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Economic impact of interventional study on rational use of antiseptics and disinfectants in Super Speciality Hospital of Nagpur

OBJECTIVE: To measure the impact of interventions on rational use of antiseptics and disinfectants (A and D) for cost containment in Super Speciality Hospital (SSH) of Government Medical College, Nagpur (GMCN), India. MATERIALS AND METHODS: This study was conducted from October 2003 to March 2007 in...

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Autores principales: Agarwal, Vandana, Gharpure, Kunda, Thawani, Vijay, Makhija, Sushil, Thakur, Anita, Powar, Rajaram
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3025131/
https://www.ncbi.nlm.nih.gov/pubmed/21279171
http://dx.doi.org/10.4103/0253-7613.41043
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author Agarwal, Vandana
Gharpure, Kunda
Thawani, Vijay
Makhija, Sushil
Thakur, Anita
Powar, Rajaram
author_facet Agarwal, Vandana
Gharpure, Kunda
Thawani, Vijay
Makhija, Sushil
Thakur, Anita
Powar, Rajaram
author_sort Agarwal, Vandana
collection PubMed
description OBJECTIVE: To measure the impact of interventions on rational use of antiseptics and disinfectants (A and D) for cost containment in Super Speciality Hospital (SSH) of Government Medical College, Nagpur (GMCN), India. MATERIALS AND METHODS: This study was conducted from October 2003 to March 2007 in SSH of GMCN. In the pre-interventional phase (Phase-I), purchase, stocking and distribution of A and D was studied to find problem areas. Based on this formative data an intervention was planned (Phase-II) during which rationing of the A and D was done. Rational quantities needed for different A and D procedures were calculated based on recommendations of National Aids Control Organization (NACO) with modifications to suit our hospital setup. Detailed information, education, communication and training about rational use of A and D were provided to the hospital staff. In the post-interventional phase (Phase-III), the use of A and D was rationalized at the distribution level and the efficacy of in-use A and D was tested at user sites. Data about medicine expenditure, patient record and A and D usage in various departments was obtained from hospital records. Savings on A and D as against total annual medicine expenditure was calculated taking the cost of A and D in the post-intervention period. RESULTS: The expenditure on A and D as a result of intervention decreased by 20.7%. Out of the total medicine expenditure, the expenditure on A and D which accounted for 6.2% before intervention, decreased to 1.95% after the intervention. CONCLUSION: The information, education and communication (IEC) interventions attempted by us resulted in significant decrease in the use and expenditure of A and D.
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spelling pubmed-30251312011-01-28 Economic impact of interventional study on rational use of antiseptics and disinfectants in Super Speciality Hospital of Nagpur Agarwal, Vandana Gharpure, Kunda Thawani, Vijay Makhija, Sushil Thakur, Anita Powar, Rajaram Indian J Pharmacol Research Article OBJECTIVE: To measure the impact of interventions on rational use of antiseptics and disinfectants (A and D) for cost containment in Super Speciality Hospital (SSH) of Government Medical College, Nagpur (GMCN), India. MATERIALS AND METHODS: This study was conducted from October 2003 to March 2007 in SSH of GMCN. In the pre-interventional phase (Phase-I), purchase, stocking and distribution of A and D was studied to find problem areas. Based on this formative data an intervention was planned (Phase-II) during which rationing of the A and D was done. Rational quantities needed for different A and D procedures were calculated based on recommendations of National Aids Control Organization (NACO) with modifications to suit our hospital setup. Detailed information, education, communication and training about rational use of A and D were provided to the hospital staff. In the post-interventional phase (Phase-III), the use of A and D was rationalized at the distribution level and the efficacy of in-use A and D was tested at user sites. Data about medicine expenditure, patient record and A and D usage in various departments was obtained from hospital records. Savings on A and D as against total annual medicine expenditure was calculated taking the cost of A and D in the post-intervention period. RESULTS: The expenditure on A and D as a result of intervention decreased by 20.7%. Out of the total medicine expenditure, the expenditure on A and D which accounted for 6.2% before intervention, decreased to 1.95% after the intervention. CONCLUSION: The information, education and communication (IEC) interventions attempted by us resulted in significant decrease in the use and expenditure of A and D. Medknow Publications 2008 /pmc/articles/PMC3025131/ /pubmed/21279171 http://dx.doi.org/10.4103/0253-7613.41043 Text en © Indian Journal of Pharmacology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Agarwal, Vandana
Gharpure, Kunda
Thawani, Vijay
Makhija, Sushil
Thakur, Anita
Powar, Rajaram
Economic impact of interventional study on rational use of antiseptics and disinfectants in Super Speciality Hospital of Nagpur
title Economic impact of interventional study on rational use of antiseptics and disinfectants in Super Speciality Hospital of Nagpur
title_full Economic impact of interventional study on rational use of antiseptics and disinfectants in Super Speciality Hospital of Nagpur
title_fullStr Economic impact of interventional study on rational use of antiseptics and disinfectants in Super Speciality Hospital of Nagpur
title_full_unstemmed Economic impact of interventional study on rational use of antiseptics and disinfectants in Super Speciality Hospital of Nagpur
title_short Economic impact of interventional study on rational use of antiseptics and disinfectants in Super Speciality Hospital of Nagpur
title_sort economic impact of interventional study on rational use of antiseptics and disinfectants in super speciality hospital of nagpur
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3025131/
https://www.ncbi.nlm.nih.gov/pubmed/21279171
http://dx.doi.org/10.4103/0253-7613.41043
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