Mbabazize Gerald Manzi, Kagisha Vedaste, Njunwa Kato J, Oloro Joseph
College of Medicines and Health Sciences, Regional Center of Excellence for Vaccines, University of Rwanda, Kigali, Rwanda.
Department of Pharmacy, Mbarara Regional Referral Hospital, Mbarara, Uganda.
J Pharm Policy Pract. 2024 Feb 20;17(1):2306852. doi: 10.1080/20523211.2024.2306852. eCollection 2024.
Poor drug prescription patterns (PP) result in irrational medicine use, avoidable stock outs and drug expiries.
This study primarily assessed the effects of PP on the performance of the pharmacy department (PD) of Mbarara Regional Referral Hospital (MRRH) Uganda.
This was a mixed method cross-sectional study conducted in the outpatient department (OPD) of MRRH, questionnaires were administered to 86 prescribers and 300 patient prescriptions were reviewed. Ethical clearance was granted and informed consent of patients. Data were analysed, presented in the form of graphs, tables.
The overall prescription fill rate was 60.5%, being higher among dental officers and lower among those who did not adhere to generic prescribing and EML. Medical officers made most prescriptions at 69.3%. Prescriptions with four (47.1%) and six (17.5%) medicines respectively were made by clinical officers. Of the 300 prescriptions, 76% adhered to the Essential Medicines List (EML), 62% used generic name including 87.3% from dental officers and 52.9% by clinical officersThe overall prescription fill rate was 60.5%, being higher among dental officers and lower among those who did not adhere to generic prescribing and EML. Medical officers made most prescriptions at 69.3%. Prescriptions with four (47.1%) and six (17.5%) medicines respectively were made by clinical officers. Of the 300 prescriptions, 76% adhered to the Essential Medicines List (EML), 62% used generic name including 87.3% from dental officers and 52.9% by clinical officers.
Prescription pattern affected the performance of the PD of MRRH, calling for its continued monitoring to ensure that guidelines are upheld, EML and UCG are availed and utilized.
不良的药物处方模式会导致不合理用药、可避免的药品缺货和过期。
本研究主要评估乌干达姆巴拉拉地区转诊医院（MRRH）药房部门（PD）的处方模式对其绩效的影响。
这是一项在MRRH门诊部（OPD）进行的混合方法横断面研究，对86名开处方者进行了问卷调查，并审查了300份患者处方。获得了伦理批准并取得了患者的知情同意。对数据进行分析，并以图表形式呈现。
总体处方配药率为60.5%，牙科医生的配药率较高，而那些不遵守通用名处方和基本药物清单（EML）的医生配药率较低。医务人员开出的处方最多，占69.3%。临床医生分别开出了含四种（47.1%）和六种（17.5%）药物的处方。在300份处方中，76%符合基本药物清单（EML），62%使用通用名，其中牙科医生的比例为87.3%，临床医生为52.9%。总体处方配药率为60.5%，牙科医生的配药率较高，而那些不遵守通用名处方和基本药物清单（EML）的医生配药率较低。医务人员开出的处方最多，占69.3%。临床医生分别开出了含四种（47.1%）和六种（17.5%）药物的处方。在300份处方中，76%符合基本药物清单（EML），62%使用通用名，其中牙科医生的比例为87.3%，临床医生为52.9%。
处方模式影响了MRRH药房部门的绩效，需要持续监测以确保坚持相关指南，提供并使用基本药物清单和通用名药物目录。
