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Drug Utilization Review and Medication Adherence in A Nigerian Psychiatric Hospital

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Download Drug Utilization Review and Medication Adherence in A Nigerian Psychiatric Hospital. Clinical Pharmacy And Pharmacy Management students who are writing their projects can get this material to aid their research work.

Abstract

Drug utilization research facilitates the rational use of drugs and suggests measures to improve prescribing habits. Irrational use of drugs is a global problem affecting patient care. It results in increased mortality, morbidity, adverse drug events, and wastage of economic resources.

The success of medication treatment is dependent on a patient’s adherence to the medication regimen and non-adherence amongst psychiatric patients is associated with poor clinical outcomes and high resource utilization.

 The objectives of this study were to evaluate the pattern of drug utilization and the level of patients’ adherence to psychotropic drugs in a Nigerian Psychiatric Hospital.

 Based on the WHO core indicators of rational drug use, data was obtained retrospectively from a review of 5400 outpatient prescriptions from September 2007 to August 2012. Data evaluation was done using the WHO guideline for assessment of drug use in health facilities.

Introduction

Drug utilization research has been defined by the World Health Organization (WHO) as “the marketing, distribution, prescription and use of drugs in a society with a special emphasis on the resulting medical, social and economic consequences’’.

The principal aim of drug utilization research is to facilitate the rational use of drugs in population and to suggest measures to improve prescribing habit. Irrational use of drugs is a widespread global phenomenon cutting across all levels of care.

This results in increased mortality, morbidity, adverse drug reactions and economic wastages. Medicines are pivotal to healthcare delivery and disease prevention therefore, the availability and affordability of good quality drugs coupled with their rational use is fundamental to effective healthcare delivery in any country.

However, irrational use of medicines are regular occurrences in many countries especially developing ones due to irrational prescribing, dispensing and administration of medications.

According to the World Health Organization, more than half of all medicines are prescribed, dispensed or sold inappropriately and that half of all patients fail to take them correctly4 giving rise to patients poor clinical outcomes.

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