Assessment of Prescribing Indicators in Public and Private Primary Health Care Facilities in Indonesia

Abstract

database contains 4,153,588 pharmacy-dispensed claims with 112,523 ingredient entries and 16,944,271 physician-dispensed claims with 2,222,342 ingredient entries. The average amount paid per CD ingredient per year for pharmacy-dispensed CDs increased by 37% from 2011 to 2012 and 67% from 2012 to 2013, while physiciandispensed increased by 14% from 2011 to 2012 and 20% from 2012 to 2013. The current CA AB 378 regulation does not significantly reduce CD cost, in fact the cost increased. The change in cost of CD using the alternative Colorado pricing scheme is lower. In 2011, mean CA CD cost (pharmacy-dispensed after combining all ingredients

Assessment of the Rational Use of Medicines: Prescribing Patterns and Indicators at Public Primary Health Care Center and Hospital in Indonesia

“…The most antibiotic used at the hospital setting in this study was cefadroxil, which was indicated for post-operative treatment. The percentages of encounters in which an antibiotic found in study by Yuniar 23 were 42.8% and 39.4%, higher than finding of our study in hospital setting. Finding of study by Dinge 24 for the percentages of encounters in which an antibiotic at hospital setting was 33.43%, slighly lower than our findings but still upon WHO standard.…”

“…The averages number of drugs per encounter in this study both at primary health care center and at hospital setting were above the WHO standard. This findings were inline but still lower than previous study conducted in Indonesia by Yuniar which found that the average numbers of drugs per encounter in public and private facilities was 3.31 and 3.06, respectively 23 . Other study conducted in Indonesia by Dinge 24 found the average numbers of drugs per encounter was 2.3, better than our findings but still above the WHO standard.…”

“…There has been regulatory of mandatory for prescribing drugs by generic name in government health facilities 25 . The percentages of drugs prescribed by generic name found in study by Yuniar 23 were 93.3% and 62.0% in public and private primary health care center, respectively. Whereas, The percentages of drugs prescribed by generic name found in study by Dinge 24 was 84.14%.…”

“…Previous study to assess drug prescription using WHO indicators has been conducted by other researchers at several various settings in Indonesia, such as at community pharmacies 22 , at public and private primary health care facilities 23 , and at outpatient hospital 24 . Our study was different in the assessment aspect from that of Abdulah 22 that conducted assessment of patient care indicators.…”

“…Our study was different in the assessment aspect from that of Abdulah 22 that conducted assessment of patient care indicators. Our study was the same as Yuniar 23 and Dinge 24 which conducted assessment of prescribing indicators, however our study was conducted in different study site from that of Dinge 24 and might different study sites and time period from that of Yuniar 23 . In addition, given a large geographical area and big population of Indonesia as well as so many and various health facilities, more studies regarding assessment of drug prescription are still relevant and necessary to be conducted.…”