Assessment of current treatment practices by general practitioners in Pune city, India
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 4
Abstract
Many studies are carried out to measure pattern of drug use in specified health facilities, eg Government dispensaries, Primary Health Centers, Tertiary Health Care Centers etc, but not many studies are carried out to measure the drug use pattern in general practice. Most of the common ailments aremanaged by medical practitioners or general practitioners (GPs). GPs prescribe major bulk of thedrugs sold in the market. Naturally, irrational use of drugs at this level could lead to disastrous consequences. To determine the WHO Drug use indicators and Appropriateness of treatment we divided Pune city into 5 zones. MBBS, BAMS and BHMS GPs doing Allopathic practice were selected randomly. In 2 GPs of each specialty per zone were selected; this gave us 10 GPs of each degree – so total 30 GPs. 30 Prescriptions at each GP were collected – total 900 prescriptions. WHO core drug use indicators, patient care indicators,complementary indicators like average cost per prescription, average cost of Antimicrobials (AMA), patients treated without drugs and prescription in accordance with standard treatment guidelines. Some important results are as follows-Average drugs/prescription MBBS-3.95, BAMS-4.98 and BAMS-4.64.Percentage of prescription with AMAs MBBS-78.33%, BAMS- 77.33% and BHMS-76.66%.Percentage of prescriptions with Injections MBBS-35.66%, BAMS-56.00%, and BHMS-50.66%. Average consulting time MBBS-5.99mins, BAMS-5.80mins and BHMS-4.94mins. Percentage of drugs dispensed MBBS-36.95%, BAMS-54.90% and BHMS-61.48%. Average cost per prescription MBBS-215.73Rs, BAMS-183.13Rs and BHMS-159.40Rs. There are deficiencies in prescription practices among all GPs ie, MBBS, BAMS and BHMS. Not only are GPs prescribing the highest number of drugs, antibiotics and injections per prescription anywhere, their prescription practices for common health problems like Acute Respiratory Infections, Acute Gastroenteritis and Fever are highly inappropriate. High level of irrational use of drugs by BAMS and BHMS GPs are cause of concern.
Authors and Affiliations
Kushal D Sarda, Vijaya A Pandit
Keywords
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