DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20191607

Assessment on awareness of rational prescribing practices among medical interns in a tertiary care hospital: a questionnaire based study

Manasa C. R., Kalpana L., Veena R. M., Lavanya S. H., Bharath Kumar V. D.

Abstract


Background: Awareness about rational use of Medicines is required to improve the quality of health care system. Attitude towards rational drug use is also an utmost importance as they constitute the future generation doctors.

Methods: A set of 13 questionnaire is given to the interns through an online link to their e-mail which contains informed consent and questionnaires. Respondents has to select the best suitable option and after which the data will be compiled and statistically analyzed.

Results: Age of the study participants range from 22-26yrs. Half of them have finished major postings. Almost 96.1 % of them were aware of the term essential drugs. Only 25% of them said that they have NLEMI at work place, 75% of them were aware of the term Rational use of Medicines. Only 32% of them were aware of the term P drugs. 44% of them were aware of STEP criteria for selection of drug and 47% of them were aware of the updated prescribing format. 8% knew the difference between old and new prescription format, 25% of them always prescribe. Almost 82% of them narrate regarding the disease and drug therapy, 31% of them prescribe only generic name.

Conclusions: Educational intervention like CME and practical hands on training in Rational use of Medicines would help them in better understanding of the subject and its clinical implications thereby decreasing the prescribing errors.


Keywords


Internship, National list of essential medicines, Prescribing practices, Rational use of medicines

Full Text:

PDF

References


Medical Council of India. Salient features of regulations on graduate medical education. New Delhi: MCI; 1997. Available at: www.mciindia.org/know/rules_mbbs.htm. Accessed on 9th November 2018.

Akram A, Mohamad N, Meerah TS, ZamZam R, Abdullah D. A pilot study-an action research to acquire clinical skill. Procedia-Social and Behavioral Sciences. 2012 Oct 17;60:236-40.

World Health Organization. The Pursuit of Responsible Use of medicines: Sharing and Learning from Country Experiences. Available at: http://aps.who.int/iris/bitstream/10665/75828/1/who_emp_2012.3_eng.pdf. (Accessed on 18th November 2018).

The Selection of Essential Medicines - WHO Policy Perspectives on Medicines, No. 004, June 2002. Available at: http://apps.who.int/medicinedocs/pdf/s2296e/s2296e.pdf

National essential list of Medicines. Sophie pilan, F Baud, M. C Bottineau et al; Published by Medicines’ sans Frontiers; 2017.

Manikandan S, Gitanjali B. National list of essential medicines of India: The way forward. J Postgr Med. 2012;58(1):68-72.

Parmar DM, Jadhav S. The concept of personal drugs in the undergraduate pharmacology practical curriculum. Indian J Pharmacol. 2007;39(3):165-7.

De Vries TPGM, Henning RH, Hogerzeil HV, Fresle DA. WHO Action Programme on Essential Drugs‎. Guide to good prescribing: a practical manual. World Health Organization. Available at: http://www.who.int/iris/handle/10665/59001. Accessed 7 February 2019.

Naik M, Nerurkar R, Phatak A, Panchal S, Paunikar A. A questionnaire-based study to assess rational prescribing practice among interns. Nati J Physiol Pharm Pharmacol. 2015;5(4):323.

Gupta R, Malhotra A, Malhotra P. Assessment of rational prescribing practice among interns: a questionnaire based observational study. International J Rese Med Scien. 2018 Aug;6(8):2808-12.

Shivaraju TP, Savkar MK. Awareness of rational use of medicines among interns at rural teaching hospital. Int J Basic Clin Pharmacol. November 2018;7(11):2184-8.

Annex 1, 19th WHO Model List of Essential Medicines April 2015. Available at: https://www.who.int/medicines/publications/essentialmedicines/EML2015_8-May-15.pdf, Accessed on 28th Dec 2018.

Saravanan R, Sakthibalan M, Meher BR. Effect of educational intervention on the knowledge and attitude on prescribing amongst interns of a tertiary care hospital: A questionnaire based study. Int J Basic Clin Pharmacol. March-April 2016;5(2):366-73.

Dakhale G, Pimpalkhute S, Bajait C. Evaluation of Knowledge, Attitude and Practice of Rational use of Medicine Among Interns and Resident Doctors in a Tertiary Care Teaching Hospital. J Young Pharmaci. 2016;8(2):114-7.

Srinivasan S. A network for the rational and ethical use of drugs. Indian J Med Ethics. 2004;1(1).

Medical Council of India. Model prescription format for the purpose of making prescription by the registered medical practioners. Available at: http://www.delhimedicalcouncil.org/pdf/modalprescription.pdf. Accessed on 4th Jan 2019

Sultana F, Rahman A, Paul TR, Sarwar MS, Islam MA, Rashid M. Prescribing patterns and prescription errors: a study at a tertiary care hospital of Bangladesh. Bangladesh Pharm J. 2015;18(1):20-4.

Norris P, Herxheimer A, Lexchin J, Mansfield P, World Health Organization. Drug promotion: what we know, what we have yet to learn: reviews of materials in the WHO/HAI database on drug promotion. Geneva: World Health Organization; 2005.

Ray K. Prescription can have brand name of drugs. Deccan Herald. 2017;70(132):12.

Jyothi Datta PT. Generic names: common cause, different solutions. Business Line. 2017;24(110):5.

Mani V, Phadnis A. Staff crunch stands in way of generic drugs push. Business Standard. 2017;XIX(217):12.

Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspectives in Health Information Management. 2014;11(Spring).