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Free Content Consequences of over-prescribing on the dispensing process in rural Nepal

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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.

Keywords: developing countries; dispensing; prescribing

Document Type: Research Article

Affiliations: The Britain Nepal Medical Trust, Morang, Nepal

Publication date: February 1, 2001


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