A study on concept of P- drug selection among rural general practitioners
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20164772Keywords:
General practitioners, P- drug, Proforma, Rational use of drugs, SANE criteriaAbstract
Background: The objective of the study was to assess the awareness of P- drug selection among rural general practitioners’s (GP) for common medical conditions.
Methods: Fifty general practitioners in Tumakuru district were provided with proformas for selection of P- drugs for mild to moderate hypertension, diabetes, upper respiratory tract infections and acid peptic disease based on safety, affordability, need, and efficacy (SANE criteria).
Results: Forty one GP’s responded by completing the proformas. Seventeen of them were aware of the concept of P- drug selection. In hypertension, beta blockers followed by Angiotensin Converting Enzyme (ACE) inhibitors were most commonly preferred. In diabetes, biguanides followed by sulfonylureas were preferred as oral hypoglycemic agents. Ampicillin, Ciprofloxacin and Cotrimoxazole were the commonly used antibiotics for upper respiratory tract infections. Ranitidine and antacids were preferred for acid peptic disease. Affordability followed by efficacy was the deciding criteria for P- drug selection.
Conclusions: There is lack of awareness of P- drug selection among many rural GP’s. Therefore, there is necessity to create awareness about P- drug selection through continued medical education for rational use of drugs.
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References
Theodorou M, Tsiantou V, Pavlakis A, Maniadakis N, Fragoulakis V, Pavi E et al. Factors influencing prescribing behaviour of physicians in Greece and Cyprus: results from a questionnaire based survey. BMC Health Serv Res. 2009;9:150.
O' Mahony D, Galagher PF. Inapprpriate prescribing in the older population: need for new criteria. Age and ageing. 2008;37:138-41.
De Bakker D, Coffie D, Heerdink E, Van Dijk L, Groenewegen P. Determinants of the range of drugs prescribed in general practice: a cross-sectional analysis. BMC Health Services Research. 2007;7:132.
Watkins C, Harvey I, Carthy P, Moore L, Robinson E, Brawn R: Attitudes and behavior of general practitioners and their prescribing costs: a national cross sectional survey. Qual Saf Health Care. 2003;12:29-34.
Coleman JS, Katz E, Menzel H. Medical Innovation. A diffusion study Indianapolis: The Bobbs-Merril Company Inc; 2000.
Ryan M, Yule B, Bond C, Taylor RJ. Scottish general practitioners' attitudes and knowledge in respect of prescribing costs. BMJ. 1990;300:1316-68.
Bradley C. Factors which influence the decision whether or not to prescribe: the dilemma facing general practitioners. Br J Gen Pract. 1992;42:454-8.
Muijrers P, Grol R, Sijbrandij J, Janknegt R, Knottnerus J. Differences in prescribing between GPs. Impact of the cooperation with pharmacists and impact of visits from pharmaceutical industry representatives. Fam Pract. 2005;22:624-30.
World Health Organization. The Rational Use of Drugs. Report of the Conference of Experts. Geneva: WHO; 1985.
World Health Organization. Guide to Good Prescribing. Geneva: WHO; 1994.
Singh NR. P-drug concept and the undergraduate teaching. Indian J Pharmacol. 2008;40:285.
Mahajan R, Singh NR, Singh J, Dixit A, Jain A, Gupta A. Current scenario of attitude and knowledge of physicians about rational prescription: A novel cross-sectional study. J Pharm Bioallied Sci. 2010;2:132-6.
Shivhare SC, Kunjwani HK, Manikrao AM, Bondre AV. Drugs Hazards and Rational Use of Drugs: A Review. J. Chem. Pharm. Res. 2010;2(1):106-12.
Patrício KP, Alves NA, Arenales NG, Queluz TT. Teaching the Rational Use of Medicines to medical students: A qualitative research. BMC Med Educ. 2012;12:56.
World Health Organization. Factsheet: WHO Policy Perspectives on Medicines-Promoting rational use of medicines: Core components Geneva: WHO; 2002. Available from: htpp://www.who.int/entity/medicines/publications/policyperspectives/ppm05en.pdf. [Last cited on 2013 Dec 20].
World Health Organization: Selection and rational use of medicines. Fact sheet: N338, 2010. Available from: http://www.who.int/mediacentre/factsheets/fs338/en/. [Last cited on 2013 Dec 20].
Maxwell S, Walley T, Ferner RE. Using drugs safely. BMJ. 2002;324:930-1.
