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Indian Journal of Pharmacology, Vol. 36, No. 6, November-December, 2004, pp. 383-384 Research Letter Prescribing pattern for outpatients in government hospitals in Jaipur Mathur Mukul, Dandiya PC Department of Pharmacology, S.M.S. Medical College, Jaipur Code Number: ph04136 The WHO-India program on the Rational use of Drugs, which has been going on for almost 20 years in India aims at promoting rational prescribing through a multi-pronged strategy which includes interventions to correct drug use problems, adoption of Essential Drug List (now called the Essential Medicine List, EML), development of Standard Treatment Guidelines, determining and restricting irrational prescribing. Several studies have been conducted to obtain baseline data on WHO-core prescribing indicators in day-to-day practice.[1] The present study was conducted to obtain such information from government hospitals in Jaipur. [Table - 1] Prescriptions were collected from the OPDs of Medicine (Med), Pediatrics (Ped), Surgery and Gynecology (Gyne) from a government-administered teaching hospital namely the S.M.S. Hospital, and two satellite hospitals located in the city of Jaipur. The prescriptions were collected by three knowledgeable and trained workers who were required to record the information in a pre-designed and tested proforma. To eliminate the possibility of bias, the location, the department, and the dates of prescription collection were determined by draw of lots. The observations were compiled to obtain information on some WHO prescribing indicators. The data show that in general and for the majority of the WHO prescribing indicators, there was no difference (Chi-square test; level of significance - 0.05) between the prescriptions of doctors working in the satellite hospitals and those working in the teaching hospital. The percentage of antimicrobials prescribed was slightly more in the satellite hospitals though the numbers failed to reach statistical significance. Furthermore, a higher percentage of the use of antimicrobials by pediatricians may partly be due to the serious nature of illness affecting children and also due to the anxiety/demand of the patients. The study is in agreement with other reports cited in the literature[2],[3],[4] and underlines the need for suitable interventions to improve rational prescribing. ACKNOWLEDGEMENTS The study was conducted with partial assistance provided by the WHO-India Programme on the Rational Use of Drugs through the Delhi Society for the Promotion of the Rational Use of Drugs and the Rajasthan Society for the Promotion of the Rational Use of Drugs. We are thankful to Dr. Ranjit Roy Chaudhury for encouraging us to take up the study in Jaipur. REFERENCES
Copyright 2004 - Indian Journal of Pharmacology The following images related to this document are available:Photo images[ph04136t1.jpg] |
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