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http://repository.kln.ac.lk/handle/123456789/20274
Title: | Prescribing, dispensing and administration indicators to describe rational use of oral dosage forms of medicines given to children |
Authors: | Nadeshkumar, A. Sathiadas, G. Pathmeswaran, A. Ranganathan, S. S. |
Keywords: | Oral dosage forms |
Issue Date: | 2019 |
Publisher: | Mumbai : Wolters Kluwer Health, Medknow |
Citation: | WHO South-East Asia Journal of Public Health.2019;8(1):42-49 |
Abstract: | BACKGROUND:Owing to lack of indicators, researchers are compelled to use non-specific indicators to assess rational use of medicines in children. Thus, paediatric-specific issues are poorly described. This study aims to develop a set of indicators to describe rational use of oral dosage forms of medicines given to children. METHODS: A modified RAND/UCLA Appropriateness Method was used. A comprehensive draft list of 40 indicators was compiled, based on the results of a literature review. Twelve experts rated these indicators in two rounds, using a nine-point Likert scale, first in an online survey, for clarity, necessity and scientific merit, and secondly in a face-to-face meeting, for necessity, feasibility and predictive value. An overall panel median score of ≥7 and agreement within the experts were used in indicators. The indicators were ranked independently by the research team and a final list of indicators was prepared. These indicators were pilot-tested for acceptability and interrater reliability. RESULTS: Nine prescribing indicators, such as weight, appropriate dose and age-appropriate dosage form; five dispensing indicators, such as adequacy of labelling and inappropriate manipulation by pharmacists; and five administration indicators, such as inappropriate manipulation by parents and full completion of dose, were finalized in the second round. CONCLUSION:This novel approach has provided a set of indicators to describe the use of oral dosage forms of medicines given to children, which can be used by researchers as a supplement to the World Health Organization's drug use indicators when investigating rational use of medicines in children. |
Description: | indexed in MEDLINE |
URI: | http://repository.kln.ac.lk/handle/123456789/20274 |
ISSN: | 2304-5272 (Electronic) 2224-3151 (Print) |
Appears in Collections: | Journal/Magazine Articles |
Files in This Item:
File | Description | Size | Format | |
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WHOSouth-EastAsiaJPublicHealth.pdf | 264.44 kB | Adobe PDF | View/Open |
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