Journal of Patient Safety & Quality Improvement

Journal of Patient Safety & Quality Improvement

A study on the pattern of drug prescription in the family physician centers of Mashhad University of Medical Sciences in 2017

Document Type : History and Perspective

Authors
Reza Eftekhari Gol 1
Hamid Reza Bahrami 2
Mohammad Hasan Derakhshan Dooghaee 3
Ehsan Mosa Farkhany 4
Najmeh Mohajeri 3
1 PhD in Pharmacy, Health Assistance, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Department of Complementary and Chinese Medicine, Faculty of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Health Assistance, Mashhad University of Medical Sciences, Mashhad, Iran
4 Department of Epidemiology, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/psj.2019.39937.1227
Abstract
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.
 
Keywords
Drug prescription, Family Physician
Iran, Rational Use of Medicine, Prescription
Subjects
  1. Mark R, William C, Rich M. The Reform of Health Care: A Guide for justice and efficiency. Translation: A. Ahmadvand and etal. Ibn Sina Institute of Scientific and Cultural great. 2007:271-97.
  2. Fatahzadeh A. Reform health, Second edition, Tehran institute of Ibne sina great. 2007.
  3. Babalola C, Awoleye S, Akinyemi J, Kotila O. bEvaluation of prescription pattern in Osun state (Southwest) Nigeria. J Public Health Epidemiol 2011;3(3):8-94.
  4. Davati A, Jafari F, Samadpour M, Tabar K. Assessment of drug usage in Tehran elderly population. J Med Council IRI 2008;25(4):6-450.
  5. Saghir HG. How to stop taking too much medicine? 2000:8-27.
  6. Ataei M, Rahimi W, Rezaei M, Koohboomi J, Zobeiri M. The effect of antibiotics rational use workshop on prescription pattern of general physicians in Kermanshah. J Kermanshah Univ Med Sci. 2010;14(1):1-9.
  7. Hinduie N, Kargar M, Mirzabeigi P. Effective factors on non-rational prescribing and using antibiotics and its strategies. Proceeding of the international congress rational administration of antibiotics. Surrey.2012:28-30.
  8. Dinarvand R, Nikzard A. Status of prescription and drug usage in Tehran in 1998. Hakim Res J 2000:30-223.
  9. Gholamreza S, Meimandi M. The quality of prescribing in general practice in Kerman, Iran. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(4-5):60-353.
  10. Sadeghi M, Rasti A, Bajestani S, Naseri K, Kiani Z. Drug prescription patterns of physicians in South Khorasan Province in 2014. Journal of Birjand University of Medical Sciences. 2018; 25(1): 72-80.
  11. Moghadamnia A, Mirbolooki M, MBMS MA. General practitioner prescribing patterns in Babol city, Islamic Republic of Iran. East Mediterr Health J. 2002;8(4):550-5.
  12. Costa A, Bhartiya S, Eltayb A, Nandeswar S, VKA ND. Patterns of drug use in the public sector primary health centers of Bhopal district. Pharm World Sci. 2008;30(5):9-584.
  13. Hamadeh G, Dickerson L, Saab B, Major S. Common prescriptions in ambulatory care in Lebanon. Ann Pharmacother.2001;35(5):636-40.
  14. Davey S. World Health Organization report on infectious diseases. Removing obstacles to healthy development. Geneva: World Health Organization. 1999.
  15. Simpson G, Das G. Indian hospital drug use study shows need to improve prescribing. Essential Drugs Monitor. 2003:323-32.
  16. Gahart B, Nazareno A. Intravenous Medications: A Handbook for Nurses and Health Professionals. Elsevier Health Sciences. 2015.
  17. Ala SH, Hadian R. The usage pattern of Anti-inflammatory drugs-steroidal  and non-steroidal- in patients referred to  13 Aban pharmacy in Sari. J Mazand Univ Med Sci 2009; 19(72): 82-84 (Persian).
  18. Sepehri GH, Akbari N, Mousavi A. Evaluation of general practitioners' indexes in Kerman province in 2003. Journal of Babol University of Medical Sciences. 2005; 82: 4-76
  19. Zareshahi R, Haghdoost AA, Asadipour A, Sadeghirad B. Rational Usage of Drug Indices in the Prescriptions of Kerman Medical Practitioners in 2008. Prescriptions of Kerman Medical Practitioners in 2008. J Rafsanjan Univ Med Scie 2012; 11(6): 523-36. [Persian]
  20. Holloway K, VanDijk L. The world medicines situation 2011-Rational use of medicines. Geneva: WHO. 2011.
  21. Avery A. Appropriate prescribing in general practice: development of the indicators. Qual Health Care. 1998;7(3):123.

 

 

 

 

 

 

 

 

 

 


 


 

 

 

Journal of Patient Safety & Quality Improvement
Volume 7, Issue 3
Summer 2019
Pages 111-117