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It is often argued that a reduction in cost implies a reduced quality of health care. In Spain, older medications are usually cheaper than new drugs and their safety and efficacy profile is often best known. Physicians might accept better a control of their expenditure if they knew that quality is not compromised.

In this study we have three aims: 1) to estimate the variability in prescription drug costs explained by ACG in centers using electronic patient records, 2) to profile centers and physicians after adjusting for ACG, and 3) to analyze the correlation between pharmacy costs adjusted for ACG and quality of prescription.