背景:发展中国家和发达国家的医疗保健系统都没有处方错误。处方错误的影响之一是不合理的处方。根据世界卫生组织(WHO)的估计,超过50%的药物是不合理地处方和分配的。另一方面,关于私营医疗保健部门药物使用模式的研究很少。这项研究旨在评估处方的完整性和药物使用模式使用WHO处方指标在Lemi-Kura城市的私人社区药房。
方法:根据世界卫生组织的处方指标,采用回顾性横断面技术来检查完整性和药物处方模式.该研究于2021年4月至5月进行。处方,保存1年,从2020年3月到2021年3月,由私营医疗保健部门规定,进行了分析。采用系统随机抽样技术选择从私人医疗机构获得的处方。使用SPSS®26.0版软件分析数据。
结果:总共1000个处方,处方1770种药物,每个处方的平均药物数量为1.77种。两种药物的处方占其中的38%,而三种药物的处方占15%。年龄,性别,卡号写在99.0%,99.2%,和41.8%的处方,分别。病人的名字写在每个处方上。尽管处方上其他治疗信息的可用性使它看起来更大,只有44.2%的处方包括药物剂型.通用名称用于大多数药物(67.8%)。此外,假设每个处方都是针对一个病人的,71%的患者接受了抗生素治疗,2%的人接受了注射药物。99.6%的处方使用了埃塞俄比亚国家基本药物清单。
结论:根据本研究的发现,处方和处方完整性指标显示偏离WHO推荐的标准.这种情况可能很严重,因为公共医疗保健部门报告了类似的模式,这可能意味着不遵守世卫组织核心药物使用标准的程度。因此,它可以在增加埃塞俄比亚的处方错误方面发挥相当大的作用。因此,应为处方者提供在职培训,以提高对基本处方书写的依从性.
BACKGROUND: Healthcare systems in both developing and developed countries were not free from prescription errors. One of the effects of prescription errors is irrational prescribing. According to the estimation of the World Health Organization (WHO), greater than 50% of medicines are prescribed and dispensed irrationally. On the other hand, research on drug use patterns in the private healthcare sector is scarce. This
study aimed to assess prescription Completeness and Drug use Pattern using WHO prescribing indicators in Private Community Pharmacies in Lemi-Kura sub-city.
METHODS: Based on the WHO prescribing indicators, a retrospective cross-sectional technique was employed to examine the completeness and drug-prescription patterns. The
study was conducted from April to May 2021. Prescriptions, kept for 1 year that was prescribed from March 2020 to March 2021, by private healthcare sectors, were analyzed. A systematic random sampling technique was employed to select prescriptions obtained from private health facilities. Data were analyzed using SPSS® version 26.0 software.
RESULTS: Of a total of 1000 prescriptions, 1770 drugs were prescribed and the average number of drugs per prescription was 1.77. Prescriptions for two drugs account for 38% of these, while prescriptions for three drugs account for 15%. Age, sex, and card number were written on 99.0%, 99.2%, and 41.8% of prescriptions, respectively. The patient\'s name was written on every prescription. Even though the availability of other therapeutic information on the prescription made it appear greater, only 44.2% of prescriptions included the dosage form of medications. The generic name was used for the majority of the medications (67.8%). Furthermore, assuming that each prescription was for a single patient, 71% of patients received antibiotics, and 2% received injectable medicines. The National List of Essential Medicines-Ethiopia was used in 99.6% of the prescriptions.
CONCLUSIONS: On the basis of the finding of this
study, the prescribing and prescription completeness indicator showed deviation from the standard recommended by WHO. This situation could be critical since a similar pattern is reported from public healthcare sectors, which might imply the extent of non-adherence to WHO core drug use standards. Consequently, it could play a considerable role in increasing prescription errors in Ethiopia. Hence, in-service training for prescribers should be provided to improve adherence to basic prescription writing.