Improving private pharmacy practice: A multi-intervention experiment in Hanoi, Vietnam

被引:68
作者
Chuc, NTK [1 ]
Larsson, M
Do, NT
Diwan, VK
Tomson, GB
Falkenberg, TE
机构
[1] Hanoi Med Univ, Hanoi, Vietnam
[2] Karolinska Inst, Dept Publ Hlth Sci, Div Int Hlth IHCAR, SE-17176 Stockholm, Sweden
[3] Hanoi Coll Pharm, Hanoi, Vietnam
[4] Nord Sch Publ Hlth, Gothenburg, Sweden
[5] Karolinska Inst, Med Management Ctr, S-10401 Stockholm, Sweden
关键词
private pharmacy practice; randomized controlled trial; multi-intervention; simulated client method (SCM); acute respiratory infection (ARI); sexually transmitted disease (STD);
D O I
10.1016/S0895-4356(02)00458-4
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The objective of this study was to assess the effects of a multicomponent intervention on private pharmacy practice, From 641 private pharmacies in Hanoi, 69 pharmacies were randomly selected and matched into 34 pairs. Each pair consisted of a control and an intervention pharmacy, Three interventions were applied sequentially; Regulatory enforcement, Education, and Peer influence. Four tracer conditions were selected: uncomplicated acute respiratory infection (ARI), sexually transmitted disease (STD), requesting the, prescription-only drugs prednisolone, and a short course of cefalexin. Practice was assessed through the Simulated Client Method (SCM). The intervention pharmacies improved significantly compared to the control pharmacies (P <.05) in all tracer conditions. For ARI, antibiotic dispensing decreased (P <.02) and questions regarding breathing increased (P < .01). For STD, advice to go to the doctor and dispensing the correct syndromic treatment increased (P <.01). Dispensing of prednisolone and cefalexin decreased (P <.01) and prescription requests increased (P <.01), Our conclusion is that it is possible to improve private pharmacy practice with a multicomponent intervention. (C) 2002 Elsevier Science Inc. All rights reserved.
引用
收藏
页码:1148 / 1155
页数:8
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