Prescribing patterns and drug cost among cardiovascular patients in Hospital Universiti Kebangsaan Malaysia

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Abstract

A prevalence study was conducted, measuring drug cost and prescribing patterns of clinicians treating cardiovascular patients in UKM Hospital (HUKM). One Hundred and thirty-five patients' case-notes were selected from the Case-Mix database of HUKM. The average and median number of drugs prescribed per patient was 7.56 (± 3.37) and 7.0 (± 3) respectively. Generic drug prescription rate was still low (45.2%). Significant relationship was observed between generic drug prescriptions with age of patients, types of wards and different levels of clinicians' training. Younger patients, admitted to Coronary Care Unit (CCU) and Cardiology Rehabilitation Ward (CRW) were more likely to be prescribed with branded drugs. Lower generic drugs prescription and higher cost of drugs were mostly practised by Consultants. CCU and CRW wards were the only predictor to having low generic drugs prescriptions. Ninety-nine percent of the total RM28,879.25 drug cost was used to purchase branded drugs. Mean drug cost for a patient is RM213.92 (± RM333.36) and median cost is RM102.46 (± RM240.51). Higher drug cost and its' predictors were patients with severity level II and III, length of stay of ≥6 days, number of drugs types of ≥7, generic drugs prescription rate <50% and patients admitted in CCU and CRW wards. This study is important for short and long-term decision-making, controlling of providers behaviour and resources.

Original languageEnglish
Pages (from-to)59-65
Number of pages7
JournalMedical Journal of Malaysia
Volume62
Issue number1
Publication statusPublished - Mar 2007

Fingerprint

Drug Costs
Malaysia
Drug Prescriptions
Generic Drugs
Coronary Care Units
Cardiology
Rehabilitation
Pharmaceutical Preparations
Diagnosis-Related Groups
Consultants
Length of Stay
Decision Making
Cross-Sectional Studies
Databases
Costs and Cost Analysis

Keywords

  • Case-mix
  • Drug cost
  • Generic drugs prescribing rate
  • Prescribing pattern

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Prescribing patterns and drug cost among cardiovascular patients in Hospital Universiti Kebangsaan Malaysia",
abstract = "A prevalence study was conducted, measuring drug cost and prescribing patterns of clinicians treating cardiovascular patients in UKM Hospital (HUKM). One Hundred and thirty-five patients' case-notes were selected from the Case-Mix database of HUKM. The average and median number of drugs prescribed per patient was 7.56 (± 3.37) and 7.0 (± 3) respectively. Generic drug prescription rate was still low (45.2{\%}). Significant relationship was observed between generic drug prescriptions with age of patients, types of wards and different levels of clinicians' training. Younger patients, admitted to Coronary Care Unit (CCU) and Cardiology Rehabilitation Ward (CRW) were more likely to be prescribed with branded drugs. Lower generic drugs prescription and higher cost of drugs were mostly practised by Consultants. CCU and CRW wards were the only predictor to having low generic drugs prescriptions. Ninety-nine percent of the total RM28,879.25 drug cost was used to purchase branded drugs. Mean drug cost for a patient is RM213.92 (± RM333.36) and median cost is RM102.46 (± RM240.51). Higher drug cost and its' predictors were patients with severity level II and III, length of stay of ≥6 days, number of drugs types of ≥7, generic drugs prescription rate <50{\%} and patients admitted in CCU and CRW wards. This study is important for short and long-term decision-making, controlling of providers behaviour and resources.",
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AB - A prevalence study was conducted, measuring drug cost and prescribing patterns of clinicians treating cardiovascular patients in UKM Hospital (HUKM). One Hundred and thirty-five patients' case-notes were selected from the Case-Mix database of HUKM. The average and median number of drugs prescribed per patient was 7.56 (± 3.37) and 7.0 (± 3) respectively. Generic drug prescription rate was still low (45.2%). Significant relationship was observed between generic drug prescriptions with age of patients, types of wards and different levels of clinicians' training. Younger patients, admitted to Coronary Care Unit (CCU) and Cardiology Rehabilitation Ward (CRW) were more likely to be prescribed with branded drugs. Lower generic drugs prescription and higher cost of drugs were mostly practised by Consultants. CCU and CRW wards were the only predictor to having low generic drugs prescriptions. Ninety-nine percent of the total RM28,879.25 drug cost was used to purchase branded drugs. Mean drug cost for a patient is RM213.92 (± RM333.36) and median cost is RM102.46 (± RM240.51). Higher drug cost and its' predictors were patients with severity level II and III, length of stay of ≥6 days, number of drugs types of ≥7, generic drugs prescription rate <50% and patients admitted in CCU and CRW wards. This study is important for short and long-term decision-making, controlling of providers behaviour and resources.

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