scholarly journals A Cross-sectional Study Assessing Predictors of Essential Medicines Prescribing Behavior Based on Information-motivation-behavioral Skills Model among County Hospitals in Anhui, China

2015 ◽  
Vol 128 (21) ◽  
pp. 2887-2895 ◽  
Author(s):  
Yun-Wu Zhao ◽  
Jing-Ya Wu ◽  
Heng Wang ◽  
Nian-Nian Li ◽  
Cheng Bian ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Essential Medicines ◽  
Sectional Study ◽  
Cross Sectional ◽  
Behavioral Skills ◽  
Prescribing Behavior ◽  
Behavior Based

scholarly journals Prescribing practices using WHO prescribing indicators and factors associated with antibiotic prescribing in six community pharmacies in Asmara, Eritrea: a cross-sectional study

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Nebyu Daniel Amaha ◽  
Dawit G. Weldemariam ◽  
Nuru Abdu ◽  
Eyasu H. Tesfamariam
Keyword(s):  
Sampling Technique ◽  
Cross Sectional Study ◽  
Essential Medicines ◽  
Community Pharmacies ◽  
Antibiotic Prescribing ◽  
Sectional Study ◽  
Prescribing Practices ◽  
Cross Sectional ◽  
Prescribing Indicators ◽  
Factors Affecting

Abstract Background Antibiotics require more prudent prescribing, dispensing and administration than other medicines because these medicines are at a greater risk of antimicrobial resistance (AMR). Studying the current medicine use practices and factors affecting the prescribing of an antibiotic would help decision makers to draft policies that would enable a more rational use of medicines. Methods A prospective, descriptive, and cross-sectional study was conducted to assess the current prescribing practices including antibiotics use in six community pharmacies in Asmara. A total of 600 encounters were reviewed using the WHO core prescribing indicators between May 5 and May 12, 2019 using stratified random sampling technique. Descriptive statistics and logistic regression were employed using IBM SPSS® (version 22). Results The average number of medicines per prescription was 1.76 and 83.14% of the medicines were prescribed using generic names while 98.39% of the medicines were from the National Essential Medicines List (NEML). The percentage of prescriptions containing antibiotics was 53%. The number of encounters containing injections was 7.8%. Patient age, gender and number of medicines prescribed were significantly associated with antibiotic prescribing at bivariate and multivariable models. Subjects under the age of 15 were approximately three times more likely to be prescribed antibiotic compared to subjects whose age is 65 and above (Adjusted Odds Ratio (AOR): 2.93, 95%CI: 1.71–5). Similarly, males were more likely to be prescribed antibiotic than females (AOR: 1.57, 95%CI: 1.10–2.24). Subjects to whom three to four medicines prescribed were two times more likely to be prescribed an antibiotic compared to those who were to be prescribed one to two medicines per encounter (AOR: 2.17, 95%CI: 1.35–3.5). A one-unit increase in the number of medicines increased the odds of antibiotic prescribing increased by 2.02 units (COR: 2.02; 95%CI: 1.62–2.52). Conclusions This study found that the percentage of antibiotics being prescribed at the community pharmacies in Asmara was 53% which deviated significantly from the WHO recommended values (20–26.8%). Furthermore, the percentage of encounters with an injection was 7.8% lower than the WHO value of 13.4–24.0%. Patients’ age, gender and number of medicines were significantly associated with antibiotic prescribing.

scholarly journals Association between Physicians’ Perception of Shared Decision Making with Antibiotic Prescribing Behavior in Primary Care in Hubei, China: A Cross-Sectional Study

Antibiotics ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. 876
Author(s):  
Dan Wang ◽  
Chenxi Liu ◽  
Xuemei Wang ◽  
Xinping Zhang
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Antibiotic Prescribing ◽  
Sectional Study ◽  
Positive Perception ◽  
Cross Sectional ◽  
Prescribing Behavior ◽  
Physician Patient ◽  
The Relationship ◽  
Over 40 Years

