Drug utilization pattern among type II diabetic patients in Palestine.

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Murad Abualhasan, Mai Awad, Waleed Sweileh
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Abstract

Background: Diabetes mellitus is a common metabolic disorder marked by hyperglycemia. Studying the use of anti-diabetic medications is essential for promoting proper drug use and improving healthcare planning.

Objective: This study aims to examine the drug utilization patterns and prescribing practices among Type 2 Diabetic Patients in Palestine. Specifically, it seeks to identify the most commonly prescribed medications, evaluate adherence to clinical guidelines, and assess factors influencing drug utilization at diabetes healthcare centers operated by the Ministry of Health (MOH) in Palestine.

Methods: A cross-sectional survey was conducted among 400 randomly selected patients with T2DM attending diabetic clinics in the northern and central regions of the West Bank, Palestine. Data on prescribing patterns and medication adherence were collected through patient interviews, and ethical guidelines were strictly followed throughout the study.

Results: The study found that metformin was the most frequently prescribed initial therapy for patients with T2DM. Medication adherence was notably high, with 68% of patients consistently taking their medications as directed, although 24% reported occasionally forgetting to do so. Approximately 90% of patients followed the prescribed dosage exactly as instructed. There were no statistically significant differences in metformin prescribing patterns across the regions; prescriptions for glimepiride varied significantly (p = 0.01). Combination therapies were also commonly used.

Conclusion: This research can enhance our understanding of diabetes treatment methods, patient adherence, and the factors influencing prescription decisions. Ultimately, this will support the development of more effective strategies for diabetes management.

巴勒斯坦地区2型糖尿病患者的药物利用模式
背景:糖尿病是一种常见的以高血糖为特征的代谢性疾病。研究抗糖尿病药物的使用对促进正确用药和改善保健计划至关重要。目的:了解巴勒斯坦地区2型糖尿病患者的用药模式和处方情况。具体而言,它旨在确定最常用的处方药,评估临床指南的遵守情况,并评估影响巴勒斯坦卫生部(MOH)运营的糖尿病保健中心药物使用的因素。方法:对在巴勒斯坦西岸北部和中部地区就诊的400名随机选择的2型糖尿病患者进行横断面调查。通过患者访谈收集处方模式和药物依从性的数据,并在整个研究过程中严格遵循道德准则。结果:研究发现二甲双胍是T2DM患者最常用的初始治疗药物。药物依从性非常高,68%的患者一直按照指示服药,尽管24%的患者报告偶尔会忘记这样做。大约90%的患者完全按照指示服用了处方剂量。各地区的二甲双胍处方模式没有统计学上的显著差异;格列美脲处方差异有统计学意义(p = 0.01)。联合治疗也常用。结论:本研究提高了我们对糖尿病治疗方法、患者依从性及影响处方决策因素的认识。最终,这将支持制定更有效的糖尿病管理策略。
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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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