Consequences of over-prescribing on the dispensing process in rural Nepal
Abstract:OBJECTIVE To investigate the effect of increasing numbers of drugs prescribed on the dispensing process in rural Nepal.
DESIGN Cross-sectional survey, on average 25 exiting patients per facility in 33 government health facilities.
OUTCOME MEASURES Percentage of cases where there was a dispensing error, and where the patient knew the dosing schedules of the dispensed drugs.
RESULTS A greater number of drug items prescribed and dispensed per patient was significantly associated with a greater percentage of cases where there was a dispensing error (P=0.00000), and where the patient did not know the dosing schedules of the dispensed drugs (P=0.00000).
CONCLUSION The prescribing (and dispensing) of more drugs per patient, an indication of over-prescription, is associated with significantly poorer dispensing.