A study on drug utilization and prescription habits of physicians in a government homeopathic hospital in West Bengal, India

Koley, Munmun; Saha, Subhranil; Arya, Jogendra Singh; Choubey, Gurudev; Ghosh, Shubhamoy; Purkait, Rajib; Mondal, Ramkumar; Kundu, Bapi; Mukherjee, Rajarshi

doi:10.3736/jintegrmed2013048

Cited by 21 publications

(19 citation statements)

References 9 publications

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“…In comparison with the previous study, [3] individualized homeopathic encounters increased from 85.6 to 97.4% (Yates’ Chi-square = 33.67; P two-tailed < 0.0001), reflecting higher intention to practice the “classic” form of homeopathy. However, all other prescribing indicators reflected a dismal performance – record on ongoing therapies decreased from 59.4 to 39% (Yates’ Chi-square = 15.33; P < 0.0001), record of patients’ identification from 100 to 83.8% (Yates’ Chi-square = 100.8; P < 0.0001), record of investigations decreased from 68.8 to 34.9% (Yates’ Chi-square = 24.97; P < 0.0001), and legibility decreased from 92.2 to 57% (Yates’ Chi-square = 167.9; P < 0.0001).…”

Section: Discussioncontrasting

confidence: 80%

“…[3] Internal consistency or reliability of the items considered and the overall instrument was estimated to be good (Cronbach's alpha: Prescribing indicators 0.752 and patient care indicators 0.791). The prescribing indicators, except items 1 and 3, reflected acceptable item-corrected total correlations – Pearson's r from 0.58 (95% CI: 0.52-0.65) to 0.74 (95% CI: 0.69-0.78).…”

Section: Resultsmentioning

confidence: 99%

“…[3] The instrument was modified further in this study. This study shall address formally the validity and reliability of this newly developed instrument, audit prescriptions, and intend to identify sub-optimal levels of prescribing and highlight target areas for improving the quality of prescribing and patient care practices.…”

Section: Introductionmentioning

confidence: 99%

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A Validation Study of Homeopathic Prescribing and Patient Care Indicators

Koley

Saha

Ghosh

et al. 2014

Journal of Traditional and Complementary Medicine

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A preliminary version of the homeopathic prescribing and patient care indicators was available. The instrument was modified further in this study with an intention to address formally its validity and reliability, audit prescriptions, identify areas of sub-optimal prescribing, and highlight target areas for improving the quality of practices. A cross-sectional study with record analysis was conducted on systematically sampled 377 patients of Mahesh Bhattacharyya Homeopathic Medical College and Hospital (MBHMC and H), Howrah, West Bengal, India. The outcome measures were homeopathic prescribing indicators (6 items) and patient care indicators (5 items). Individualized homeopathic prescriptions predominated in the encounters. Areas demanding immediate attention were extremely poor labeling of drugs dispensed from the hospital pharmacy, improper record of case history and disease diagnosis, ongoing therapies, and investigational findings in the prescriptions. Internal consistency of the overall instrument was estimated to be good (Cronbach's alpha: Prescribing indicators 0.752 and patient care indicators 0.791). The prescribing indicators, except items 1 and 3, reflected acceptable item-corrected total correlations – Pearson's r from 0.58 (95% CI: 0.52-0.65) to 0.74 (95% CI: 0.69-0.78). The patient care indicators, except item 2, showed acceptable correlations – Pearson's r from 0.40 (95% CI: 0.31-0.48) to 0.82 (95% CI: 0.78-0.85). The instrument also showed high discriminant validity (prescribing indicators P < 0.0001 and patient care indicators P < 0.0001). Improper prescribing practice was quite rampant and corrective measures are warranted. The developed indicators appeared to be validated and reliable; however, they are amendable for further development.

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Section: Discussioncontrasting

confidence: 80%

Section: Resultsmentioning

confidence: 99%

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A Validation Study of Homeopathic Prescribing and Patient Care Indicators

Koley

Saha

Ghosh

et al. 2014

Journal of Traditional and Complementary Medicine

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“…Its standardization is usually done by assorted physical, chemical and high performance thin layer chromatographic (HPTLC) specifications and noted in homeopathic pharmacopoeias. These MTs, though frequently prescribed as adjuvant to IH medicines, have also been barely documented 14 and researched systematically. In COPD also, MTs frequently accompany the IH medicines, but scarcely evaluated for efficacy or effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Adjunctive Mother Tinctures to Individualized Homeopathic Treatment of Chronic Obstructive Pulmonary Diseases: An Open Randomized Pragmatic Pilot Trial

et al. 2020

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Background We evaluated whether adjunctive mother tinctures (MTs) to individualized homeopathy (IH) have significant effect beyond IH alone in treatment of chronic obstructive pulmonary diseases (COPD). Methods An open, randomized (1:1; IH + MT versus IH only), two parallel arms, pragmatic trial (n = 60) was conducted at National Institute of Homoeopathy, India. Primary outcomes were forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC, measured at baseline and 6 months; secondary outcomes were Bengali COPD assessment test (CAT-B) questionnaire and (clinical COPD questionnaire) CCQ-B, measured at baseline, and after 3 and 6 months; and exacerbation frequencies during 6 months. Results Five patients dropped out (IH + MT: 3, IH: 2). Though intragroup changes were significant, intergroup differences of spirometric changes over 6 months were nonsignificant (Mann Whitney U test); FEV1 (P 0–6 = 0.761), FVC (P 0–6 = 0.512), and FEV1/FVC (P 0–6 = 0.741). Over 3 and 6 months, differences of changes in CAT-B (P 0–3 = 0.553 and P 0–6 = 0.900) and CCQ-B (P 0–3 = 0.428 and P 0–6 = 0.953) scores were also nonsignificant. Exacerbation frequencies were nonsignificant between groups over 6 months (p = 1.000). Conclusion Although adjunctive MTs to IH could not produce any treatment benefits in COPD, the trial being underpowered, cautious interpretation is necessary. Trial registration CTRI/2018/04/013394.

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“…In the last decade, patient satisfaction has been reported as quite high among patients visiting homeopathy settings around the world, including Iran, Norway, Switzerland, most European Union countries (i.e. Belgium, France, Germany, Italy, Portugal and Spain), Brazil and India . Recently, there has been an upsurge in homeopathy research focusing on patient activation, patient‐assessed chronic illness care and patient‐centred care in Indian homeopathic hospital settings.…”

Section: Introductionmentioning

confidence: 99%