Meskarpour-Amiri Mohammad, Dopeykar Nooredin, Mehdizadeh Parisa, Ayoubian Ali, Motaghed Zahra
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Glob J Health Sci. 2015 Jan 13;7(3):291-7. doi: 10.5539/gjhs.v7n3p291.
BACKGROUND & AIM: Inappropriate prescribing injection medicines can reduce the quality of medical care, patient safety, and leads to a waste of resources. Sufficient evidence is not available in developing countries to persuade policy-makers to promote rational drug prescription. The objective of this study is to assess some factors affecting the prescription of the injection medicines in Iran.
In this descriptive-analytic study, the data of 91,994,667 selected prescription letters were collected by the Ministry of the Health and Medical Education (MOHME) throughout the country at the year 2011 which were analyzed through a logarithmic regression model.
Results of the study show that the percentage of the prescription letters containing injection items varied from 27 percent (in Yazd) to 57 percent (in Ilam). Also the impact of price on the prescription of the injection medicines was not significant (P=0.55). But the impact of the prescription of antibiotics and corticosteroid on injections were significant (P>0.05) and equal 0.44 and 0.65 respectively.
Increasing price of injection medicines as a policy towards reducing consumptions cannot be a successful policy. But reducing the use of antibiotics and corticosteroids can be a more effective policy to reduce the use of injection medicines.
不恰当的注射药物处方会降低医疗质量、影响患者安全并导致资源浪费。发展中国家缺乏足够证据来说服政策制定者推动合理用药处方。本研究的目的是评估影响伊朗注射药物处方的一些因素。
在这项描述性分析研究中，2011年伊朗卫生和医学教育部（MOHME）收集了全国91994667份选定处方笺的数据，并通过对数回归模型进行分析。
研究结果表明，包含注射项目的处方笺比例从27%（在亚兹德）到57%（在伊拉姆）不等。价格对注射药物处方的影响不显著（P=0.55）。但抗生素和皮质类固醇的处方对注射的影响显著（P>0.05），分别为0.44和0.65。
提高注射药物价格作为减少消费的政策不会成功。但减少抗生素和皮质类固醇的使用可能是减少注射药物使用的更有效政策。
