Current scenario of attitude and knowledge of physicians about rational prescription: A novel cross-sectional study.
Current scenario of attitude and knowledge of physicians about rational prescription: A novel cross-sectional study.
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DOI：
10.4103/0975-7406.67008
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发表时间：
2010-04
影响因子：
0.8
通讯作者：
Gupta A
中科院分区：
文献类型：
--
作者：
Mahajan R;Singh NR;Singh J;Dixit A;Jain A;Gupta A
在过去的30年里，药理学的概念已经从基本药物（EM）通过合理用药（RUM）转移到P-药物，但没有结构化的研究评估了临床医生对这些概念的理解水平。本研究的目的是评估的态度和知识的临床从业人员的概念，RUM，EM，P-药物，药物信息的来源，整个印度北部。在附属于医学院的教学医院及其周围进行了一项横断面研究，招募了来自印度北部六个中心的504名临床医生，填写了一份包含25个问题的问卷。结果是用百分比和平均数汇编的。使用Fisher精确检验进行单变量分析，即分别探索数据集中的每个变量。只有四分之一的参与者声称他们总是开基本药物;没有人能正确计算印度基本药物清单中的药物/药物组合的数量;只有15.1%的临床医生在处方单上写下药物的通用名称;大约三分之一的临床医生不完全了解他们开的药物的不良反应，药物相互作用和禁忌症。约83%的医生承认依赖于医疗代表的信息，似乎失去了对研究活动的兴趣。结果显示，临床医生之间的一个遗憾的状态，至于对EM，P-药物，和RUM的理解水平而言，它指向安排更多的继续医学教育（CME）的临床医生就这些概念。
In the last 30 years concepts in pharmacology have moved from Essential Medicines (EM) to P-drugs via the Rational Use of Medicines (RUM), but no structured study has evaluated the level of understanding among the working clinicians about these concepts. The present study was designed to assess the attitude and knowledge of clinical practitioners about the concepts of RUM, EM, P-drugs, and sources of drug-information, across North India. A cross-sectional study was carried out in and around the teaching hospitals attached to Medical Colleges, enrolling 504 clinicians from six centers across North India to fill-up a questionnaire containing 25 questions. The results were compiled using percentages and averages. Univariate analysis, which explores each variable in a data set separately, was carried out by using the Fisher's exact test. Only one-fourth of the participants claimed that they always prescribed Essential Medicine; no one could correctly count the number of drugs / drug combinations in the Indian Essential Drug list; only 15.1% of the clinicians wrote the generic names of drugs on the prescription slip; about one-third of clinicians were not fully aware about the adverse effects, drug interactions, and contraindications of the drugs they prescribed; about 83% of physicians admitted to relying on information from Medical Representatives and an interest in research activities seemed to be lost. Results show a sorry state of affairs among clinicians, as far as the level of understanding about EM, P-drugs, and RUM is concerned, and it points toward arranging more continuing medical education (CME) for clinicians with regard to these concepts.