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These centers have been using exclusively electronic records (software OMI AP version 6. 0) for more than 2 years. Data retrieval and processing Data available per patient from electronic records was: encrypted identity number, age, gender, registered diagnosed episodes of care during 2005, drug prescriptions (type and amount), assigned physician (with an encrypted identity code) and center.

The diagnosed health problems were coded with the International Classification for Primary Care (ICPC-2). A file with the drug prices from Catsalut, a public agency responsible for contracting and paying for health services in Catalonia, Spain, was used to obtain the cost of prescribed medication per patient (in euros).