Improving private pharmacy practice: a multi-intervention experiment in Hanoi, Vietnam.

Abstract:

:The objective of this study was to assess the effects of a multicomponent intervention on private pharmacy practice. From 641 private pharmacies in Hanoi, 68 pharmacies were randomly selected and matched into 34 pairs. Each pair consisted of a control and an intervention pharmacy. Three interventions were applied sequentially: Regulatory enforcement, Education, and Peer influence. Four tracer conditions were selected: uncomplicated acute respiratory infection (ARI), sexually transmitted disease (STD), requesting the prescription-only drugs prednisolone, and a short course of cefalexin. Practice was assessed through the Simulated Client Method (SCM). The intervention pharmacies improved significantly compared to the control pharmacies (P <.05) in all tracer conditions. For ARI, antibiotic dispensing decreased (P <.02) and questions regarding breathing increased (P <.01). For STD, advice to go to the doctor and dispensing the correct syndromic treatment increased (P <.01). Dispensing of prednisolone and cefalexin decreased (P <.01) and prescription requests increased (P <.01). Our conclusion is that it is possible to improve private pharmacy practice with a multicomponent intervention.

journal_name

J Clin Epidemiol

authors

Chuc NT,Larsson M,Do NT,Diwan VK,Tomson GB,Falkenberg T

doi

10.1016/s0895-4356(02)00458-4

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

1148-55

issue

11

eissn

0895-4356

issn

1878-5921

pii

S0895435602004584

journal_volume

55

pub_type

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