Department of Pharmacology, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India.
Department of Preventive & Social Medicine, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India.
Br J Clin Pharmacol. 2022 May;88(5):2315-2326. doi: 10.1111/bcp.15165. Epub 2021 Dec 22.
To assess medicine use based on World Health Organization (WHO) core drug-use indicators in selected public health facilities of the South Indian Union Territory.
A prospective cross-sectional study was conducted for period of one year (from March 2019 to February 2020) in 10 selected public health facilities based on the WHO document How to investigate drug use in health facilities. Total 900 prescriptions were analysed to study prescribing, patient care and health facility indicators. The results were compared with the WHO standard measures.
The overall average number of drugs per prescription was 3.2. Percentage of prescriptions with antibiotics and injections were found to be 36.6 and 11.4%, respectively. Percentage of drugs prescribed by generic name was 74.6%. Percentage of drugs prescribed from the National List of Essential Medicine was 93.3%. Average consultation and dispensing time were found to be 3.9 minutes and 49.3 seconds, respectively. The percentage of drugs dispensed in this study was 98.5 and 61.6% of medicines were properly labelled; 76.7% of patients had correct knowledge of each medicine dispensed to them. Mean availability of key essential medicine was 73.4%.
Indicators such as percentage of drugs prescribed from the National List of Essential Medicine, availability of copy of essential medicine list and percentage of drugs dispensed were found to be as per WHO optimal value. Indicators such as average number of drugs per prescription, average consultation and dispensing time and percentage of medicines labelled were found below optimal value and need to be improved.
根据世界卫生组织（WHO）核心药物使用指标，评估南印度联邦属地选定公共卫生机构的药物使用情况。
本研究为前瞻性横断面研究，于 2019 年 3 月至 2020 年 2 月期间在 10 家选定的公共卫生机构进行，研究方法基于 WHO 文件《如何调查卫生机构中的药物使用情况》。共分析了 900 张处方，以研究处方、患者护理和卫生机构指标。结果与 WHO 标准措施进行了比较。
每张处方的平均药物数量为 3.2 种。抗生素和注射剂处方的比例分别为 36.6%和 11.4%。以通用名开处方的比例为 74.6%。国家基本药物目录中开处方的比例为 93.3%。平均就诊和发药时间分别为 3.9 分钟和 49.3 秒。本研究中配药的比例为 98.5%，61.6%的药品标签正确；76.7%的患者对配发的每种药品都有正确的认识。关键基本药物的平均可得率为 73.4%。
国家基本药物目录中开处方的比例、基本药物清单副本的可及性以及配发药物的比例等指标符合 WHO 的最佳值。每张处方的平均药物数量、平均就诊和发药时间以及药品标签的比例等指标低于最佳值，需要改进。
