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Retrospective review of medicine utilization for noncommunicable diseases in three public sector pharmacies in Jamaica.

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Title: Retrospective review of medicine utilization for noncommunicable diseases in three public sector pharmacies in Jamaica.
Alternate Title: Revisión retrospectiva del uso de medicamentos para enfermedades no transmisibles en tres farmacias del sector público de Jamaica.
Revisão retrospectiva do uso de medicamentos para doenças não transmissíveis em três farmácias da rede pública na Jamaica.
Authors: Wynter-Adams, Donna-Marie1 dwadams@utech.edu.jm, Thomas-Brown, Peta-Gaye2, Bromfield, Lisa2, Williams, Marcia2, Bunting-Clarke, Janice2
Source: Pan American Journal of Public Health / Revista Panamericana de Salud Pública. 2024, Vol. 48, p1-10. 10p.
Subjects: PUBLIC hospitals, WORLD Health Organization, MEDICAL protocols, CROSS-sectional method, COST control, SEX distribution, RETROSPECTIVE studies, DESCRIPTIVE statistics, AGE distribution, POLYPHARMACY, NON-communicable diseases, PHYSICIAN practice patterns, MEDICAL records, ACQUISITION of data, SUSTAINABLE development, DRUG prescribing, GENERIC drug substitution, DRUG utilization
Geographic Terms: JAMAICA
Abstract (English): Objective. The rational use of medicines offers a cost-saving strategy to maximize therapeutic outcomes for developing and developed countries. The aim of this study was to evaluate the rational use of medicines for selected noncommunicable diseases (NCDs) at three pharmacies at public hospitals in Jamaica using the World Health Organization's (WHO's) prescribing indicators. Methods. In this retrospective cross-sectional study, prescriptions for adult outpatients containing at least one medicine for cardiovascular disease, diabetes, cancer, chronic obstructive pulmonary disease or asthma that were filled between January and July 2019 were reviewed using WHO's prescribing indicators for the rational use of medicines. Data were analyzed and expressed as descriptive and inferential statistics. For all analyses conducted, significance was determined at P < 0.05. Results. A total of 1 500 prescriptions covering 5 979 medicines were reviewed; prescriptions were mostly written for female patients aged 42--60 years. Polypharmacy was observed in 35.6% (534) of prescriptions, and there was an average of 4 medicines per prescription, with a maximum of 17. Most of the prescriptions at each site were filled, with the main reason for not dispensing a medicine being that it was out of stock. Generic prescribing was high for all sites, accounting for more than 95% (5 722) of prescribed medicines. There was full compliance with prescribing according to the WHO Model List of Essential Medicines at two of the sites, but it was just off the target at Site 1, by 1.4%. Conclusions. The WHO guidelines for the rational use of medicines were followed with respect to the proportion of medicines prescribed from the WHO Model List and the proportion of antibiotics prescribed. The number of medicines per prescription and the proportion of medicines prescribed by generic name did not meet the WHO criteria. However, prescribing was aligned with treatment guidelines for the selected NCDs. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. El uso racional de los medicamentos proporciona una estrategia de ahorro de costos para maximizar los resultados terapéuticos tanto en los países en desarrollo como en los países desarrollados. El objetivo de este estudio fue evaluar el uso racional de medicamentos para algunas enfermedades no transmisibles (ENT) seleccionadas en tres farmacias de hospitales públicos de Jamaica, usando los indicadores de prescripción de la Organización Mundial de la Salud (OMS). Métodos. En este estudio transversal retrospectivo se examinaron las prescripciones realizadas a pacientes ambulatorios adultos que incluían al menos un medicamento para enfermedades cardiovasculares, diabetes, cáncer, enfermedad pulmonar obstructiva crónica o asma, dispensadas entre enero y julio del 2019, utilizando los indicadores de prescripción para el uso racional de medicamentos de la OMS. Los datos se analizaron y expresaron mediante estadística descriptiva e inferencial. Para todos los análisis realizados se estableció un nivel