scholarly journals Evaluation of pharmaceutical assistance in municipalities in the state of Minas Gerais

2009 ◽  
Vol 45 (2) ◽  
pp. 279-286 ◽  
Author(s):  
Cristiano Soares de Moura ◽  
Edson Perini

The study proposal was to evaluate the pharmaceutical assistance in the state of Minas Gerais (MG) utilizing pharmaceutical assistance indicators described in the literature. The evaluated items were: organization, financing, selection, acquisition, programming, distribution, availability and storage of medicines in 18 municipalities of the Regional Management of Health of Belo Horizonte. The results have shown good performance respecting service organization, presence and updating of Municipal Essential Drug List. The main problems were related to stock control and availability of some items. The work has demonstrated the operational viability of indicators, as to evaluate the conditions of pharmaceutical assistance, as to monitor their performance.

Author(s):  
Greeshma Upendra ◽  
Sushama A. Bhounsule

Background: According to WHO, worldwide more than 50% of all medicines are prescribed, dispensed, or sold inappropriately, while 50% of patients fail to take them correctly. Evaluating the prescribing patterns of the medical practitioners will throw light on the common types of irrational practices such as inappropriate use of antimicrobials, polypharmacy, over-use of injections, failure to prescribe according to clinical guidelines.Methods: 600 prescriptions prescribed by medical practitioners from March to April 2016 were analyzed using WHO prescribing indicators.Results: Out of the 1900 drugs prescribed, average number of drugs per prescription was 3.17. Total number of drugs prescribed by generic name was 11 (0.58%). An antibiotic was prescribed in 119 patients (19.83%). An injection was prescribed in 23 patients (3.8%). 567 drugs prescribed were from the essential drug list of India (29.8%).Conclusions: Polypharmacy increases the risk of drug interactions, treatment cost, decreases the patient’s compliance. Prescribing medicines by generic name avoids the confusion. By adhering to the national essential list of medicine, drugs will be available to the patients at all times and be cheaper.


Planta Medica ◽  
2009 ◽  
Vol 75 (09) ◽  
Author(s):  
Y Oppamayun ◽  
W Rungapirumnan ◽  
W Suwanakaesawong ◽  
C Uerchaikul

2017 ◽  
Vol 1 (3) ◽  
pp. 94
Author(s):  
Renata Garcia Campos Duarte

Este artigo tem como objetivo discutir a importância da utilização de impressos operários enquanto fonte para as pesquisas em história da educação, analisando alguns debates e ideias educacionais presentes em dois jornais operários de origem associativa: O Labor, da Confederação Auxiliadora dos Operários, e O Confederal, do Centro Confederativo dos Operários. As associações responsáveis pelos periódicos foram constituídas nos primeiros anos de existência de Belo Horizonte, cidade construída para sediar a nova capital do Estado de Minas Gerais. Os impressos operários, por sua vez, são entendidos em suas particularidades tendo-se em vista as suas características, os quais divulgavam algumas ideias e debates, como os referentes ao campo educacional. A partir da análise dos jornais foi apurada a existência de demandas e propostas por educação para todas as classes sociais, visto que o ensino em Belo Horizonte não era ofertado a todos, ou se era oferecido, não alcançava as classes sociais menos favorecidas.The working class press and the History of Education: an analysis of the contributions of the newspapers The Labor and The Confederal to the History of Education in the initial years of Belo Horizonte. This article aims to discuss the importance of the use of working class press as a source for research in the history of education, analyzing some debates and educational ideas present in two workers' newspapers of associative origin: The Labor, of the Auxiliary Confederation of Workers, and The Confederal, of the Confederative Center for Workers. The associations responsible for the periodicals were constituted in the first years of existence of Belo Horizonte, city built to host the new capital of the State of Minas Gerais. The working class periodicals, in turn, are understood in their particularities in view of their characteristics, which disseminated some ideas and debates, such as those concerning the educational field. From the analysis of the newspapers, the existence of demands and proposals for education for all social classes was verified, whereas the education in Belo Horizonte was not offered to all, or if it was offered, it did not reach the less favored social classes. Keywords: Workers associations; Belo Horizonte; Education; History of education; Working class press.


Revista Foco ◽  
2016 ◽  
Vol 9 (1) ◽  
pp. 268
Author(s):  
Leonardo Tadeu Dos Santos ◽  
Juliana De Fátima Pinto

O presente trabalho é resultado de um estudo sobre o uso de portais eletrônicos pelo poder legislativo de três cidades mineiras, cujo objetivo é discutir como os portais eletrônicos de Câmaras municipais podem realizar prestação de contas, transparência e participação. Para esse trabalho foram analisados os casos de Belo Horizonte, Uberlândia e Contagem. A escolha desses municípios se deu devido serem os três mais populosos do estado de Minas Gerais. A metodologia usada foi a observação direta e a análise descritiva. O estudo insere-se no campo dos estudos relacionados ao governo eletrônico, pois, busca-se, por meio dele identificar os potenciais e obstáculos da prestação de contas, transparência e participação. Conclui-se que, apesar de grandes avanços no governo eletrônico e de seu potencial, os portais eletrônicos estão sendo subutilizados de forma descontínua. This paper aims to discuss how the homepages of Municipalities may hold accountability, transparency and participation. For this study the cities of Belo Horizonte, Uberlandia and Contagem were analyzed. These cities were chosen due to be the three most populous in the state of Minas Gerais. The methodology used was direct observation and descriptive analysis. The e-government is the field of this study and it seeks to identify the accountability, transparency and participation obstacles. The conclusion is that the homepages are being underutilized despite the great progress in e-government and its potential.


