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Journal of Chinese Integrative Medicine ›› 2013, Vol. 11 ›› Issue (5): 305-313.doi: 10.3736/jintegrmed2013048

• Research Article • Previous Articles     Next Articles

A study on drug utilization and prescription habits of physicians in a government homeopathic hospital in West Bengal, India

Munmun Koleya, Subhranil Sahaa, Jogendra Singh Aryaa, Gurudev Choubeya, Shubhamoy Ghoshb, Rajib PurkaitbRamkumar Mondalb, Bapi Kundub, Rajarshi Mukherjeeb   

  1. a. Clinical Research Unit (Homeopathy), Central Council for Research in Homeopathy, Siliguri 734006,Darjeeling, West Bengal, India
    b. Mahesh Bhattacharyya Homeopathic Medical College and Hospital, Government of West Bengal, WestBengal University of Health Sciences, Howrah 711104, West Bengal, India
  • Received:2013-04-03 Accepted:2013-07-18 Online:2013-09-10 Published:2013-09-15


Improper prescribing habits and inappropriate drug use lead to serious health and economic consequences. This study was undertaken to evaluate drug utilization services and prescription patterns of homeopathic doctors in a government homeopathic teaching hospital in India.


No standardized homeopathic drug use indicators are available. The researchers used indicators for health care setting (drug availability)-modified prescribing indicators and patient care indicators, based on World Health Organization’s core drug use indicators. A cross-sectional, prospective, institutional, observational study of 2-month duration with record analysis was conducted on 600 patients visiting seven different outpatient departments (OPDs) for the first time at Mahesh Bhattacharyya Homeopathic Medical College & Hospital, Howrah, West Bengal, India, using the developed indicators.


Overall availability of prescribed drugs was quite satisfactory (92.28%). Centesimal potencies accounted for the majority of prescriptions (74.76%). There was a poor record of diagnosis (39.17%) except in the OPDs of Gynecology and Obstetrics (68.48%, P < 0.01) and Dermatology (64.58%, P < 0.01). Records of investigational findings and ongoing therapies, if any, were also poor except OPDs of Gynecology and Obstetrics, and Pediatrics. Structure of prescriptions was maintained satisfactorily in all the OPDs. Though tendency of using ‘individualized homeopathy’ predominated, there also existed the use of ‘polypharmacy’. Mean consultation time was 5.9 min. Labeling was extremely poor and is an area needing improvement. The prescriptions were highly legible.


This was a preliminary study, conducted for the first time in homeopathy using newly developed indicators that yield meaningful results. Further studies are necessary in order to evaluate the different factors involved and to plan future interventions to improve the quality of care in healthcare settings.

Key words: Homeopathy, Prescriptions, Drug, Durg utilization, Hospital

Figure 1

Flowchart of the study2.3 Questionnaire development and testingNo universally accepted standardized health care facility indicators, prescribing indicators and patient care indicators were available in homeopathy. Five experts with adequate research expertise (Munmun Koley, Subhranil Saha, Shubhamoy Ghosh, Jogendra Singh Arya and Gurudev Choubey) were involved in the development of the trial questionnaire through four iterative Delphi rounds, provided with a yes/no Likert scale, based on WHO-designed core drug indicators[5]."







[1] Santos VD, Nitrini SM . Prescription and patient-care indicators in healthcare services[J]. Rev Saúde Pública, 2004,38(6):819-826
doi: 10.1590/S0034-89102004000600010
[2] Angamo MT, Wabe NT, Raju NJ . Assessment of patterns of drug use by using World Health Organization’s prescribing, patient care and health facility indicators in selected health facilities in southwest Ethiopia[J]. J App Pharm Sci, 2011,1(7):62-66
[3] Le Grand A, Hogerzeil HV, Haaijer-Ruskamp FM . Intervention research in rational use of drugs: a review[J]. Health Policy Plan, 1999,14(2):89-102
doi: 10.1093/heapol/14.2.89
[4] Dong L, Yan H, Wang D . Drug prescribing indicators in village health clinics across 10 provinces of Western China[J]. Fam Pract, 2011,28(1):63-67
doi: 10.1093/fampra/cmq077
[5] Internation Network for Rational Use of Drugs, World Health Organization . How to investigate drug use in health facilities: selected drug use indicators - EDM research series no. 007, 1993. (2013-02-26)[2013-02-27]. .
[6] Belknap SM, Moore H, Lanzotti SA, Yarnold PR, Getz M, Deitrick DL, Peterson A, Akeson J, Maurer T, Soltysik RC, Storm GA, Brooks I . Application of software design principles and debugging methods to an analgesia prescription reduces risk of severe injury from medical use of opioids[J]. Clin Pharmacol Ther, 2008,84(3):385-392
doi: 10.1038/clpt.2008.24
[7] Bhattacharyya A, Gupta H, Dewangan MK . Prescription pattern study of the drugs used in tertiary hospitals of the Bilaspur region[J]. Asian J Pharm Clin Res, 2012,5(suppl 4):73-76
[8] Banerjje DD . Textbook of homoeopathic pharmacy (including pharmacological principles for homoeopathic practice). New Delhi: B Jain Publishers Ltd. 2002.
[9] Singh P, Yadav RJ, Pandey A . Utilization of indigenous systems of medicine and homeopathy in India[J]. Indian J Med Res, 2005,122(2):137-142
[10] Government of West Bengal ; Department of Health & Family Welfare. [ 2013-03-22]. .
[11] Biswas R, Chatterjee P, Mundle M . Prescribing habits of physicians in Medical College, Calcutta[J]. Indian J Commun Med, 2000,25(4):161-165
[12] Kleijnen J, Knipschild P, Riet GT . Clinical trials of homeopathy[J]. BMJ, 1991,302(6772):316-323
doi: 10.1136/bmj.302.6772.316
[13] Zou J, Li LY, Zhang C, Yan YR, Gao FX, Zhang H . Analysis of outpatient prescription indicators and trends in Chinese Jingzhou area between September 1 and 10, 2006-2009[J]. Afr J Pharm Pharmacol, 2011,5(2):270-275
[14] Batty GM, Grant RL, Aggarwal R, Lowe D, Potter JM, Pearson MG, Jackson SHD . Using prescribing indicators to measure the quality of prescribing to elderly medical in-patients[J]. Age Aging, 2003,32(3):292-298
doi: 10.1093/ageing/32.3.292
[15] Rokstad K, Straand J, Sandvik H . Patient encounters in general practice. An epidemiological survey in Mre and Romsdal. Tidsskr Nor Lgeforen 1997; 117(5): 659-664. Norwegian with abstract in English.
[16] Deroukakis M . Selection of potencies by medical and non-medical homeopaths: a survey[J]. Homeopathy, 2002,91(3):150-155
doi: 10.1054/homp.2002.0026
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