de significación de p <0,05. Resultados. Se examinó un total de 1 500 prescripciones que incluían 5 979 medicamentos; la mayor parte de ellas correspondían a pacientes de sexo femenino de 42 a 60 años. Se observó que había polimedicación en el 35,6% (534) de las prescripciones, con un promedio de 4 y un máximo de 17 medicamentos por receta. En todos los centros se dispensó la mayor parte de los medicamentos prescritos, y el motivo principal para no hacerlo fue la falta de existencias del medicamento en cuestión. La prescripción de genéricos fue elevada en todos los centros y supuso más del 95% (5 722) de los medicamentos prescritos. En dos centros la prescripción se realizó en su totalidad de acuerdo con la Lista Modelo de Medicamentos Esenciales de la OMS, pero en el centro 1 no se alcanzó el objetivo por un 1,4%. Conclusiones. Se siguieron las directrices de la OMS para el uso racional de medicamentos en cuanto a la proporción de medicamentos prescritos de la Lista Modelo de la OMS y la proporción de antibióticos prescritos. El número de medicamentos por receta y la proporción de medicamentos prescritos mediante su nombre genérico no cumplieron con los criterios de la OMS. Sin embargo, las prescripciones estaban en consonancia con las directrices de tratamiento de las enfermedades no transmisibles seleccionadas. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Objetivo. O uso racional de medicamentos é uma estratégia de contenção de custos para maximizar os resultados terapêuticos em países desenvolvidos e em desenvolvimento. O objetivo deste estudo foi avaliar o uso racional de medicamentos para algumas doenças não transmissíveis selecionadas em três farmácias de hospitais públicos na Jamaica a partir dos indicadores de prescrição preconizados pela Organização Mundial da Saúde (OMS). Métodos. Estudo transversal retrospectivo que avaliou receitas médicas de pacientes ambulatoriais adultos contendo pelo menos um medicamento prescrito para doença cardiovascular, diabetes, câncer, doença pulmonar obstrutiva crônica ou asma e dispensadas entre janeiro e julho de 2019. A avaliação foi realizada a partir dos indicadores de prescrição preconizados pela OMS para o uso racional de medicamentos. Os dados obtidos foram analisados por meio de estatísticas descritivas e inferenciais. O nível de significância de p <0,05 foi adotado em todas as análises. Resultados. Ao todo, foram analisadas 1 500 receitas médicas compreendendo 5 979 medicamentos. Em sua maioria, as receitas foram prescritas para pacientes do sexo feminino com idades entre 42 e 60 anos. A polifarmácia foi observada em 35,6% (534) das receitas; em média, foram prescritos 4 medicamentos, até um máximo de 17. As farmácias estudadas dispensaram a maior parte dos medicamentos receitados. O principal motivo para não fornecer algum medicamento foi o desabastecimento. O percentual de medicamentos genéricos foi alto em todos os locais, representando mais de 95% (5 722) do volume receitado. Houve plena observância da Lista Modelo de Medicamentos Essenciais da OMS nas receitas analisadas em dois dos locais estudos, e observância quase completa (diferença de 1,4%) no local 1. Conclusões. As diretrizes da OMS de uso racional de medicamentos foram cumpridas no que se refere ao percentual de medicamentos receitados de acordo com a Lista Modelo da OMS e o percentual de antibióticos receitados. Os critérios da OMS não foram cumpridos quanto ao número de medicamentos por receita e ao percentual receitado usando o nome genérico. Porém, os medicamentos foram receitados de acordo com as diretrizes terapêuticas para as doenças não transmissíveis selecionadas. [ABSTRACT FROM AUTHOR]
Copyright of Pan American Journal of Public Health / Revista Panamericana de Salud Pública is the property of Pan American Health Organization and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Retrospective review of medicine utilization for noncommunicable diseases in three public sector pharmacies in Jamaica.
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  Data: Revisi&#243;n retrospectiva del uso de medicamentos para enfermedades no transmisibles en tres farmacias del sector p&#250;blico de Jamaica.&lt;br /&gt;Revis&#227;o retrospectiva do uso de medicamentos para doen&#231;as n&#227;o transmiss&#237;veis em tr&#234;s farm&#225;cias da rede p&#250;blica na Jamaica.
