Medicine prescription
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Medicine Prescription: Insights and Practices
Medicine Prescription Behavior Visualization
Understanding medicine prescription behavior is crucial for improving treatment efficiency and effectiveness. A novel approach to visualizing prescription data from multiple perspectives—physician, patient, medicine, and prescription—has been developed. This system uses tables, custom glyphs, and histograms to display relationships and metrics, enabling detailed queries and inspections. An evaluation with neurologists confirmed its usability, suggesting its potential applicability in various medical contexts.
Traditional Chinese Medicine (TCM) Prescription Patterns
In Traditional Chinese Medicine (TCM), prescriptions are deeply rooted in clinical experience and TCM theories. A topic modeling approach has been proposed to characterize the generative process of TCM prescriptions, incorporating domain knowledge. This model, tested on 33,765 prescriptions, outperformed previous methods in generalization performance, herb recommendation, symptom suggestion, and prescribing pattern discovery, highlighting the importance of understanding traditional prescribing practices.
Prescription Patterns and Errors in Nepal
A study in central Nepal evaluated prescription practices and errors in a tertiary care hospital. The findings revealed an average of 3.2 drugs per prescription, with significant issues such as low generic prescribing (2.9%), high antibiotic use (37.9%), and frequent prescription errors (3.4 errors per prescription). The study emphasized the need for improved compliance with WHO prescribing indicators and recommended policy changes to promote rational drug use.
Medical Students and Prescription Practices in Pakistan
A cross-sectional study in Karachi, Pakistan, examined the prescription practices of medical students. Over half of the medical students had prescribed medicines independently, often based on previous experience or perceived triviality of the condition. Commonly prescribed drugs included painkillers, antipyretics, antiallergics, and antibiotics. The study highlighted the prevalence of non-doctor prescriptions and called for urgent corrective measures.
Essential Medicines and Prescription Practices in India
In Karnataka, India, a study assessed prescription practices in primary health centers. The findings showed that while most medicines were from the essential medicines list (94%) and prescribed by generic name (84%), there was a high rate of antibiotic (49%) and injection (61%) prescriptions. The study recommended training healthcare providers on rational drug use and ensuring the availability of essential medicines and standard treatment guidelines.
General Practice Prescription Trends
A study of general practitioners' prescriptions revealed that a significant portion of the population received at least one drug annually, with higher rates among females and older individuals. Psychotropic drugs were the most frequently prescribed, followed by antimicrobial drugs. This trend underscores the need for careful monitoring of prescription practices to prevent overuse and misuse.
Rational Use of Medicines in Respiratory and Gastrointestinal Infections
An analysis of prescriptions for respiratory and gastrointestinal infections in India found high rates of antibiotic use (57%) and deviations from standard treatment guidelines (98.9%). The study called for increased awareness and capacity building among prescribers to combat antimicrobial resistance and promote rational prescribing.
Safe Prescription Writing and Dispensing
The process of writing and dispensing prescriptions is fundamental to patient care but fraught with potential errors. Strategies to mitigate risks include thorough training, electronic decision support, and barcode scanning. However, the shift towards electronic systems and the delegation of dispensing tasks to non-pharmacists raise questions about maintaining the quality and safety of prescription practices.
Abuse of Prescription and Over-the-Counter Medications
The nonmedical use of prescription and over-the-counter (OTC) medications is a growing issue. Data indicates a significant portion of the population engages in this practice, particularly with pain relievers. Physicians are advised to monitor medication use closely, provide proper disposal options, and refer addicted patients to appropriate support programs.
Conclusion
The studies reviewed highlight various aspects of medicine prescription practices, from visualization and traditional methods to modern challenges and errors. Addressing these issues requires a multifaceted approach, including better training, adherence to guidelines, and the use of technology to ensure safe and effective prescribing.
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