International Medical Journal

Journal ID : IMJ-07-04-2020-391

Total View : 143

Title : Exploring pharmacists’ perception and attitudes toward generic medicines in Indonesia

Abstract : Global health expenditure continues to rise annually, one of the components is medicine use. To date, there are still a lot of controversy developed in the population regarding generic medicine. This study was aimed to explore the community pharmacists’ perception about generic medicine and their attitude towards substitution of brand-name medicine to generic. A cross-sectional descriptive study was conducted, involving 250 community pharmacists in Yogyakarta. A self-administrated anonymous questionnaire was used as an assessment tool. A pre-validated questionnaire was delivered to the community pharmacists during September to December 2019. The questionnaire is consisted of three parts, including sociodemographic and practice characteristics, 10-item perception on generic medicines, and lastly, a-6 item statement on attitudes toward generic substitution. Data were analyzed in descriptive and inferential using logistic regression, with p-value less than 0.05 were considered significant. Most of the community pharmacists believed that generic medicine is more affordable than brand-name medicine (3.78±0.67). They believe that generic medicine has equals effectiveness (2.98±0.82), safety (3.32±1.03), and quality (3.51±1.21) with brand-name medicine. They also believed that pharmacists’ authority to switch brand-name medicine towards generic medicine (3.86±0.45) and absence of interference from physicians (3.56±0.57) will give confidence to patients. Hereafter, 90% of the community pharmacists offer their patients generic medicine, 74.8% suggest generic medicine due to patients’ economic status, and 60.8% educate patients about switching medicine. The community pharmacists who serve insurance patients (OR 2.34; CI 1.34-3.23) or located in urban (OR 2.12; CI 1.09-3.21) or serving prescription ≥ 20 per day (OR 2.18; CI1.78-2.96) likely to do generic substitution. The community pharmacists’ perception regarding generic medicine were positive. They also had a good attitude towards generic medicine substitution. Furthermore, the obvious guideline regarding condition that allow pharmacists to substitute medicine is needed.
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International Medical Journal

Journal ID : IMJ-07-04-2020-390

Total View : 128

Title : Perception of seriousness, knowledge, and willingness to pay for cervical cancer screening among women in Indonesia

Abstract : Cervical cancer was the second frequent cancer and the leading cause of death among women in Indonesia. This study sought to examine the perception of seriousness and knowledge of cervical cancer risk and to evaluate the willingness to pay (WTP) for cervical cancer screening among women in Yogyakarta Province, Indonesia. A cross-sectional survey was conducted in Yogyakarta city and Sleman district of Yogyakarta province, Indonesia. The convenience sampling method was applied to women who visited clinics or pharmacies, during the time period of June to August 2019. A validated instrument was used, consisted of demographics and socioeconomics characteristics, experiences related to cancer, perceived seriousness of cancer risk, knowledge of cervical cancer, and WTP for cervical cancer screening. The association between respondents’ characteristics and WTP was analyzed with a Chi-square test using SPSS 23 version. A complete of 675 women were taking part in this study. The majority of respondents were married women with average age upper than 46 years old. With 17.93% having a family history of cancer and 19.85% experienced in a pap smear test. The average of respondents perceived the seriousness of cervical cancer and known that cervical cancer can be cured if it is early detected. Most of the respondents (67.11%) were willing to pay for cervical cancer screening. The result of this study revealed that the positive association between respondents’ age, monthly revenue, family history of cancer, having private insurance, having a good knowledge and perception of cancer risk with the willingness to pay for cervical cancer screening. In summary, the high perception of seriousness and steady knowledge of cervical cancer risk were lead to the willingness to pay for cervical cancer screening. Improvement on public health campaign is needed, emphasized on its etiology, risk factors and methods of prevention. Policies that encourage the number of health care facilities who provide the cervical cancer screening should be broadening.
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International Medical Journal

