P325: Evaluation of rational prescribing of essential generic drugs in a rural community in Mali
Bibliographic record
Abstract
To assess the quality of the prescription of generic essential drugs in a reference health center in Mali. This is a descriptive cross-sectional study which was conducted from March to December 2008. The sample consisted of 300 prescriptions in outpatient. The parameters studied were the reasons for consultation, diagnosis retained, prescription drugs, and information on training for prescribers, standards and the treatment regimen. There were 1036 drugs prescribed for 300 prescriptions. Drugs most prescribed were anti-infectives, then analgesics, antipyretics and antimalarials. The average number of drugs per prescription was 3.4. In 70 % of prescriptions generics were prescribed, doctors were prescribers for only 64% of prescriptions. The average number of brand-name medicines per prescription was 1.03. The percentage of orders that contained at least one brand-name medicine was 62.33 %. Influencing factors evoked by prescribers were: efficiency for 57.9 %, the cost (31.6 %) and the availability (10.5 %). The mean cost of the order was 4400 CFA francs (about seven euros). Brand names continue to be widely prescribed in the rural town of San. A medicine prescription of international nonproprietary names is highly recommended.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".