Shared decision-making (SDM) has been advocated as one effective strategy for improving physician–patient relationships and optimizing clinical outcomes. Our study aimed to measure physicians’ perception of SDM and establish the relationship between physicians’ perception of SDM and prescribing behavior in patients with upper respiratory tract infections. One cross-sectional study was conducted in Hubei Province from December 2019 to January 2020. The SDM questionnaire and prescription data of 2018 from electronic health records data were matched for each physician in this study. Multilevel modeling was applied to explore the relationship between physicians’ perception of SDM and antibiotic prescribing in primary care. Analyses were statistically controlled for demographic characteristics of the physicians and patients. Physicians’ positive perception of SDM had small but statistically significant effects on lower prescribing of antibiotics in the patient group aged over 40 years (odds ratio (OR) < 1; p < 0.05). Moreover, female physicians (OR = 0.71; p = 0.007) with higher educational levels (bachelor’s degree and above; OR = 0.71; p = 0.024) were significantly associated with the prescribing of less antibiotics (p < 0.05). A more positive perception of SDM was demonstrated as one significant predictor of less prescribing of antibiotics in the patient group over 40 years. There may be a promising focus of implementing SDM strategies targeting physician–patient communication in primary care.

scholarly journals Study of knowledge, attitude, practice of rational use of medicines among interns at Mc Gann teaching district hospital, Shivamogga- a descriptive cross-sectional study

2021 ◽  
Vol 10 (5) ◽  
pp. 512
Author(s):  
Vedavathi Hanumaiah ◽  
Shreenivas Revankar ◽  
Abhishek C. P.
Keyword(s):  
Final Analysis ◽  
Cross Sectional Study ◽  
Essential Medicines ◽  
Fixed Dose ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rational Use ◽  
Rational Use Of Medicines ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Background: Rational use of medicines requires that the patients receive medication appropriate to their clinical needs, in doses that meet their own individual requirements for an adequate period of lime, and at the lowest cost to them and to their community. Objective of the study were like descriptive cross- sectional study was conducted to determine and identify the level of knowledge, attitude and practice regarding rational use of medicines among the interns.Methods: A validated structured questionnaire containing 19 questions regarding rational use of medicines in knowledge, attitude and practice (KAP) format was distributed in hand among 109 interns affiliated to this institution. Descriptive statistics were used to illustrate the results in the form of number and percentage.Results: Out of 109 interns, 102 completed the questionnaire and were included in the final analysis. Majority of interns who participated in study were aware of the concept of rational use of medicine but the knowledge related to EML (essential medicines list), P drugs, schedule H drugs and number of FDCs (fixed dose combination) in EML was limited.Conclusions:  As interns are future prescribers, they need to be aware of all the aspects of rational use of medicine and there is need to emphasise on learning module and training programs to ensure the interns have knowledge of rational use of medicines.

scholarly journals Assessment of the availability of essential medicines and inventory control practice at university of Gondar comprehensive specialized hospital, Amhara regional state of Ethiopia: institutional based cross-sectional study design

2020 ◽  
Vol 6 (9) ◽  
pp. 349
Author(s):  
Alem Endeshaw Woldeyohanins ◽  
Bezawit Meseret ◽  
Muhabawu Teka ◽  
Teshale Teshome
Keyword(s):  
Inventory Control ◽  
Study Design ◽  
Cross Sectional Study ◽  
Essential Medicines ◽  
Sectional Study ◽  
Survey Period ◽  
Cross Sectional ◽  
Control Practice ◽  
Essential Drugs ◽  
Specialized Hospital

<p class="abstract"><strong>Background:</strong> Assessment of availability of essential medicines is a critical component of universal health coverage and important factor to address patients’ satisfaction and increase their health seeking behavior. Proper inventory management of essential drugs in the health facilities is critical in ensuring availability of essential drugs. The objectives of the study were to assess availability of essential medicines and inventory control practice in university of Gondar comprehensive specialized hospital.</p><p class="abstract"><strong>Methods:</strong> The study was conducted using institution based cross sectional study design from March 10 to April 10, 2019. The data was collected by data abstraction formats and structured observation checklist and data was analyzed by Microsoft office excel for the assessment of the essential medicine’s availability and inventory control practices in Gondar university comprehensive specialized hospital.  </p><p class="abstract"><strong>Results:</strong> The overall average availability of essential medicines during survey period in Gondar university hospital was 79.17%. The average stock out in the last six months period was 41.67%. The mean duration of stock out of essential medicines of the hospital in the last six months period was 31.7 days and average frequency of stock out was 0.7. The discrepancy between physical count and stock record count of essential medicines ranged from 0% to about 95%.</p><p class="abstract"><strong>Conclusions:</strong> The average availability of essential medicines during data collection period was fairly high. However, the facility was stock out for significant percent of essential medicines over the last six months period and stock out to lesser extent of percent at the time of survey period.</p>

Sign in / Sign up

Export Citation Format

Share Document