Assessment of Prescribing Indicators in Public and Private Primary Healthcare Facilities in Java Island, Indonesia
Abstract: Prescribing
indicator is an easy core indicator to evaluate drug utilization as stated in
WHO guideline. Rational prescribing pattern is important to improve rational
use of drugs whereas irrational prescribing pattern can lead to irrational drug
use. This study aimed to assess the prescribing pattern in public and private
primary healthcare facilities which were included in the National Health
Insurance Program in Indonesia. This study has been conducted using the cross
sectional research design, quantitative and retrospective method in four
provinces in Java island (West Java, Banten, DIY and Central Java provinces)
from May to July 2014. The method of retrospective data collection were
collected 757 prescriptions from 26 PHCs and 900 prescriptions from 30 clinics
or General Practitioners (GPs). All data in the prescribing form were analyzed
manually using Microsoft Excel 2007. The average number of item in public and
private facilities was 3.31 and 3.06 respectively. The percentage of generic
prescribing was 93.3% and 62.0%, the percentage of drugs in accordance with the
2013 national formulary was 89.0% and 64.5%, the percentage of antibiotic per
total number of encounter was 42.8% and 39.4%, while the percentage of
injection per total encounter was only 0.7% and 2.2%. Paracetamol and dexamethasone
were the most frequently prescribed drugs while for antibiotic group were
amoxicillin, ciprofloxacin, cotrimoxazole and cefadroxil.The average number of
items per encounter and antibiotic were not met the WHO standard(≤3 for average
number and less than 30% for antibiotic percentage). Suitable interventions are
needed to improve the prescribing practices in Indonesia.
Keywords: Prescribing
indicator; Prescribing pattern; Rational drug use; Primary healthcare
Penulis: Yuyun Yuniar, Andi
Leny Susyanty, Ida Diana Sari
Kode Jurnal: jpfarmasidd170537
