Document Type: History and Perspective
Health Assistance, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Complementary and Chinese Medicine, Faculty of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Epidemiology, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran
Introduction: The issue of managing and controlling pharmaceutical affairs is one of the most important affairs of the Ministry of Health and Medical Education. The aim of this study was to Survey the indexes of Principles of prescribing in Mashhad Medical Sciences Medical Centers and compare them with national indicators. It is hoped that by promoting the rational use of medicine, we will take a step towards a healthier and safe society.
Materials and methods: The present study is a Sectional. 77,964 prescriptions were reviewed of People referring to the centers covered by the Rural Family Physician Program in 2017. Data were analyzed by SPSS software version 21 and analyzed by T-test, one-way ANOVA and Chi-square. The level of significance was considered to be less than 5%.
Results: The average of Medicines Per Prescription Was 2.51 ± 1.11. Antibiotics are among the most frequently prescribed medications by 44.9%, followed by NSAIDs with 20.77%. According to the results, 3.8% of prescriptions contained more than 4 drugs. The number of prescribed prescription drugs is higher for doctors with a higher employment status (P<0.01). Also, the number of drug items for older people is higher than for other age groups (P<0.01). The age of the patients is effective in the administration of antibiotics, in this study 69% of the children and adolescents who have received antibiotics are prescribed (P<0.01).
Conclusion: Precise policies on the rational use of drugs are essential to facilitate the use of electronic health records and the launch of electronic prescriptions. Based on the results, there are scientific and educational interventions to promote the principles of rational drug administration.