加济浦尔农村零售商视角下的配药实践及其影响因素横断面调查

T. Ahsan, Dilshad Noor Lira, Md. Samiul Islam, M. Alam, A. S. Shamsur Rouf
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引用次数: 0

摘要

零售药店是孟加拉国农村地区事实上的初级卫生保健接触点,影响着人们的用药情况。因此,识别RPSs的调剂活动可以成为药物使用的关键指标。本研究旨在探讨加济浦尔地区农村零售药师的药品调剂实践。采用横断面研究的方法,了解镇痛剂、解热药、胃食管反流病(GERD)、镇静催眠药、ED和复合维生素类药物的配药实践,评估影响配药实践的因素,以及零售商建议的接受程度。在Gazipur Sadar农村地区的92种抗疗法抗抑郁药中,通过随机抽样从药品总局(DGDA)注册的抗疗法抗抑郁药清单中选择了47种抗抑郁药。采用结构化的有效问卷对分配器进行访谈,并使用“Microsoft Office Excel 2016”对数据进行分析。据报道,当时销量最高的品牌是双氯芬、纳帕特级、利沃特里、赛克洛、尼格拉和Filwel Gold。最低的配药品牌是Apeclo、Zerin、Relaxen、Procap、Adegra和Biovit Gold。在影响配药实践的决定因素中,“处方者的选择”在复合维生素(94%)、镇静和催眠(87%)和镇痛药(77%)组中占主导地位。“配药人的选择”成为ED药物组的主要决定因素(62%),这令人担忧。此外,塞内格拉是一个未经许可的外国品牌,被发现在许多药店出售。在退烧药(38%)和反流药物(21%)中,买方的选择(自我药疗)更为显著。虽然报告的药物中只有少数是非处方药(OTC),但几乎所有的药物都是在没有处方的情况下分发的。根据零售商的看法,购买者似乎不太受药品价格的影响(72%),表明所研究药品的价格是可以承受的。共有66%的配药员被发现在没有寻求的品牌(品牌替代)的情况下建议替代品牌,这意味着未经培训的配药员可能会潜在地影响药物选择,77%的配药员声称买家通常接受他们的建议,考虑到我们药物买卖实践的现实,这并不奇怪。零售商的观点可能是了解毒品使用情况的一个很好的工具。可以相应地制定有效的监管和社会举措,以加强药品的合理配药和使用。达卡大学药学院。自然科学22(1):55- 63,2023 (6)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Cross-Sectional Survey on the Dispensing Practice and its Determinants from the Retailers’ Perspective in Rural Areas of Gazipur
Being the de facto primary healthcare contacts in rural Bangladesh, retail pharmacy shops (RPSs) influence the medication usage by the people. Therefore, identifying dispensing activities of RPSs can be a key indicator of medicine use. The aim of the current study is to explore the drug dispensing practice of retail pharmacists in the rural areas of Gazipur district. A cross-sectional study was designed to find out drug dispensing practice of analgesic, antipyretic, Gastro Esophageal Reflux Disease (GERD), sedative & hypnotic, ED and multivitamin drugs, assess determinants impacting the practice, and acceptance level of retailers’ suggestions. Forty seven RPSs were selected by random sampling out of 92 in rural areas of Gazipur Sadar from the list of registered allopathic RPSs by the Directorate General Drug Administration (DGDA). Dispensers were interviewed with structured validated questionnaire and data was analyzed using ‘Microsoft Office Excel 2016’. Diclofen, Napa extra, Rivotril, Seclo, Niagra and Filwel Gold were reported to be as the highest dispensed brands at that time. The lowest dispensed brands were found to be Apeclo, Zerin, Relaxen, Procap, Adegra and Biovit Gold. Among determinants impacting dispensing practice, ‘prescriber’s choice’ dominated most in Multivitamin (94%), Sedative & Hypnotic (87%), and Analgesic (77%) groups. ‘Dispenser’s choice’ emerged as a primary determinant in the ED drug group (62%) which is alarming. Moreover, an unlicensed foreign brand, Senegra was found to be dispensed in many drugstores. Buyer’s choice (self-medication) was more remarkable in Antipyretic (38%) and GERD drugs (21%). Although only a few of the reported drugs were over-the-counter (OTC), almost all drugs were being dispensed without prescriptions. As per retailers’ perception, buyers did not seem to be much affected by medicine price (72%) indicating that studied drugs’ price is affordable. A total of 66% dispensers were found to suggest an alternative brand in the absence of a sought brand (brand-substitution) implying to the fact that untrained dispensers may potentially influence drug choice and 77% claimed that buyers usually accept their suggestions which is of no surprise considering the reality of our medication buy-sale practice. Retailers’ perspective might be a great tool to understand drug usage scenario on the ground. Effective regulatory and social initiatives can be devised accordingly to strengthen the rational dispensing and use of medicine. Dhaka Univ. J. Pharm. Sci. 22(1): 55-63, 2023 (June)
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