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Vol. 36. Issue 3.
Pages 150-155 (May - June 2021)
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Vol. 36. Issue 3.
Pages 150-155 (May - June 2021)
Original Article
DOI: 10.1016/j.jhqr.2020.11.007
Prescription understanding among out-patients in government and private hospitals: A cross-sectional study in Lahore, Pakistan
Comprensión de la prescripción entre los pacientes externos de los hospitales gubernamentales y privados: estudio transversal en Lahore, Pakistán
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F.K. Hashmia, M. Malika, A. Shahzada, A. Wajida, J. Zainaba, U.R. Malika,b,
Corresponding author
usmanmalik_ucp@hotmail.com

Corresponding author.
a University College of Pharmacy, University of The Punjab, Lahore, Pakistan
b School of Pharmacy, Xian Jiaotong University, Xian, China
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Tables (3)
Table 1. Demographics of patients population.
Table 2. Patients’ knowledge about medicines written on their prescriptions.
Table 3. Patients’ understanding about their prescription.
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Abstract
Introduction

Like many other countries, Pakistan's healthcare system is divided into the public and the private sector. According to some studies and the mindset of many Pakistani people, private hospitals provide better services than government hospitals.

Purpose

The paucity of research studies compelled us to compare the understanding of prescription among outpatients of the government and private hospitals since the understanding of prescription by the patient is an important patient care indicator according to WHO.

Method

A cross sectional study was conducted by virtue of convenience sampling. The study included 365 patients; 182 from the government sector and 183 from the private sector. The study was conducted over a period of 3 months. A structured questionnaire was prepared to gather data that was analyzed using SPSS Version 22.0.

Results

Patients from both government and private hospitals got no counseling while only 45.9% of the government hospital patients and 65.9% of private hospital patients were satisfied with the counseling they received. Our study concluded that the role of a pharmacist must be extended besides dispensing only, in counseling and educating patients to reduce the burden on the physicians and hospitals as well.

Conclusion

It was concluded that although the patients of private hospitals scored somewhat better at answering the questions than the government hospital patients but they failed to hit the benchmark. Their slightly better results were attributed to higher education levels and better socioeconomic status rather than better services of the hospital.

Keywords:
Prescription evaluation
Prescription understanding
Patient understanding
Patient education
Health education
Resumen
Introducción

Como en muchos otros países, el sistema sanitario de Pakistán se divide entre los sectores público y privado. Conforme a algunos estudios y a la mentalidad de los paquistaníes, los hospitales privados prestan mejores servicios que los hospitales gubernamentales.

Objetivo

La escasez de estudios de investigación nos llevó a comparar la comprensión de la prescripción entre los pacientes externos de los hospitales gubernamentales y privados, ya que dicha comprensión de la prescripción por parte del paciente es un indicador importante del cuidado al paciente, según la OMS.

Método

Se realizó un estudio transversal, en virtud de una muestra de conveniencia. Dicho estudio incluyó 365 pacientes: 182 del sector gubernamental y 183 del sector privado, y se llevó a cabo durante un periodo de 3 meses. Se preparó un cuestionario estructurado para reunir datos, que se analizó utilizando SPSS® versión 22.0.

Resultados

Los pacientes de los hospitales gubernamentales y privados no recibieron asesoramiento, a pesar de que solo el 45,9% de los pacientes de hospitales gubernamentales y el 65,9% de los pacientes de hospitales privados estuvieron satisfechos con el asesoramiento que recibieron. Nuestro estudio concluyó que el rol de un farmacéutico debe ampliarse más allá de la dispensa de medicamentos únicamente, asesorando y educando a los pacientes para reducir la carga de los médicos y, también, de los hospitales.

Conclusión

Se concluyó que, aunque los pacientes de los hospitales privados puntuaban ligeramente mejor al responder las preguntas que los pacientes de los hospitales gubernamentales, no lograron alcanzar el punto de referencia. Sus resultados ligeramente mejores fueron atribuidos a unos niveles de formación más altos y a un mejor estatus socioeconómico, y no a unos mejores servicios hospitalarios.

Palabras clave:
Evaluación de la prescripción
Comprensión de la prescripción
Comprensión del paciente
Educación al paciente
Educación en salud

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