Comparative study of prescribing behaviors of government doctors of teaching hospital and private practitioners in Jhalawar City (Rajasthan)
Journal Title: Journal of Pharmaceutical Sciences and Research - Year 2010, Vol 2, Issue 4
Abstract
To compare various aspects of prescribing behaviors of government doctors of teaching hospital and private practitioners. Prescription audit was conducted for a period of 2 months for out patient departments (OPDs) in tertiary hospital and retail medical shops in Jhalawar district. Patients consent was taken and their respective prescriptions were copied, the data was collected on random basis and comparisons were done under following basis: (a) whether the prescriptions were legible. and the format of prescriptions were well defined. (b) Whether rational drugs were prescribed (c) Whether they were prescribing drugs by generic name from essential medicines list (d`) Different categories of drugs were used in prescriptions. The adherence to the typical format of prescription was more common with the prescriptions of PPs than GDs but deficiencies were observed in both prescriptions. Private practitioners were writing slightly more illegible prescriptions than Government doctors i.e.24 %vs22%.All prescriptions of PPs were followed polypharmacy whereas 87.13% of GDs prescriptions. Among the total drugs prescribed in different categories by GDs, more than 45% (1003 out of 2217) were prescribed from two major groups (Antimicrobials 25.44%, NSAIDs 19.08 %,) followed by CVS drugs/antihypertensive 225 (10.14) Antihistaminic/and for cough preparations 208 (9.38), Antipsychotic/drugs for CNS disorder 149 (6.72) Vitamins/minerals 143 (6.45).There were certain variation except first two groups, different categories of drugs prescribed by PPs were Antimicrobials (25.96%), NSAIDs(21.66%) Vitamins/minerals16.22%, Antihistaminic/and for cough preparation 10.03%. Average no of drugs prescribe per prescription were more by PPs than GDs (3.12 vs 2.79).GDs were prescribing much more generic drugs ( 67.25%) essential medicines(68.76%) in comparison to PPs The prescriptions of GDs were more rational and cost effective than PPs. The scopes of improvement of prescribing behaviors widely exist for not only to private practioners but also to government doctors. An urgent intervention is needed to ensure that patients are able to get rational and cost effective therapy.
Authors and Affiliations
Manoj kumar saurabh , Ashish kumar yadav , Pankaj Gupta , Ashish Singhai , Avinash Saurabh
Keywords
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