CHAPTER nine
Medications
80
National Medical Care Statistics 2014
CHAPTER 9: MEDICATIONS
During primary care encounters, patients were prescribed medications for their conditions as deemed necessary by the respective healthcare providers. The providers were instructed to record the
medications prescribed in generic or brand names, the dosage form, route of administration, dose, frequency and duration of therapy. Note that NMCS 2014 captured only the medications prescribed and
not the medications dispensed. Hence, the data presented here do not reflect the actual consumption of medications in the primary care setting.
9.1
w x y
BER OF MEDICATIONS PRESCRIBED PER ENCO
x
NTER Number o
z
encounters with medical prescription
Table 9.1.1 presents the number of encounters with and without medical prescription in primary care clinics in 2014.
• A total of 292,906 89.9 encounters were prescribed with at least one medication. • The percentage of encounters during which medications were prescribed was higher in private
clinics compared to public clinics 92.1 versus 86.6, respectively.
Table 9.1.1: Number
{ z
encounters with and without medical prescription in primary care clinics in 2014
Number
| }
encounters
~
nweighted count
Weighted count Percent
| }
encounters
CI
Overall With medication
24,523 292,906
89.9 88.9–90.9 Without medication
3,064 32,912
10.1 9.1–11.1 Public
With medication 13,387
114,048 86.7 84.8–88.5
Without medication 2,083
17,576 13.4 11.5–15.2
Private With medication
11,136 178,857
92.1 91.0–93.2 Without medication
981 15,337
7.9 6.8–9.0
Number o
z
medications prescribed
Table 9.1.2 shows the total number of medications prescribed and the prescription rates by encounters and by diagnoses in primary care clinics in 2014.
• A total of 864,552 medications were prescribed, of which 37.8 were prescribed in the public sector while the remaining 62.2 were prescribed in the private sector.
• The medication prescribing rate in the public sector was 248.5 medications per 100 encounters, which was lower compared to the private sector, which recorded a rate of 276.8 medications per
100 encounters. • The public-private difference was even greater when the prescription rate per diagnosis was
examined. For every 100 diagnoses, approximately 70 more medications were prescribed in the private sector than in the public sector 230.8 medications versus 160.4 medications, respectively.
• •
• •
≥