An audit of prescribing practices in health care facilities of the Wassa West district of Ghana.
West Afr J Med
; 19(4): 298-303, 2000.
Article
em En
| MEDLINE
| ID: mdl-11391845
ABSTRACT
While many health districts recognise that irrational prescribing leads to wastage of drugs, few monitor prescribing practices. We investigated drug use in government health facilities in the Wassa West district of Ghana. Retrospective prescribing data were obtained from 700 outpatients' clinical record cards in 7 government health facilities in the district. Prescribing patterns were significantly worse in the health centres than in the district hospital in terms of polypharmacy, use of injectable drugs and antibiotics. Overall, 4.8 drugs were prescribed per patient, 97% of drugs were on the national essential drugs list and 65% of drugs were prescribed by their generic names. Antibiotics and injectable drugs were prescribed for 60% and 80% patients respectively. The observed patterns were related to the cadre of prescribers, availability of diagnostic facilities, participation in recent refresher training and patient demand. Measures to improve prescribing practices are discussed.
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Temas:
ECOS
/
Estado_mercado_regulacao
Bases de dados:
MEDLINE
Assunto principal:
Prescrições de Medicamentos
/
Padrões de Prática Médica
/
Revisão de Uso de Medicamentos
/
Centros Comunitários de Saúde
/
Assistência Ambulatorial
/
Hospitais de Distrito
/
Auditoria Médica
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
West Afr J Med
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Gana