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Drug prescribing indicators in village health clinics across 10 provinces of Western China
Abstract
BACKGROUND: The irrational use of drugs was a global problem, especially in developing countries. However, there are no studies available on irrational use of drugs in rural Western China. OBJECTIVE: To assess the drug prescribing patterns using World Health Organization Drug Use Indicators at village health clinics in rural areas of Western China. METHODS: A total of 20 125 prescriptions were collected from 680 primary health clinics in villages from 40 counties in 10 provinces of Western China. Five measurements were used to assess the irrational drug use: percentage of encounters with an antibiotic prescribed, average number of drugs per encounter, percentage of encounters with an injection prescribed, percentage of drugs prescribed by generic name and percentage of drugs prescribed from National Essential Medicines List or Formulary. Index of Rational Drug Prescribing (IRDP) was used as an indicator of rational drug use. RESULTS: The percentage of prescriptions containing antibiotics was 48.43%, while the average number of drugs per prescription was 2.36, and the percentage of injection prescriptions was 22.93%. The percentage of drugs prescribed by generic name was 64.12%, and the percentage of drugs prescribed from the National Essential Drug List was 67.70%. The IRDP of the present study was 3.32 with the optimal level of 5. There are also some regional variations in these measurements. CONCLUSIONS: The study provides some evidence of irrational use of drugs to a great extent in rural areas of Western China. Overuse of injection and overuse of antibiotics were the most prominent manifestations of such irrational drug prescribing.
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The IRDP of these government hospitals in Freetown was lower than that obtained from some other studies (e.g., Tanzania 3.8/3.42, Western China 3.32, Saudi Arabia 3.77-5).
“The IRDP of these government hospitals in Freetown was lower than that obtained from some other studies.”
From An evaluation of rational prescribing in hospital outpatient practice in Sierra Leone and assessment of affordability of a prescription as an outcome (2018) · cites this paper as [16]
The Index of Rational Drug Prescribing (IRDP) provides a comparative standard to assess rational prescribing performance.
“Based on these indicators, the Index of Rational Drug Prescribing (IRDP) provides a comparative standard to as-sess rational prescribing performance [16].”
From An evaluation of rational prescribing in hospital outpatient practice in Sierra Leone and assessment of affordability of a prescription as an outcome (2018) · cites this paper as [16]
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Research works printed but not linked: 14
- Edwards, 2000, Lancet, 356, 1255, 10.1016/S0140-6736(00)02799-9 · DOI
- 2003, 21, 89, 10.2165/00019053-200321020-00002 · DOI
- Hu, 2001, Health Policy and Planning, 16, 4, 10.1093/heapol/16.suppl_2.4 · DOI
- 2007, CHINA FOOD DRUG ADMIN, 2, 53
- 2008, Journal of Antimicrobial Chemotherapy, 62, 410, 10.1093/jac/dkn153 · DOI
- Batty, 2003, Age and Ageing, 32, 292, 10.1093/ageing/32.3.292 · DOI
- 1995, J NORTH JIAOTONG UNIV, 19, 393
- Eggleston, 2008, Health economics, 17, 149, 10.1002/hec.1306 · DOI
- Santos, 2004, Revista de sa de p blica, 38, 819, 10.1590/S0034-89102004000600010 · DOI
- Vos, 1998, Tropical medicine & international health : TM & IH, 3, 291, 10.1046/j.1365-3156.1998.00218.x · DOI
- Ernest, 2002, West African journal of medicine, 21, 70
- Magee, 1999, BMJ, 319, 1239, 10.1136/bmj.319.7219.1239 · DOI
- Bjerrum, 2006, European journal of clinical pharmacology, 62, 913, 10.1007/s00228-006-0187-y · DOI
- Le Grand, 1999, Health Policy and Planning, 14, 89, 10.1093/heapol/14.2.89 · DOI
Cited by
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Essential medicines for universal health coverage
Wirtz, V. J., Hogerzeil, H. V., Gray, A. L., Bigdeli, M., de Joncheere, C. P., Ewen, M. A., Gyansa-Lutterodt, M., Jing, S., Luiza, V. L., Mbindyo, R. M., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(16)31599-9 · Cited by 661
Cole, C. P., & Routledge, P. (2018) · Pan African Medical Journal · doi:10.11604/pamj.2018.31.174.16729 · Cited by 16
Metadata
- Authors
- Dong, L., Yan, H., & Wang, D.
- Affiliations
- Xian Center for Disease Control and Prevention (CN)
- Xi'an Jiaotong University (CN)
- London School of Hygiene & Tropical Medicine (GB)
- Corresponding author
- Yan, H.
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-09-27
- Volume
- 28
- Issue
- 1
- Pages
- 63-67
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2106680320
- Cited by
- 113
- References
- 0
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 6 · 2022: 6 · 2021: 9 · 2020: 4 · 2019: 11 · 2018: 9 · 2017: 14 · 2016: 12 · 2015: 15 · 2014: 7 · 2013: 10 · 2012: 2
- FWCI
- 6.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Pharmaceutical Economics and Policy
- Keywords
- irrational drug use, prescribing patterns, rural primary care, antibiotic overuse, polypharmacy, generic drug names, National List of Essential Medicines, western China
- MeSH terms
- China, Drug Utilization, Humans, Practice Patterns, Physicians', Primary Health Care, Rural Health, Prescription Drugs
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