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In children there is greater variability among physicians and centers not related to case-mix. In our sites, ACG is useful to profile physicians and centers using electronic records in real practical conditions. Physicians with lower pharmaceutical expenditure have higher scores for a prescription quality index.
Background Prescription drug costs are rapidly increasing in most countries. Since patient complexity is a major determinant of expenditure, in order to control drug costs more effectively and with equity, methods for case mix adjustment should be considered.