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乌兹别克斯坦农村初级卫生保健医生的处方习惯。

Prescribing practices of rural primary health care physicians in Uzbekistan.

作者信息

Pavin Melinda, Nurgozhin Talgat, Hafner Grace, Yusufy Farruh, Laing Richard

机构信息

USAID/ZdravPlus, John Snow Inc, Ferghana, Uzbekistan.

出版信息

Trop Med Int Health. 2003 Feb;8(2):182-90. doi: 10.1046/j.1365-3156.2003.00992.x.

Abstract

Doctors prescribe medications for therapeutic indications and to meet patient expectations. Understanding the pattern of prescribing is a necessary precursor for any intervention and for improving prescribing practices. Using the WHO standard methodology, we investigated the prescribing practices of doctors in rural primary health care (PHC) clinics in the Ferghana region of Uzbekistan. Doctors in these clinics may have over-prescribed, prescribing 2.9 drugs per patient per encounter. Fifty-seven per cent of these were for injectable drugs, and 57% for antibiotics. Most prescriptions were for name brand (62%) rather than generic drugs.

摘要

医生开药是出于治疗目的并满足患者期望。了解开药模式是进行任何干预和改善开药行为的必要前提。我们采用世界卫生组织的标准方法,对乌兹别克斯坦费尔干纳地区农村初级卫生保健(PHC)诊所医生的开药行为进行了调查。这些诊所的医生可能存在过度开药的情况,每次诊疗每位患者平均开2.9种药。其中57%为注射剂,57%为抗生素。大多数处方开的是名牌药(62%)而非通用名药。

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