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– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective. The rational use of medicines offers a cost-saving strategy to maximize therapeutic outcomes for developing and developed countries. The aim of this study was to evaluate the rational use of medicines for selected noncommunicable diseases (NCDs) at three pharmacies at public hospitals in Jamaica using the World Health Organization&#39;s (WHO&#39;s) prescribing indicators. Methods. In this retrospective cross-sectional study, prescriptions for adult outpatients containing at least one medicine for cardiovascular disease, diabetes, cancer, chronic obstructive pulmonary disease or asthma that were filled between January and July 2019 were reviewed using WHO&#39;s prescribing indicators for the rational use of medicines. Data were analyzed and expressed as descriptive and inferential statistics. For all analyses conducted, significance was determined at P &lt; 0.05. Results. A total of 1 500 prescriptions covering 5 979 medicines were reviewed; prescriptions were mostly written for female patients aged 42--60 years. Polypharmacy was observed in 35.6% (534) of prescriptions, and there was an average of 4 medicines per prescription, with a maximum of 17. Most of the prescriptions at each site were filled, with the main reason for not dispensing a medicine being that it was out of stock. Generic prescribing was high for all sites, accounting for more than 95% (5 722) of prescribed medicines. There was full compliance with prescribing according to the WHO Model List of Essential Medicines at two of the sites, but it was just off the target at Site 1, by 1.4%. Conclusions. The WHO guidelines for the rational use of medicines were followed with respect to the proportion of medicines prescribed from the WHO Model List and the proportion of antibiotics prescribed. The number of medicines per prescription and the proportion of medicines prescribed by generic name did not meet the WHO criteria. However, prescribing was aligned with treatment guidelines for the selected NCDs. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. El uso racional de los medicamentos proporciona una estrategia de ahorro de costos para maximizar los resultados terap&#233;uticos tanto en los pa&#237;ses en desarrollo como en los pa&#237;ses desarrollados. El objetivo de este estudio fue evaluar el uso racional de medicamentos para algunas enfermedades no transmisibles (ENT) seleccionadas en tres farmacias de hospitales p&#250;blicos de Jamaica, usando los indicadores de prescripci&#243;n de la Organizaci&#243;n Mundial de la Salud (OMS). M&#233;todos. En este estudio transversal retrospectivo se examinaron las prescripciones realizadas a pacientes ambulatorios adultos que inclu&#237;an al menos un medicamento para enfermedades cardiovasculares, diabetes, c&#225;ncer, enfermedad pulmonar obstructiva cr&#243;nica o asma, dispensadas entre enero y julio del 2019, utilizando los indicadores de prescripci&#243;n para el uso racional de medicamentos de la OMS. Los datos se analizaron y expresaron mediante estad&#237;stica descriptiva e inferencial. Para todos los an&#225;lisis realizados se estableci&#243; un nivel de significaci&#243;n de p &lt;0,05. Resultados. Se examin&#243; un total de 1 500 prescripciones que inclu&#237;an 5 979 medicamentos; la mayor parte de ellas correspond&#237;an a pacientes de sexo femenino de 42 a 60 a&#241;os. Se observ&#243; que hab&#237;a polimedicaci&#243;n en el 35,6% (534) de las prescripciones, con un promedio de 4 y un m&#225;ximo de 17 medicamentos por receta. En todos los centros se dispens&#243; la mayor parte de los medicamentos prescritos, y el motivo principal para no hacerlo fue la falta de existencias del medicamento en cuesti&#243;n. La prescripci&#243;n de gen&#233;ricos fue elevada en todos los centros y supuso m&#225;s del 95% (5 722) de los medicamentos prescritos. En dos centros la prescripci&#243;n se realiz&#243; en su totalidad de acuerdo con la Lista Modelo de Medicamentos Esenciales de la OMS, pero en el centro 1 no se alcanz&#243; el objetivo por un 1,4%. Conclusiones. Se siguieron las directrices de la OMS para el uso racional de medicamentos en cuanto a la proporci&#243;n de medicamentos prescritos de la Lista Modelo de la OMS y la proporci&#243;n de antibi&#243;ticos prescritos. El n&#250;mero de medicamentos por receta y la proporci&#243;n de medicamentos prescritos mediante su nombre gen&#233;rico no cumplieron con los criterios de la OMS. Sin embargo, las prescripciones estaban en consonancia con las directrices de tratamiento de las enfermedades no transmisibles seleccionadas. