scholarly journals Utilizing Hospital Formulary System in Nepal

2020 ◽  
Vol 18 (2) ◽  
pp. 337-339
Author(s):  
Sitaram Khadka ◽  
Hamid Saeed ◽  
Janak Shahi ◽  
Yogesh Bajgain ◽  
Tank Prasad Yadav ◽  
...  

Since the early 1950s, for medication management, the hospital formulary system subsisted as a list of drugs into the supply chain management process in hospitals. With the advent of pharmacy practice services, the system now is more oriented towards the rational use of drugs taking into account the safety of therapy, cost-effectiveness, and uninterrupted availability of drugs to improve and reflect upon the clinical judgment of healthcare professionals. Though very few hospitals in Nepal have adopted hospital formulary system, the perfect practice is still skimpy. The formation of drug and therapeutic committee along with the establishment of hospital pharmacy services is a growing trend with the arrival of hospital pharmacy guidelines 2072, thus, a positive spill-over of the hospital formulary system to each hospital in Nepal would be valuable in promoting rational drug therapy.Keywords: Cost-effectiveness; hospital formulary system, rational drug therapy.


Author(s):  
Ahmed Tabish ◽  
Tanveer A. Khan ◽  
Chandel N. B. ◽  
Rao Anand ◽  
Mishra Chandresh

Background: Rational drug prescribing can be defined as appropriate drugs prescribed in the right dose, at correct time intervals and for a sufficient duration. Irrational drug use is a common problem in many countries of the world.Methods: A prospective observational study was conducted, total 300 patients attending various outpatient departments of tertiary health care rural hospital in Rajnandgaon district were interviewed and their prescriptions were analysed.Results: Total 350 drugs were prescribed 60 (17.14%) were prescribed by generic name and the rest 290 (82.86%) were prescribed by brand name. Only 18 (5.14%) drugs were not prescribed from hospital formulary. 264 (75.43%) drugs were dispensed from hospital pharmacy. On the basis of rationality score 53% prescriptions were rational, 30% semi rational and 17% irrational.Conclusions: In a rural hospital, where hospital formulary is based on WHO Essential medicine list, hundred percent utilization of hospital pharmacy service doctors and patients would ensure rational prescribing benefits of the patients coming from rural and uneducated background.



2012 ◽  
Vol 20 (3) ◽  
pp. 203-210 ◽  
Author(s):  
Mohammed S. Alsultan ◽  
Fowad Khurshid ◽  
Heba J. Salamah ◽  
Ahmed Y. Mayet ◽  
Ahmed H. Al-jedai


JAMA ◽  
1963 ◽  
Vol 185 (6) ◽  
pp. 534


Nutrition ◽  
1997 ◽  
Vol 13 (6) ◽  
pp. 585-586
Author(s):  
David F. Driscoll




2015 ◽  
Vol 37 (3) ◽  
pp. 511-521 ◽  
Author(s):  
Derek Stewart ◽  
Moza Al Hail ◽  
P. V. Abdul Rouf ◽  
Wessam El Kassem ◽  
Lesley Diack ◽  
...  


2015 ◽  
Vol 17 (2) ◽  
pp. 187-192 ◽  
Author(s):  
Tripti Rani Paul ◽  
Md Ajijur Rahman ◽  
Mohitosh Biswas ◽  
Mamunur Rashid ◽  
Md Anwar Ul Islam

Although hospital pharmacists are recognized for its importance as health care provider in many developed countries, in most developing countries it is still underutilized. The aim of the present study was to summarize the current scenario of pharmacy practices in four hospitals of Bangladesh and to identify the pharmacist’s rolesin these seftap. The study was conducted through convenient sampling method using a well-designed 14-item questionnaire to collect the opinions from the respondents. The results showed that hospital pharmacy service, as a unique department of hospital, existed in 50% of the studied hospitals where activities were done by graduate pharmacists and they were also involved in different departments to provide clinical services to the patients. The rest 50% of the studied hospitals had no hospital pharmacy service. Only a retail drug store inside the hospital was present and there was no diploma or graduate or any pharmacy technician for providing patient care. This study concludes that hospital pharmacy practice is just started in some private modern hospitals in Bangladesh which is inaccessible for the majority of peoples due to high patients cost of these hospitals. DOI: http://dx.doi.org/10.3329/bpj.v17i2.22339 Bangladesh Pharmaceutical Journal 17(2): 187-192, 2014



2002 ◽  
pp. 453-460
Author(s):  
Joaquin Giraldez ◽  
Ana Ortega ◽  
Antonio Idoate ◽  
Azucena Aldaz ◽  
Carlos Lacasa


2018 ◽  
Vol 4 (1) ◽  
pp. 33-42
Author(s):  
D.P. Khanal ◽  
P. Adhikari ◽  
S. Chapagain ◽  
S. Rayamajhi ◽  
S. Nakarmi ◽  
...  

Background: Pharmaceuticals play a key role in the prevention and treatment of disease. The worldwide availability of effective, safe and affordable pharmaceuticals is a key challenge for the global public health system. Large economic interests are at stake within the field of pharmaceuticals. Pharmaceutical sales are existed as trade in many part of developing world including Nepal. At the same time, consumers (patients) are at mercy and unable to judge the quality, safety and, in many cases, the efficacy of the medicine, as well as whether the price is reasonable or not. They depend on others for assured quality medicines. Objective of this study was to find out the prescription written in generic name, availability of generic medicine in hospital pharmacy and outside pharmacy and cost effectiveness of brand –generic substitution in Manmohan Memorial Hospital Premises, Shyombu Kathmandu.Methods: All relevant information of brand-generic medicines and generic prescribing were recorded from the patient chart stored at medical record department except orthopedic department. In Orthopedic department, OPD prescriptions were recorded. Hospital pharmacy and outside pharmacy have been audited for the availability of generic medicines. Face to face interview with pharmacists in hospital and Drug Retailers were taken regarding the medicine available in generic name and medicine substitution. The recorded data were analyzed.Results: Only 298 out of 5120 medicines were found in generic name mostly from medical department, 215 medicines out of 812 medicines. There was no any single generic prescription in orthopedic department. In the hospital pharmacy and outside pharmacy have very few generic medicines. So no question of brand substitution by generic here. Mostly some large volume parental were available in generic names.Conclusion: Only 5.82 % of medicines were prescribed in generic name. Concerns over the therapeutic equivalence of branded products and generics are common amongst physicians, pharmacists and industries of course.JMMIHS.2018;4(1):33-42



1971 ◽  
Vol 28 (3) ◽  
pp. 178-183
Author(s):  
Dwight R. Tousignaut


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