Judul/Title
Beliefs about the use of extemporaneous compounding for paediatric outpatients among physicians in Yogyakarta, Indonesia
Penulis/Author
Prof. Dr. Chairun Wiedyaningsih, M.Kes., M. App.Sc., .Apt. (1) ; Prof. Dr. Sri Suryawati, Apt. (2) ; Prof. dr. Sri Suparyati Soenarto, Ph.D., Sp.A(K). (3) ; Prof. dr. Mohammad Hakimi, Sp.OG, Ph.D. (4)
Tanggal/Date
2016
Kata Kunci/Keyword
Abstrak/Abstract
Many drugs used in paediatrics are not commercially available in suitable dosage forms. Therefore, the drugs often prescribed in extemporaneous compounding dosage form. Compounding can pose health risks include poor quality and unsafe products. Studies of compounding have primarily focused on prescription profiles, reasons of prescribing never be explored. The study was conducted to identify factors influencing physicians’ decision to prescribe extemporaneous compounding dosage form for paediatric outpatients. Qualitative semi-structured interviews were conducted with 15 general physicians and 7 pediatricians to identify the reason of prescribing extemporaneous compounding. The interviews were transcribed and analysed using thematic analysis. Factors underlying prescribing of compounding could be categorized to therapy, healthcare system, patient and past experience. The primary reasons of therapy factors were limited availability of drug compositions, dosages or formulas specific for children. Beliefs in efficacy of the compounding forms were higher when the drugs used primarily to overcome complex cases. Physicians did not concern about compounding form containing several active substances because manufactured syrups may also contain several active substances. Although medicines were available in manufactured syrups, limited institutional budget was healthcare system factor of compounding prescribing. The prescribing factors related to patients include easy to use, efficient and lower price. The prescribing factors related to past experience were physicians’ beliefs to the progress of patient's health status. © 2016, International Journal of Pharmaceutical Sciences Review and Research. All rights reserved.
Rumpun Ilmu
Kebijakan Kesehatan (dan Analis Kesehatan)
Bahasa Asli/Original Language
English
Level
Internasional
Status
Published