
Author: Paul Little
Author: Herman Goossens

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