Rastogi Sanjeev
State Ayurvedic College and Hospital, Lucknow 226003, India.
J Ayurveda Integr Med. 2019 Oct-Dec;10(4):277-283. doi: 10.1016/j.jaim.2017.02.008. Epub 2017 Nov 7.
Prescription quality can be a direct predictor of the net outcome of a health care delivery effort. Quality of prescription may be considered as a cumulative matrix of multiple components of a prescription on the basis of their relative importance. Prescription quality index is a recognized tool in clinical medicine for multiple purposes including the prediction of health care intervention outcome.
Considering the importance of prescription quality among every system of medicine, an attempt was made to design a prescription quality index for Ayurveda.
The Prescription Quality Index for Ayurveda was designed through item selection following a thorough literature search and was validated through multiple peer group discussions. Final draft of index containing 38 individual items carrying different scores as per their importance in the prescription was subjected to a pilot test upon 1576 indoor prescriptions generated in 2015 at State Ayurvedic College Hospital, Lucknow.
The study revealed large information gaps in the components of the prescription where it was supposed to be noted by the prescribers. These gaps in the Ayurvedic prescriptions were most significant in the areas pertaining to Ayurvedic fundamentals of clinical examination, disease diagnosis and Ayurvedic drug intake methods.
Prescription Quality Index for Ayurveda was found useful in underlining the gaps between the ideal and generated prescriptions. This can be utilized as a useful tool to evaluate the quality of Ayurvedic prescriptions by seeing their adherence to the standard prescription template.
处方质量可以直接预测医疗服务努力的最终结果。基于处方各组成部分的相对重要性，处方质量可被视为一个多成分的累积矩阵。处方质量指数是临床医学中一种公认的工具，可用于多种目的，包括预测医疗干预结果。
鉴于处方质量在各医学体系中的重要性，尝试为阿育吠陀医学设计一种处方质量指数。
通过全面的文献检索进行项目选择，设计出阿育吠陀医学的处方质量指数，并通过多个同行小组讨论进行验证。最终的指数草案包含38个单项，根据它们在处方中的重要性赋予不同分数，并在勒克瑙邦阿育吠陀医学院医院2015年产生的1576份住院处方上进行了预试验。
研究揭示了处方组成部分中存在较大的信息空白，而这些本应由开处方者记录。阿育吠陀处方中的这些空白在与临床检查的阿育吠陀基本原理、疾病诊断和阿育吠陀药物服用方法相关的领域最为显著。
发现阿育吠陀医学的处方质量指数有助于凸显理想处方与实际生成处方之间的差距。通过查看其对标准处方模板的遵循情况，该指数可作为评估阿育吠陀处方质量的有用工具。
