Evaluation of Prescription Pattern and Cost-Effectiveness among Patients Associated With Gynaecological Diseases in Government Maternity Hospital, Lucknow (U. P.)-India

Abstract

Drug is a very important link between producer and consumer. Thus a study on prescribing pattern and pharmacoeconomics helps in accessing the quality of health care services. A retrospective study was undertaken in the OBG Department, Maternity Hospital, Lucknow, India. A clinical survey was conducted on 119 gynaecological patients, out of which 19 patients were excluded according to exclusion criteria. Audited patients were in the age group of 18 to 60 years. Clinical data indicated that 22 % of women suffered from irregular menses, leucorrhoea (18 %), vulvitis (16 %), osteoporosis (15 %), recurrent bleeding (11 %), uterus inflammation (8 %), endocervitis (2 %), feranculitis (2 %) and breast pain (2 %). Clinical survey revealed that 80 % women were prescribed minerals and vitamins, 56 % Analgesics, 47 % Antibiotics, 42 % Antimicrobials, 39 % Iron tonics, 23 % Steroids, 6 % Anti-allergic, 4 % antispasmodic and 6 % Anti-inflammatory therapy at the mean age of 38 years. It was observed that the drugs prescribed were correct for the current diagnosis and treatment. There were no any earlier records pertaining to their medical history and treatment regimen already undertaken. Most of the physicians were very much aware about diagnosis and treatment of gynaecological problems. Physicians are required to pay more attention while prescribing drugs involved in long term therapy with serious side effects such as antibiotics, steroidal drugs etc. Patients on long term drug therapy should undergo proper counseling and regular monitoring regarding the use of drugs. Pharmacoeconomical steps taken up by the hospital is highly appreciated. But care should be taken that the outcome of the therapy is not compromised while providing cost benefits to the patients.