Bhartiy S S, Shinde M, Nandeshwar S, Tiwari S C
Department of Community Medicine, College of Medical Sciences, Bharatpur, Dist Chitwan, Nepal.
Kathmandu Univ Med J (KUMJ). 2008 Jan-Mar;6(1):55-9.
To find out the current status of the 'prescribing practices' in the Primary Health Care facilities of Madhya Pradesh.
The cross-sectional survey was conducted in 26 Primary Health Care facilities of the Madhya Pradesh. Consecutive random sampling method was applied for collection of prescriptions from the health facilities.
Overall the average number of drugs prescribed per prescription was 2.8; most commonly prescribed drugs were NSAIDs, antibiotics, multivitamins and antihistaminics. Drugs prescribed by generic name were 48.5% (1409/2906), prescription with antibiotics and injections were 60.9% (641/1052) and 13.6% (143/1052) respectively. Drugs prescribed from Essential Drug List were 66.9% (1944/2906).
The prescribing practices of the Madhya Pradesh is more of an irrational types like polypharmacy, overuse of antibiotics and injection, less number in generic names and prescribed from Essential Drug List. There is an urgent need for some interventions to improve the situation.
了解中央邦初级卫生保健机构的“处方行为”现状。
在中央邦的26家初级卫生保健机构进行横断面调查。采用连续随机抽样方法从卫生机构收集处方。
总体而言，每张处方的平均用药数量为2.8种；最常开具的药物是非甾体抗炎药、抗生素、多种维生素和抗组胺药。使用通用名开具的药物占48.5%（1409/2906），开具抗生素和注射剂的处方分别占60.9%（641/1052）和13.6%（143/1052）。从基本药物清单中开具的药物占66.9%（1944/2906）。
中央邦的处方行为存在较多不合理之处，如多药联用、抗生素和注射剂使用过度、通用名使用较少以及从基本药物清单中开具的药物较少。迫切需要采取一些干预措施来改善这种情况。
