印度马哈拉施特拉邦中部某三级医院门诊部处方模式评估

S. Chandra, D. Bhosle, A. Ubale
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摘要

前言:药物利用研究是确定药物在社会中的作用的有力工具。它们为医疗保健决策创造了良好的社会医学和卫生经济基础。DUS的目的是促进人群合理使用药物。处方实践指标衡量卫生保健提供者在适当使用药物的几个关键方面的表现。因此,本研究对某三级护理教学医院医生处方进行分析。材料与方法:本研究为横断面、前瞻性、观察性研究。该研究于2018年7月至2019年3月在奥兰加巴德的米高梅医学院和研究中心进行,为期9个月。数据来自850张处方。根据世卫组织处方指标对数据进行了分析。结果:共分析处方850张,其中男性490张(57.6%),女性360张(42.3%)。处方数量最多的年龄段为18 ~ 40岁(53.6%)。本研究的平均药物数量为(3.1)。以通用名开具处方的比例为16.0%。使用抗生素的比例为59.1%。接触处方注射的百分比为4.9%。基本药物目录中处方药物占68.4%。结论:应改进处方模式,尽量减少药品数量,按仿制名开药,择优用药,自觉降低治疗费用。卫生专业人员有责任确保处方、配发和服用正确的药物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Prescription Pattern at Outpatient Department in a Tertiary Care Hospital at Central Maharashtra, India
Introduction: Drug utilization studies are powerful tools to ascertain the role of drug in society. They create a sound socio-medical and health economic basis for healthcare decision making. DUS are conducted to facilitate the rational use of drugs in populations. The indicators of prescription in practice measure the performances of health care provider in several key dimensions related to appropriate use of drug. Therefore, the present study was undertaken to analyze the prescription written by doctors in a Tertiary Care teaching Hospital. Materials and Methods: Present study was a cross sectional, prospective and observational study. The study was conducted in MGM Medical College & Research centre, Aurangabad from July 2018 to March 2019 for duration of 9 months. Data was obtained from 850 prescriptions. Data was analysed as per WHO prescribing indicators. Results: Total 850 prescriptions were analysed, including 490 (57.6%) males and 360 (42.3%) females. The maximum numbers of prescriptions were from the age group of 18-40 (53.6%) years of age. Average number of drugs in the present study was found to be (3.1). Percentage of drugs prescribed by generic name is 16.0%. Percentage of encounters with an antibiotic prescribed was 59.1%. Percentage of encounters with an injection prescribed was 4.9%. Percentage of drugs prescribed from essential drugs list was 68.4%. Conclusion: There is need of improving the prescribing pattern by keeping the number of medicines as low as possible, prescribing medicines by generic names, using medicines appropriately after selecting and consciously keeping the cost of therapy low. Health professionals have a responsibility to ensure that the right drug is prescribed, dispensed and taken.
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