■合理用药(RDU)促进安全,高效,以及在医院环境中使用药物的成本效益。这项研究的目的是根据世界卫生组织(WHO)和国际合理用药网络(INRUD)核心药物使用指标评估合理用药。
■这个前景,描述性,描述性在乌干达西部Sheema区一家二级保健医院门诊部就诊的患者中进行了基于医院的横断面研究.从符合条件的患者中前瞻性地收集了总共450张处方,并通过使用WHO/INRUD核心药物使用指标(处方,病人护理,和卫生机构指标)。
■发现每次遇到的平均处方药数为3.2(最佳值=1.6-1.8)。以通用名称(90.48%)和基本药物清单(96.23%)处方的药物百分比接近WHO参考(100%)。每次遇到的抗生素(66.22%)和注射剂(25.22%)的百分比超过了WHO标准(抗生素=20.0-26.8;注射剂=13.4-24.1)。在病人护理指标中,平均咨询时间(5.41分钟),平均配药时间(131.03秒),配药百分比(76.11%),适当标记的药物百分比(59.74%),有剂量知识的患者百分比(49.50%)不符合WHO参考。设施指标,如库存中可用的关键药物百分比(66.67%)不符合世卫组织的最优值。医院为所有从业者提供了百分之百的EML。
■研究得出的结论是,病人护理,Sheema区二级保健医院的卫生机构指标偏离了WHO建议的最佳值。因此,这项研究表明,需要改进这些指标,并要求正在进行的教育举措侧重于合理的药物处方,配药,和患者使用,以符合世界卫生组织设定的标准。
UNASSIGNED: Rational drug use (RDU) promotes safe, efficient, and cost-effective utilization of medicines in hospital settings. The aim of this study was to assess
rational drug use based on the World Health Organization (WHO) and the International Network for
Rational Use of Drugs (INRUD) core drug use indicators.
UNASSIGNED: This prospective, descriptive, hospital-based cross-sectional study was conducted among patients attending the Outpatient Department of a secondary care hospital located in the Sheema District of Western Uganda. A total of 450 prescriptions were prospectively collected from eligible patients and subjected to evaluation by using the WHO/INRUD core drug use indicators (prescribing, patient care, and health-facility indicators).
UNASSIGNED: The average number of drugs prescribed per encounter was found to be 3.2 (optimal value=1.6-1.8). The percentages of drugs prescribed by their generic name (90.48%) and from the Essential Medicine List (96.23%) were close to the WHO reference (100%). The percentage of antibiotics (66.22%) and injections (25.22%) per encounter exceeded the WHO standards (antibiotics=20.0-26.8; injections=13.4-24.1). Among the patient-care indicators, the average consultation time (5.41 minutes), average dispensing time (131.03 seconds), percentage of medicines dispensed (76.11%), percentage of medicines adequately labeled (59.74%), and percentage of patients with dosage knowledge (49.50%) did not meet the WHO reference. Facility indicators such as the percentage of key medicines available in the stock (66.67%) did not conform to the WHO optimal value. The hospital made the EML hundred percent available to all practitioners.
UNASSIGNED: The study concludes that the prescribing, patient care, and health facility indicators at Sheema District Secondary Care Hospital deviate from the optimal values recommended by the WHO. Therefore, this study indicates a need for improvement on these indicators and a requirement for the ongoing educational initiatives focused on
rational drug prescribing, dispensing, and patient use in order to comply with the standards set by the WHO.