DRUG PRESCRIPTION AND SELF-MEDICATION IN INDIA - AN EXPLORATORY SURVEY
DRUG PRESCRIPTION AND SELF-MEDICATION IN INDIA - AN EXPLORATORY SURVEY
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DOI：
10.1016/0277-9536(87)90233-4
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发表时间：
1987-01-01
影响因子：
5.4
通讯作者：
GREENHALGH, T
中科院分区：
文献类型：
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作者：
GREENHALGH, T
本文报道了一项研究处方和配药的药物在印度。记录了由公共和私营医疗部门以及私营药房（柜台配药）提供给2400名患者的药物，并就患者的投诉和诊断进行了分析。本文的主要研究结果如下：1.大量药物是由私营部门的医生开的。含有“隐藏”类药物的复方制剂经常被使用。抗感染药物被广泛使用，但往往使用不当。2.有潜在危险的药物在柜台上出售，并为琐碎或奇怪的适应症开处方。在西方被视为危险药物而被撤回的药物在印度仍然是受欢迎的一线药物。3.营养和药理价值可疑的食品补充剂和滋补品在药品账单总额中占很大比例。它的结论是，一个合理的药物政策和/或基本药物清单将是无用的，伴随着密集的努力，以提高教育和更新的医生和药剂师，并减少商业压力，医生开不必要的药物。
This paper reports a study of the prescribing and dispensing of drugs in India. The drugs supplied to 2400 patients by the public and private medical sectors and by private pharmacies (over the counter dispensing) were recorded, and were analysed with respect to the patient''s presenting complaint and diagnosis. The main findings discussed in this paper are: 1. Large numbers of drugs are prescribed by doctors in the private sector. Combination preparations containing ''hidden'' classes of drug are often given. Anti-infectives are widely and often inappropriately used. 2. Potentially dangerous drugs are sold over the counter and prescribed for trivial or bizzare indications. Drugs which have been withdrawn as dangerous in the West remain popular first line drugs in India. 3. Food supplements and tonics of dubious nutritional and pharmacological value make up a high proportion of the total drugs bill. It is concluded that a rational drugs policy and/or an essential drugs list will be useless accompanied by intensive efforts to improve the education and updating of doctors and pharmacists and to reduce the commercial pressures on doctors to prescribe unnecessary drugs.