Journal of Pharmacy And Bioallied Sciences
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Year : 2010  |  Volume : 2  |  Issue : 2  |  Page : 132-136

Current scenario of attitude and knowledge of physicians about rational prescription: A novel cross-sectional study

1 Department of Pharmacology, Adesh Institute of Medical Sciences and Research, Bathinda, India
2 Department of Pharmacology, Government Medical College, Amritsar, India
3 Department of Pharmacology, Sri Guru Ramdas Institute of Medical Sciences & Research, Amritsar, India
4 Department of Pharmacology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, India
5 Department of Pharmacology, Guru Gobind Singh Medical College, Faridkot, India
6 Department of Pharmacology, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Patiala, India

Correspondence Address:
Rajiv Mahajan
Department of Pharmacology, Adesh Institute of Medical Sciences and Research, Bathinda
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0975-7406.67008

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Background: In the last 30 years concepts in pharmacology have moved from Essential Medicines (EM) to P-drugs via the Rational Use of Medicines (RUM), but no structured study has evaluated the level of understanding among the working clinicians about these concepts. Aim: The present study was designed to assess the attitude and knowledge of clinical practitioners about the concepts of RUM, EM, P-drugs, and sources of drug-information, across North India. Materials and Methods: A cross-sectional study was carried out in and around the teaching hospitals attached to Medical Colleges, enrolling 504 clinicians from six centers across North India to fill-up a questionnaire containing 25 questions. Statistical Analysis: The results were compiled using percentages and averages. Univariate analysis, which explores each variable in a data set separately, was carried out by using the Fisher's exact test. Results: Only one-fourth of the participants claimed that they always prescribed Essential Medicine; no one could correctly count the number of drugs / drug combinations in the Indian Essential Drug list; only 15.1% of the clinicians wrote the generic names of drugs on the prescription slip; about one-third of clinicians were not fully aware about the adverse effects, drug interactions, and contraindications of the drugs they prescribed; about 83% of physicians admitted to relying on information from Medical Representatives and an interest in research activities seemed to be lost. Conclusion: Results show a sorry state of affairs among clinicians, as far as the level of understanding about EM, P-drugs, and RUM is concerned, and it points toward arranging more continuing medical education (CME) for clinicians with regard to these concepts.

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