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Objetivo. O uso racional de medicamentos &#233; uma estrat&#233;gia de conten&#231;&#227;o de custos para maximizar os resultados terap&#234;uticos em pa&#237;ses desenvolvidos e em desenvolvimento. O objetivo deste estudo foi avaliar o uso racional de medicamentos para algumas doen&#231;as n&#227;o transmiss&#237;veis selecionadas em tr&#234;s farm&#225;cias de hospitais p&#250;blicos na Jamaica a partir dos indicadores de prescri&#231;&#227;o preconizados pela Organiza&#231;&#227;o Mundial da Sa&#250;de (OMS). M&#233;todos. Estudo transversal retrospectivo que avaliou receitas m&#233;dicas de pacientes ambulatoriais adultos contendo pelo menos um medicamento prescrito para doen&#231;a cardiovascular, diabetes, c&#226;ncer, doen&#231;a pulmonar obstrutiva cr&#244;nica ou asma e dispensadas entre janeiro e julho de 2019. A avalia&#231;&#227;o foi realizada a partir dos indicadores de prescri&#231;&#227;o preconizados pela OMS para o uso racional de medicamentos. Os dados obtidos foram analisados por meio de estat&#237;sticas descritivas e inferenciais. O n&#237;vel de signific&#226;ncia de p &lt;0,05 foi adotado em todas as an&#225;lises. Resultados. Ao todo, foram analisadas 1 500 receitas m&#233;dicas compreendendo 5 979 medicamentos. Em sua maioria, as receitas foram prescritas para pacientes do sexo feminino com idades entre 42 e 60 anos. A polifarm&#225;cia foi observada em 35,6% (534) das receitas; em m&#233;dia, foram prescritos 4 medicamentos, at&#233; um m&#225;ximo de 17. As farm&#225;cias estudadas dispensaram a maior parte dos medicamentos receitados. O principal motivo para n&#227;o fornecer algum medicamento foi o desabastecimento. O percentual de medicamentos gen&#233;ricos foi alto em todos os locais, representando mais de 95% (5 722) do volume receitado. Houve plena observ&#226;ncia da Lista Modelo de Medicamentos Essenciais da OMS nas receitas analisadas em dois dos locais estudos, e observ&#226;ncia quase completa (diferen&#231;a de 1,4%) no local 1. Conclus&#245;es. As diretrizes da OMS de uso racional de medicamentos foram cumpridas no que se refere ao percentual de medicamentos receitados de acordo com a Lista Modelo da OMS e o percentual de antibi&#243;ticos receitados. Os crit&#233;rios da OMS n&#227;o foram cumpridos quanto ao n&#250;mero de medicamentos por receita e ao percentual receitado usando o nome gen&#233;rico. Por&#233;m, os medicamentos foram receitados de acordo com as diretrizes terap&#234;uticas para as doen&#231;as n&#227;o transmiss&#237;veis selecionadas. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Pan American Journal of Public Health / Revista Panamericana de Salud P&#250;blica is the property of Pan American Health Organization and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=184409408
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        Value: 10.26633/RPSP.2024.18
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 1
    Subjects:
      – SubjectFull: PUBLIC hospitals
        Type: general
      – SubjectFull: WORLD Health Organization
        Type: general
      – SubjectFull: MEDICAL protocols
        Type: general
      – SubjectFull: CROSS-sectional method
        Type: general
      – SubjectFull: COST control
        Type: general
      – SubjectFull: SEX distribution
        Type: general
      – SubjectFull: RETROSPECTIVE studies
        Type: general
      – SubjectFull: DESCRIPTIVE statistics
        Type: general
      – SubjectFull: AGE distribution
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      – SubjectFull: POLYPHARMACY
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      – SubjectFull: NON-communicable diseases
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      – SubjectFull: PHYSICIAN practice patterns
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      – SubjectFull: DRUG prescribing
        Type: general
      – SubjectFull: GENERIC drug substitution
        Type: general
      – SubjectFull: DRUG utilization
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      – SubjectFull: JAMAICA
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    Titles:
      – TitleFull: Retrospective review of medicine utilization for noncommunicable diseases in three public sector pharmacies in Jamaica.
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              Text: 2024
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