Research Article
Core Prescribing Indicators and the Most Commonly Prescribed Medicines in a Tertiary Health Care Setting in a Developing Country
Table 2
In-ward, outpatient clinic, and combined prescribing indicators in the five disciplines.
| Prescribing indicator (WHO recommended standard) | Mean ± SD/Number (%) | Clinical Medicine | Gynaecology and Obstetrics | Paediatrics | Psychiatry | Surgery | All disciplines |
| Average medicines per encounter (1.6–1.8) | | | | | | | In-ward | 7.8 ± 4.2 (8.5; 1–22)∗ | 4.3 ± 2.9 (4; 1–15)∗†‡ | 3.1 ± 2.6 (3; 1–18)∗†‡ | 6.2 ± 1.6 (4; 1–13)† | 7.0 ± 4.0 (6.5; 1–19)‡ | 5.7 ± 4 (5; 1–22) | Outpatient clinic | 7.8 ± 2.7 (7.5; 1–14)∗†\ | 3.2 ± 1.4 (4; 1–7)∗ | 2.6 ± 1.3 (2; 1–8)∗ | 2.7 ± 1.6 (2; 1–7)† | 2.0 ± 1.0 (2; 1–6)∗ | 3.8 ± 2.8 (3; 1–14) | Both | 7.8 ± 3.8 (7; 1–22)∗†‡ | 3.7 ± 2.4 (3; 1–15)∗ | 2.8 ± 1.9 (2; 1–18)†‡ | 4.4 ± 2.9 (3; 1–13)† | 4.5 ± 3.8 (3; 1–19)‡ | 4.8 ± 3.6 (4; 1–22) |
| Encounters with an antibiotic (%) (20–26.8%) | | | | | | | In-ward | 85 (53.1)∗† | 50 (31.2)∗ | 25 (21.2)†‡ | 15 (37.5)‡ | 106 (66.2)∗‡ | 281 (44.0) | Outpatient clinic | 15 (9.4) | 18 (11.2) | 15 (9.4) | 0 | 19 (11.9) | 67 (9.8) | Both | 100 (31.2)∗‡ | 68 (21.2)∗ | 40 (14.4)∗ | 15 (18.8)‡ | 125 (39.1)∗‡ | 348 (26.4) |
| Encounters with an injection (%) (13.4–24.1%) | | | | | | | In-ward | 116 (72.5)∗† | 66 (41.2)∗‡ | 62 (52.5)†# | 11 (27.5)†# | 117 (73.1)‡# | 372 (58.3) | Outpatient clinic | 23 (14.4)∗† | 1 (0.6)∗ | 0 | 1 (2.5)† | 0 | 25 (3.7) | Both | 139 (43.4)∗†‡ | 67 (20.9)∗‡# | 62 (22.3)†¥ | 12 (15.0) | 117 (36.6)#¥ | 397 (30.1) |
| Medicines prescribed in generic name (%) (100%) | | | | | | | In-ward | 1077 (86.4)∗†‡ | 625 (91.5)∗ | 328 (89.9) | 230 (93.1)† | 1018 (90.8)‡ | 3278 (89.5) | Outpatient clinic | 1152 (92.1)∗†‡ | 492 (96.3)∗ | 319 (75.8)†‡ | 108 (99.1)† | 310 (95.4%)‡ | 2381 (91.0) | Both | 2229 (89.2)∗†‡ | 1117 (93.6)∗ | 647 (82.3)† | 338 (94.9)† | 1328 (91.8)† | 5659 (90.1) |
| Medicines prescribed from EML (%) (100%) | | | | | | | In-ward | 1146 (91.9)∗† | 649 (95.0)∗ | 316 (86.6)∗† | 182 (73.7)∗† | 1084 (96.7)† | 3377 (92.2) | Outpatient clinic | 1111 (88.8)∗† | 487 (95.3)∗† | 357 (84.8)∗ | 84 (77.1)∗† | 308 (94.8)† | 2347 (89.7) | Both | 2257 (90.4)∗† | 1136 (95.1)∗ | 673 (85.6)∗† | 266 (72.9)∗† | 1392 (96.3)† | 5724 (91.1) |
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∗†‡Values in a single row with the same symbol are significantly different from one another; EML, essential medicines list; SD, standard deviation.
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