Монголын Анагаахын Сэтгүүлүүдийн Холбоо (МАСХ)
Эрүүл Мэндийн Шинжлэх Ухаан, 2013, 9(6)(28)
Эмийг жороор олгох үйл ажиллагаа, жорын стандартын шаардлагатай харьцуулсан судалгаа
( Судалгааны өгүүлэл )

Д.Баянжаргал 1, Р.Цэрэнлхагва 2

1ЭМШУИС, ЭЗС-ийн магистрант,
2 ЭМШУИС,ЭЗС
 
Абстракт
Энэхүү судалгаа нь Улаанбаатар хотод үйл ажиллагаа явуулж байгаа эмийн сангуудад эмийн жор бичилт ба эмийг жороор олгох стандартын шаардлагын хэрэгжилт ямар байгаа, хандлагыг судлах хүрээнд эмийн санд ажиллаж байгаа 150 эм зүйч, эм найруулагч нараас асуумж судалгаагаар тодорхойлон, жорын стандартыг ОХУ-тай харьцуулан тус тус дүгнэлт хийж хэлцэмж хэсэгт оруулав. Бидний судалгаагаар судалгаанд оролцогчдийн 70% нь жорын маягт дээр бичсэн жор цөөхөн байдаг, 53% нь жорыг өвчтний картан дээр бичсэн байдаг, 46% нь жор шаарддаггүй, 36% нь буруу орж ирсэн жорыг жорын журналд бүртгэдэг гэсэн үр дүн гарсан байна. Энэ нь эмийн сан,
эмийн мэргэжилтнүүд эмийг жороор олгодоггүй, байгууллагын зүгээс эмийн мэргэжилтнүүдийн жорын стандартын мөрдөлтийг үнэлж дүгнэдэг, тооцдог, хянадаг, хариуцлага ногдуулдаг ажил хийдэггүй болохыг тогтоолоо.
“National Lists of Essential Medicines” have been updated 6 times since their first approval in 1991, which includes 419 drugs used for 3 levels of medical aid. Forming the proper usage of these drugs at appropriate level is one of main responsibilities health organizations and medical practitioners in order to meet uninterrupted, regular and sufficient supply. It is crucial important to follow requirements of the state standard of “Prescription form and issuance and prescription MNS 5376: 2004” by all level hospitals and drugstores. Inadequacy of prescription forms, insufficiency of prescription, no custom for prescription, accounting, lack of monitoring and intentional usage of drugs by citizens are the basic rationale of the topic. Objective and goal of Survey: Main objective of the survey is to identify difficulties and shortcomings of prescription and issuance standards in consistent with factors and make conclusion regarding to the prescription in the future. We have conducted the survey by setting following goals in order to implement the goals: 1. To study prescription for drug at drugstores; and 2. To make recommendation on improving further implement of standards by doing comparative conclusion necessary for prescription
standards on medical prescription and serving drugs through prescription. Materials and methodologies of Survey: I have taken the survey through questionnaire about implementation of serving drug with prescription, record taking of pharmacists and druggists (150 pharmacists and druggists) working in public drugstores under outpatients
operating in Ulaanbaatar and the survey is developed in MS Excel for conclusion. Survey result: Result of questionnaire taken from pharmaceutical specialists: 41% of pharmaceutical specialists answered the question “How many mistaken prescriptions come to your drugstores?” as few whereas 39% mostly and 19% responded as all the
prescriptions are erroneous. How many of the prescriptions are written on the prescription form? Is answered by 20% as mostly whereas 71% responded as few, which represents physicians are not accustomed to write the prescription on official prescription form. Question “On which item does the prescription has written?” is answered by 32% on writing on the prescription form whereas 53% answered writing on patient card and 15% responded as on plain paper. For “Is it required to be written on the Prescription form?”, 54% says drug issuer first asks whereas 46% answered as “not needed”. The question “How many mistaken prescriptions come to your drugstores?” was answered as mostly by 51% whereas 31% says few and 8% responded as rather few. “What do you do when the prescription has a mistake?” was answered as notify to prescribing doctor, 36% records in prescription journal and 19% leave it aside with no action. 67% answered that it is not necessary to make any change for question “Is it necessary to change prescription standards?” How the standard is concordance with real life? is answered by 43% as acceptable, 32% necessary to update and 27% urged to be implemented. “What is the reason for no prescription?” is answered by 40% as activities of doctor whereas 20% by citizens, 20% by hospitals and 20% by pharmaceutical specialists. Conclision: We aimed to make recommendation by the survey on how to improve condition of issuance of drug without prescription by studying its reason that is commonly violated in drugstores in Ulaanbaatar. 1. We have identified that drugstores and pharmaceutical specialists not issued drug according to prescription, assortment of drugs are insufficient and pharmaceutical specialists are failed to evaluate, conclude, estimate, monitors and punish liability by organization; and 2. We have concluded that implementation of standards for prescription and accustoming proper usage of drugs are directly depend on tendency and liabilities of physicians, pharmacists, druggist or medical specialists while patients’ purchase prescribed drug from pharmaceutical shops with the prescription according to rules will establish customization of main foundation for proper usage of drugs.
 


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