Prescribing practices of rural primary health care physicians in Uzbekistan

Prescribing practices of rural primary health care physicians in Uzbekistan
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DOI:
10.1046/j.1365-3156.2003.00992.x
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发表时间:
2003-02-01
影响因子:
3.3
通讯作者:
Laing, R
Laing, R
中科院分区:
医学4区
文献类型:
--
作者:
Pavin, M;Nurgozhin, T;Laing, R

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医生为治疗适应症开出药物,以满足患者的期望。了解处方模式是任何干预和改进处方实践的必要先导。采用世界卫生组织的标准方法,调查了乌兹别克斯坦费尔干纳地区农村初级卫生保健(PHC)诊所医生的处方做法。这些诊所的医生可能开得过多了,每次就诊给每个病人开2.9种药。其中57%用于注射药物,57%用于抗生素。大多数处方是名牌(62%),而不是仿制药。
Doctors prescribe medications for therapeutic indications and to meet patient expectations. Understanding the pattern of prescribing is a necessary precursor for any intervention and for improving prescribing practices. Using the WHO standard methodology, we investigated the prescribing practices of doctors in rural primary health care (PHC) clinics in the Ferghana region of Uzbekistan. Doctors in these clinics may have over-prescribed, prescribing 2.9 drugs per patient per encounter. Fifty-seven per cent of these were for injectable drugs, and 57% for antibiotics. Most prescriptions were for name brand (62%) rather than generic drugs.