Meenakshi R, Selvaraj Nitya, Anandabaskar Nishanthi, Dhamodharan Anuranjani, Badrinath A K, Rajamohammad Meher Ali
Department of Pharmacology, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Perspect Clin Res. 2022 Jul-Sep;13(3):132-136. doi: 10.4103/picr.PICR_172_20. Epub 2021 Jan 8.
World Health Organization (WHO) core prescribing indicators are highly standardized tools in reliably assessing the essential aspects of drug utilization pattern. It is critical that the rational use of drug prescribing is scrutinized for the utmost benefit of patient welfare. In this study, we aim to assess the prescription pattern and prescribing behavior of physicians using the WHO-recommended core prescribing indicators at a teaching hospital in South India.
A prospective, descriptive cross-sectional study was conducted in the general medicine outpatient department of a tertiary care hospital for a period of 1 month in June 2019. A total of 600 prescriptions were sampled based on the WHO "How to investigate drug use in health facilities" document recommendation. The WHO guidelines and methods were observed to ensure data reliability. Descriptive statistical analyses such as frequencies, percentages, mean, and standard deviation were used to present the data.
The WHO core prescribing indicators analysis revealed that the average number of drugs per encounter was 2.38 ± 1.1 and only 796 (55.4%) of the drugs were prescribed by generic name. Whereas, the percentage of encounters prescribed with an antibiotic 44 (7.3%) and an injection 63 (10.5%) was less than the ideal recommendations as per WHO and 1265 (88%) of the drugs were prescribed from the National List of Essential Medicines.
This study on prescription pattern audit done using the WHO core prescribing indicators highlights that prescriptions encountered with antibiotic and injection use were in accordance with the WHO recommendations.
世界卫生组织（WHO）核心处方指标是可靠评估药物使用模式基本方面的高度标准化工具。为了患者福利的最大利益，仔细审查药物处方的合理使用至关重要。在本研究中，我们旨在使用WHO推荐的核心处方指标评估印度南部一家教学医院医生的处方模式和处方行为。
2019年6月，在一家三级护理医院的普通内科门诊进行了一项前瞻性描述性横断面研究，为期1个月。根据WHO《如何在医疗机构调查药物使用》文件建议，共抽取600份处方。遵循WHO指南和方法以确保数据可靠性。使用频率、百分比、均值和标准差等描述性统计分析来呈现数据。
WHO核心处方指标分析显示，每次就诊的平均用药数量为2.38±1.1，仅796种（55.4%）药物使用通用名开具。然而，开具抗生素处方的就诊比例为44例（7.3%），开具注射剂处方的就诊比例为63例（10.5%），低于WHO的理想建议，并且1265种（88%）药物是从国家基本药物目录中开具的。
这项使用WHO核心处方指标进行的处方模式审计研究强调，抗生素和注射剂使用的处方符合WHO建议。
