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ORIGINAL ARTICLE
Year : 2014  |  Volume : 58  |  Issue : 3  |  Page : 180-185

Prescribing behavior of diabetes treating physicians in selected health care facilities of the Diabetic Association of Bangladesh


1 Lecturer, Department of Health Promotion and Health Education, Bangladesh Institute of Health Sciences (BIHS), Dhaka, Bangladesh
2 Lecturer, Department of Immunology, Bangladesh Institute of Health Sciences (BIHS), Dhaka, Bangladesh
3 Sr Executive Officer, Department of Administration, Bangladesh Institute of Health Sciences (BIHS), Dhaka, Bangladesh
4 Professor, Department of Endocrinology, BIRDEM, Dhaka, Bangladesh
5 Additional Coordinator, Department of Distance Learning Program and EDC, Diabetic Association of Bangladesh, Dhaka, Bangladesh
6 Professor and Head, Department of Biochemistry and Cell Biology, BIHS, Dhaka, Bangladesh

Correspondence Address:
Bilkis Banu
Lecturer, Department of Health Promotion an Health Education, Bangladesh Institute of Health Sciences, 125/1, Darus Salam, Mirpur, Dhaka - 1216
Bangladesh
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-557X.138627

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Background: Practicing behavior of the physicians varies from population to population due to diverse socioeconomic, cultural, and professional factors. Evidence on these issues is almost nonexistent in the developing countries. Objective: The prescribing behavior of diabetes treating physicians working in selected hospitals of the Diabetic Association of Bangladesh was studied along with the factors affecting those behaviors. Materials and Methods: This was an observational study on 818 prescriptions given by 49 physicians working in 16 health care facilities, which were photocopied by a portable photocopier. The various components of the prescription were scrutinized for presence and absence, and evaluated independently by two expert Diabetologists for their qualitative aspects. Results: The mean ± standard deviation of the total prescribing score (expressed as percentage) was 60 ± 11. Physicians scoring around or below 60% belonged more to lower age (<40 years), less experienced (<7 years) and mid-position (Senior Medical Officers) groups. Most of them also had public medical college background. Physicians with Certificate Course on Diabetology (CCD) had significantly higher score compared with the Non-CCD group (P < 0.001). Direction and duration of drug use were absent in majority of prescriptions (72.0% and 61.6%), respectively. Symptoms were not written in 78.0% and the family histories were not recorded in 98.5% prescriptions. Diet (49.4%) and exercise (51.0%) related advices were not mentioned in a large number of prescriptions. Appropriate change of drug (78.2%) and proper use of drug (99.1%) and brand (93.8%) were found rational, but still, 22.4% of the prescriptions found illegible. Conclusion: A large proportion of prescriptions in Bangladesh related to diabetes care still lack standardization and acceptable quality. Nondrug related issues (such as history, symptoms, and dietary/exercise-related advices) are the most neglected ones in a prescription.


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