Comparative study of prescribing behaviors of government doctors of teaching hospital and private practitioners in Jhalawar City (Rajasthan)
Journal Title: Journal of Pharmaceutical Sciences and Research - Year 2010, Vol 2, Issue 4
Abstract
To compare various aspects of prescribing behaviors of government doctors of teaching hospital and private practitioners. Prescription audit was conducted for a period of 2 months for out patient departments (OPDs) in tertiary hospital and retail medical shops in Jhalawar district. Patients consent was taken and their respective prescriptions were copied, the data was collected on random basis and comparisons were done under following basis: (a) whether the prescriptions were legible. and the format of prescriptions were well defined. (b) Whether rational drugs were prescribed (c) Whether they were prescribing drugs by generic name from essential medicines list (d`) Different categories of drugs were used in prescriptions. The adherence to the typical format of prescription was more common with the prescriptions of PPs than GDs but deficiencies were observed in both prescriptions. Private practitioners were writing slightly more illegible prescriptions than Government doctors i.e.24 %vs22%.All prescriptions of PPs were followed polypharmacy whereas 87.13% of GDs prescriptions. Among the total drugs prescribed in different categories by GDs, more than 45% (1003 out of 2217) were prescribed from two major groups (Antimicrobials 25.44%, NSAIDs 19.08 %,) followed by CVS drugs/antihypertensive 225 (10.14) Antihistaminic/and for cough preparations 208 (9.38), Antipsychotic/drugs for CNS disorder 149 (6.72) Vitamins/minerals 143 (6.45).There were certain variation except first two groups, different categories of drugs prescribed by PPs were Antimicrobials (25.96%), NSAIDs(21.66%) Vitamins/minerals16.22%, Antihistaminic/and for cough preparation 10.03%. Average no of drugs prescribe per prescription were more by PPs than GDs (3.12 vs 2.79).GDs were prescribing much more generic drugs ( 67.25%) essential medicines(68.76%) in comparison to PPs The prescriptions of GDs were more rational and cost effective than PPs. The scopes of improvement of prescribing behaviors widely exist for not only to private practioners but also to government doctors. An urgent intervention is needed to ensure that patients are able to get rational and cost effective therapy.
Authors and Affiliations
Manoj kumar saurabh , Ashish kumar yadav , Pankaj Gupta , Ashish Singhai , Avinash Saurabh
Keywords
Related Articles
- EP ID EP102591
- DOI -
- Views 94
- Downloads 0
Development and Evaluation of a Directly Compressible Co-processed Multifunction Sustained Release Agent for Gliclazide Sustained Release Tablets
Directly compressible co-processed sustained release multifunction agent [DCCSRA] comprising povidone and glyceryl behenate in the ratio of 1:1, 1:2 and 1: 3 were prepared and evaluated. The DCCSRA exhibited good flow an...
Quantitative Structure Activity Relationship for The Computational Prediction of Aurora-B Inhibitors
3-Dimensional Quantitative Structure-Activity Relationship (3D-QSAR) study was performed to explore the binding mechanism of some Quinazoline derivatives to Aurora B Kinase. Molecular Field Analysis (MFA) and Receptor su...
Enhanced Dissolution Rate of Atorvastatin Calcium using Solid Dispersion with PEG 6000 by Dropping Method
The solid dispersion was defined as the dispersion of one or more active ingredients in an inert carrier or matrix. The purpose of the study was to improve the physicochemical properties of Atorvastatin like solubility,...
INCIDENCE OF CHLAMYDIAL INFECTION IN WOMEN
With the emergence of AIDS in the 1980s sexually transmitted disease (STDs) received increased attention.The most common agent is Chlamydia trachomatis (CT), Nesseria gonorrhea and etc. CT commonlycauses non-gonoco...
RATIONAL USE OF ANTIBIOTICS IN OSTEOMYELITIS
Osteomyelitis (OM) is a progressive infection of the bone marrow and cortex caused by bacteria or fungi resulting in inflammatory destruction of the bone. The incidence of disease is related to joint repl...