Contribution to study on selecting a drug list and estimating drug demand in Khanh Hoa Rehabilitation Nursing Hospital

ABSTRACT

To establish an appropriate hospital drug list, the local disease prevalence and the revision of drug treatment in Khanh Hoa Rehabilitation Nursing Hospital, a survey and statistics were taken in 9 years (1995-2003). The disease categories observed in the hospital were contained in 19 chapters of The International Classification of Diseases and Related Health Problems - 10th revision (ICD10). Three chapters associated with high prevalence are chapter VI (Diseases of the nervous system), chapter IX (Diseases of the circulation system), and chapter XIII (Diseases of the musculoskeletal system and connective tissue). Based on the local disease prevalence observed in the hospital, treatment guidelines, management capability and payment ability of patients, the Multi-Attribute Decision Analysis Method (MADAM) was applied to list available drugs used in Khanh Hoa Rehabilitation Nursing Hospital. Five decision evaluation criteria including efficacy, safety, ease of use, cost of drug and origin of drug were weighted and scored for the choice of drugs. The obtained result was a drug list which almost uses and promotes the 4th Essential Drug Concept