Journal ID : IMJ-07-04-2020-389

Total View : 171

Title : Prescribing Pattern at Primary Health Care in Developing Countries : A Systematic Review

Abstract : Prescribing pattern indicating rational level of drug use. Rational drug use is essential to optimize quality of healthcare delivery in health system. This study aims to assess the prescribing patterns in primary health care or hospital in developing countries. A systematic review was performed on articles from PubMed, Science Direct and Google Scholar during the period 2008-2018. A combination key terms such as “prescribing patterns, core drug use indicator, WHO, primary care, hospital” was used for the search. Original articles published in English and reported prescribing pattern in primary health care or hospital were the inclusion criteria. There were 21 articles included in the review. The review results show that in developing countries prescribing indicators are still far from the standard recommended by WHO. Provision of drugs to patients in one prescription is still around 3-6 drugs, the use of antibiotics is still very excessive, as well as the use of injection preparations. In addition, the use of generic drugs and suitability of EML is still much less than 100%. This makes the use of drugs in health facilities to be irrational. As the result, the use of drugs in health facilities becomes expensive. Our review indicated that prescribing indicator in core drug use indicators for primary health care facilities are substantial to ensure that the treatment we provide to patients was safe, effective and rational.
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International Medical Journal

Journal ID : IMJ-06-04-2020-388

Total View : 143

Title : Views on Medical Tourism: Jordan as a Medical Hotspot

Abstract : This study focuses on the concept of medical tourism, its significance and implications for the Jordanian health sector. Patients travel to Jordan to seek elective, less expensive medical procedures while having a vacation. Other factors that promote medical tourism include better quality of care, shorter queues, exotic locations, culture… etc. The Medical Liability Law, passed last year, further encouraged more patients to seek treatment in Jordan. Medical tourism contribution to Jordanian GDP is noteworthy; providing economic growth and employment opportunities. Though medical tourism received great recognition, little is said about specific concerns like brain drain of health workers and incurring high costs on Jordanian citizens. This issue clearly needs further attention.
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International Medical Journal

Journal ID : IMJ-06-04-2020-387

Total View : 151

Title : Correlation of Clinical & Imaging Profile with Neurological Outcomes in Spine TB Cases at Orthopaedic Hospital Surakarta: A Study of 90 Cases in 3 Years

Abstract : The commonest spine infection is tuberculosis, with 50% of all TB musculoskeletal.Patients complained of back pain and chronic illness manifestations. An excessive thoracal kyphotic orhyperkyphosis that apparent on physical examination is called gibbus. About 10% - 47% of patients withspine TB had neurological deficits with paraplegia is the most terrifying complication. Describe spine TBcase profile in an Orthopaedic Hospital and to correlate between presence of gibbus, and kyphotic deformitywith neurological deficits in spine TB patients. A retrospective study of spine TB patients profile inOrthopaedic Hospital Surakarta from January 2015 until December 2017. Ninety patients were identifiedand reviewed. Data taken from medical records and weekly discussion of spine division at Prof. DR. R.Soeharso Orthopaedic Hospital Surakarta. Correlation study use the chi square data analysis. There were 40male patients. Gibbus was found in 55 patients and 48 patients had neurological deficit in physicalexamination. Thirty-nine patients had kyphotic deformity > 30o. Based on the patient’s profile, we analysethe data using chi square to evaluate the correlation between gibbus or kyphotic angle ≥ 30o withneurological deficit incidence, the result shows that neurological deficit incidence is 3.94 times higher withthe presentation of gibbus, and 1.50 times higher with kyphotic angle ≥ 30o.Presentation of apparent gibbus is very meaningful in predicting the concomitant neurological deficit. Wecan also safely conclude that excessive kyphotic deformity can be a good predictor for the prognosis ofspine TB disease course.
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Submission Deadline ( Vol 30 , Issue 06 )
20 Jun 2023

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Publish On ( Vol 30 , Issue 05 )
31 May 2023