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The prescribing pattern of hospital doctors
Singapore Medical Journal
|March 6, 1999
Summary
This study analyzed 6,503 outpatient prescriptions from 1995 to understand doctor prescribing patterns. Elderly patients received significantly more medications, highlighting a need for targeted pharmaceutical care.
Area of Science:
- Pharmacology
- Clinical Pharmacy
- Health Services Research
Background:
- Limited local data existed on physician prescribing habits over the past 25 years.
- Understanding outpatient prescribing patterns is crucial for optimizing medication use and patient care.
Purpose of the Study:
- To examine the outpatient prescribing patterns of doctors at Alexandra Hospital in 1995.
- To establish baseline data on drug utilization in a local hospital setting.
Main Methods:
- Retrospective analysis of 6,503 prescription scripts and 16,642 prescribed items.
- Prescription data categorized by hospital department (Accident & Emergency, Medical, Orthopaedics, Surgery, Paediatrics, Geriatrics).
- Analysis of the mean number of drugs prescribed per patient across different age groups.
Main Results:
- The mean number of drugs prescribed was 2.6, with higher averages in older age groups (3.18 for >60 years).
- Top prescribed drug classes included NSAIDs, antacids, analgesics, and antibiotics.
- High utilization of NSAID-antacid combinations and amoxicillin with cloxacillin was observed; antidepressant use was low.
Conclusions:
- This study provides the first local data on hospital prescribing patterns, serving as a valuable baseline.
- Findings indicate that elderly patients are prescribed a greater number of medications.
- Prescribing patterns may vary between hospitals due to patient demographics and specific needs.