Author(s):  
Shobha P. ◽  
Messaline Sunitha

Background: ICU patients are exposed to more number of life saving drugs and face drug related problems like therapeutic failure, drug interactions and frequent adverse drug reactions. The cost of ICU hospitalisation and money spent on medicines is also a huge burden on these patients. A study of prescribing pattern in an ICU set up will serve as a medical audit to monitor and evaluate the prescribing practices to make it more rational and cost effective.Methods: A prospective observational study was carried out in a medical ICU of a tertiary care hospital. All the inpatients admitted in the medical ICU during the study period of 2 months were included in the study. The data obtained from the case sheets were used to assess the prescribing pattern and rationality of drug use.Results: A total of 101 patients were admitted in 2 months. The most common illness for which the patients (22) were admitted was respiratory problems. Average number of drugs per prescription was 6.9. Cardiovascular system (23.9%) drugs were the most frequently prescribed. Pantoprazole (77) was the single most commonly prescribed drug. 40% of the drugs were prescribed from the essential drug list. The average cost of medicines incurred per person in our study was 5126.33 in INR.Conclusions: Polypharmacy and unwanted prescription of proton pump inhibitors can be avoided by prescribing more generics and drugs from essential drug list.


Author(s):  
Birhanu Berihun Kidanu ◽  
Dak Chuol Cay ◽  
Zemene Demelash Kifle

<p class="abstract"><strong>Background:</strong> Dispensing practice plays a major role in the provision of rational drug therapy. This study aimed to assess the veterinary drug dispensing practice by pharmacists and other veterinarian assistance in veterinary clinic Gondar town.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional prospective descriptive study was carried out in the OPD of three public veterinary clinics in Gondar town for three months. The health facility indicators were examined by ensuring the good dispensing practices in three veterinary clinic and availability of essential drug list.</p><p class="abstract"><strong>Results:</strong> The average consultation time was 13 min and 50 sec. The average dispensing time was 5 min and 3 sec calculated from 100 prescriptions. The percentage of drugs dispensed was 97.50% and percentage of drugs adequately labeled was high from the dispensed drugs (74.4%). The average patients with drug dosage knowledge were very low (25%). The result of the study revealed that the two veterinary clinic health facilities do not have any essential drug list. Out of three, one of them has a key drug from the WHO list 1 (30%) drug was available.</p><p class="abstract"><strong>Conclusions:</strong> The overall good dispensing practices at three veterinary clinics is low. Training, supportive supervision through continuous medical education, regular up-to-date medicine information and standard treatment guideline, and therapeutic audit are required for improvement of medicine use by prescriber and dispensers.</p>


2013 ◽  
Vol 7 (2) ◽  
pp. 51-53 ◽  
Author(s):  
Fouzia Begum ◽  
Md Royes Uddin ◽  
M M Shahin Ul Islam ◽  
Mst Nagnin Sarker ◽  
Rakhal Chandra Barman ◽  
...  

A prescription order is a written instruction of doctors to pharmacist to supply drugs in particular form to a patient and the directions to the patients regarding the use of medicines. This study was undertaken to observe the prescribing patterns of the private practitioners in Bangladesh, 430 prescriptions were collected randomly from Dhaka city and analyzed using WHO/INRUD indicators. There were average 3.40 drugs per prescription. Drugs were prescribed in generic name only in 0.20%. About 46.31% drugs were prescribed from the Essential Drug List, only 19% of prescriptions were complete in respect to patient medication information. Antibiotics were prescribed in 70.33% of the prescriptions; injections were prescribed in about 8.35% of the prescriptions. DOI: http://dx.doi.org/10.3329/fmcj.v7i2.13497 Faridpur Med. Coll. J. 2012;7(2): 51-53


Author(s):  
Angus Nnamdi Oli ◽  
Nwanneka Onyeaso ◽  
Stephen Chijioke Emencheta ◽  
Chijioke M. Ofomata ◽  
James-Paul Kretchy ◽  
...  

Abstract Background Regular evaluation of antimicrobials prescriptions is important for optimal use. Objective This study determined the prescription patterns, class and costs of antimicrobials in the adult out-patient pharmacy of a Teaching Hospital in Nigeria. Methods A 1-year retrospective study from 1st January to 31st December 2018. The data, which included identification code, age, sex, antibiotics prescribed, number of antibiotics per prescription, number of medicines per prescription, dosage form, generic prescribing, drug on the essential drug list, and cost, were used in the analysis. The Chi-square test and Analysis of Variance were used to compare our data with the WHO–developed antimicrobial prescription Guidelines for Anatomical Therapeutic Chemical and Defined Daily Dose assignment of 2019. Results From 450 patient records, significantly more females (70%) were prescribed with antimicrobials (P = 0.0038). The prescription pattern showed that antimicrobials selection by class was significantly different (P < 0.0001) (top three being Amino-penicillin > Nitroimidazoles > Fluoroquinolone). In addition, age differed significantly (P < 0.0001) with 46–50 as the highest class. Dosage forms profile showed that the percentage of encounter with injections prescribed (1.8%) was less than WHO recommendation (13.4–24.1%). Most of the prescriptions (84.22%) were from the Essential Drug List. The average cost of prescriptions with two antimicrobials was the highest ($14.0807), then three ($10.7949), and one ($6.39858). The average number of drugs per prescription that had one (4.28), two (4.46), and three (5.55) antimicrobials, respectively, were more than double the average (2) recommended by WHO. Conclusion The study showed that most of the patterns are within limit, however, highlights the need for frequent evaluation.


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