Analysis of rational use of drugs as of facility indicators and patient care indicators practices at four selected hospitals of West Ethiopia: Policy implication

Irrational use of drugs is a serious problem in the management of diarrhoea in developing countries. Many studies have been conducted in many different countries to document the prescribing pattern in diarrhoeal diseases in the hope of promoting rational use of drugs and thereby improve patient care. In only a few of these studies have standard drug use indicators been used to quantify the extent and nature of irrational prescribing. We report here the findings of a prescribing survey in acute diarrhoea (prescriptions written by graduate doctors) in the government health facilities (GHF) and private dispensaries (PD) in the districts of Dhaka, Tangail and Serajgonj of Bangladesh. In the study a set of standard indicators concerning prescribing, patient care and drug supply developed by the International Network for Rational Use of Drugs (INRUD; and later adopted by WHO) has been employed. Twelve prescriptions given in acute diarrhoea cases in children under 5 years old were prospectively collected on a random basis from each of the 10 centres from three districts. They were analysed by the methods suggested in the INRUD manual.

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Investigation and Comparison of Medicine Use in the three Central Referral Hospitals in Sierra Leone

Nigerian Journal of Pharmaceutical Research ◽

10.4314/njpr.v17i1.9 ◽

2021 ◽

Vol 17 (1) ◽

pp. 81-88

Author(s):

P.T. Osahon ◽

M. Sama ◽

D.T. Thomas

Keyword(s):

Patient Care ◽

Health Care Providers ◽

Essential Medicines ◽

Teaching Hospitals ◽

Care Providers ◽

Ethical Considerations ◽

Prescribing Indicators ◽

Patient Care Indicators ◽

Referral Hospitals ◽

Study Sites

Background: An important goal of National Medicines Policy is to ensure that sufficient quantities of essential medicines are available to health care providers and affordable to patients.Objectives: To investigate and compare the prescribing indicators, patient care indicators and facility indicators in three central referral Hospitals in Sierra Leone.Methods: This was a simple randomized retrospective and prospective study. Three groups were obtained to assess prescribing, patient care and facility indicators in the study sites. About 10% of the prescriptions encountered from January to June 2019, were observed retrospectively. Direct observation of 30 randomly selected patients in each hospital was used to assess patient care. Data collected were organized using Microsoft Excel and analyzed using SPSS version 21. Ethical considerations were observed.Results: The average number of medicines prescribed in the three teaching hospitals (Connaught, PCMH and ODCH) were 4.07, 4.3and 3.3 respectively. Percentage encounter with injections were within standard in PCMT and ODCH. Antibiotics prescribing was slightly higher that WHO recommendation of 30% in all 3 hospitals. Percentage of medicines prescribed by generics were 75.4%, 53% and 77% respectively. The average consultation time was 5.47 minutes while the average dispensing time was 79.7 seconds. Patients that receive their medications at Connaught Hospitals had very little knowledge on how they should take their medicine(s), compared to PCMH and ODCH.Conclusion: This study has shown that irrational use of medicines is a major problem in the three referral hospitals occurring majorly during the prescribing and dispensing processes.

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Assessment of Drug Use Pattern Using Who Prescribing And Patient Care Indicators In A Referral Hospital In Ethiopia

Value in Health ◽

10.1016/j.jval.2015.09.1846 ◽

2015 ◽

Vol 18 (7) ◽

pp. A564

Author(s):

B Legesse

Keyword(s):

Drug Use ◽

Patient Care ◽

Referral Hospital ◽

Patient Care Indicators ◽

Use Pattern ◽

Drug Use Pattern

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PHP7 PROSPECTIVE ENCOUNTER STUDY ON PATIENT CARE INDICATORS IN HEALTH-CARE FACILITIES

Value in Health ◽

10.1016/s1098-3015(11)73216-8 ◽

2010 ◽

Vol 13 (7) ◽

pp. A534

Author(s):

LM Hettihewa ◽

I Amarasinghe ◽

S Subasinghe

Keyword(s):

Health Care ◽

Patient Care ◽

Health Care Facilities ◽

Patient Care Indicators ◽

Care Facilities

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Assessing Patient Care Indicators in a Tertiary Care Teaching Hospital in Bangladesh

Bangladesh Medical Journal ◽

10.3329/bmj.v41i1.18776 ◽

2014 ◽

Vol 41 (1) ◽

pp. 21-24

Author(s):

MM Alam ◽

F Parveen ◽

MJU Iqbal ◽

N Noor ◽

SA Begum

Keyword(s):

Patient Care ◽

Tertiary Care ◽

Health Care Facilities ◽

World Health ◽

Intervention Programme ◽

Cross Sectional ◽

Medical College ◽

Patient Care Indicators ◽

Health Organization ◽

Consultation Time

A cross-sectional descriptive study was carried out among individuals attending the Out Patient Department (OPD) of Medicine, Surgery and Gynaecology & Obstetrics from February 1, 2010 to April 30, 2010 in Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh to see the patterns of drug dispensing using World Health Organization core patient care indicators. The result of the study showed that the overall average consultation time and dispensing time were too short (2.5 minutes and 30 seconds per patient respectively). Of the drugs prescribed, only 20.15% were actually dispensed, whereas no appropriate labeling (0%) was observed and 37.3% of patients knew how to administer drugs correctly after receiving the drugs from the dispenser. So the finding from current study shows a trend towards inappropriate dispensing practice. Hence, there is a need for effective intervention programme to encourage the physicians and dispensing pharmacists in promoting patient care as well as health care facilities. DOI: http://dx.doi.org/10.3329/bmj.v41i1.18776 Bangladesh Medical Journal 2012 Vol. 41 No. 1; 21-24

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