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Non-prescription sale of antibiotics and service quality in community pharmacies in Guangzhou, China: A simulated client method

To measure the situation of the non-prescription sale of antibiotics and the service quality of community pharmacies in Guangzhou, China. A simulated client method was conducted to estimate the non-prescription sale of antibiotics and service quality based on scenarios about adult acute upper respir...

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Published in:PloS one 2020-12, Vol.15 (12), p.e0243555-e0243555
Main Authors: Kuang, Lishan, Liu, Yizhuo, Wei, Wei, Song, Xueqing, Li, Xiaoqian, Liu, Qiqi, Hong, Weimin, Liu, Qian, Li, Jingwei, Chen, Zhongwei, Fang, Yu, Xia, Sujian
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cited_by cdi_FETCH-LOGICAL-c692t-72b7cdaea976e3c6889bec0c6ab34f1986cc6c139f11d46232465db42f626dce3
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creator Kuang, Lishan
Liu, Yizhuo
Wei, Wei
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Li, Xiaoqian
Liu, Qiqi
Hong, Weimin
Liu, Qian
Li, Jingwei
Chen, Zhongwei
Fang, Yu
Xia, Sujian
description To measure the situation of the non-prescription sale of antibiotics and the service quality of community pharmacies in Guangzhou, China. A simulated client method was conducted to estimate the non-prescription sale of antibiotics and service quality based on scenarios about adult acute upper respiratory tract infection in 2019. A total of 595 community pharmacies from 11 districts were investigated in Guangzhou, China. We used binary logistic regression to evaluate the factors associated with the non-prescription sale of antibiotics. The proportion of non-prescription dispensing of antibiotics was 63.1% in Guangzhou, China, with a higher incidence of antibiotic dispensing without prescription in outer districts (69.3%). Cephalosporin (44.1%) and Amoxicillin (39.0%) were sold more often than other antibiotics. Chain pharmacies had better performance on the prescription sale of antibiotics and service quality. Traditional Chinese medicine was commonly recommended by pharmacy staff. Since the non-prescription sale of antibiotics is prevalent in Guangzhou, effective solutions should be determined. Strengthened public awareness and regulatory system innovation are needed.
doi_str_mv 10.1371/journal.pone.0243555
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A simulated client method was conducted to estimate the non-prescription sale of antibiotics and service quality based on scenarios about adult acute upper respiratory tract infection in 2019. A total of 595 community pharmacies from 11 districts were investigated in Guangzhou, China. We used binary logistic regression to evaluate the factors associated with the non-prescription sale of antibiotics. The proportion of non-prescription dispensing of antibiotics was 63.1% in Guangzhou, China, with a higher incidence of antibiotic dispensing without prescription in outer districts (69.3%). Cephalosporin (44.1%) and Amoxicillin (39.0%) were sold more often than other antibiotics. Chain pharmacies had better performance on the prescription sale of antibiotics and service quality. Traditional Chinese medicine was commonly recommended by pharmacy staff. Since the non-prescription sale of antibiotics is prevalent in Guangzhou, effective solutions should be determined. Strengthened public awareness and regulatory system innovation are needed.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33301450</pmid><doi>10.1371/journal.pone.0243555</doi><tpages>e0243555</tpages><orcidid>https://orcid.org/0000-0002-9816-8359</orcidid><oa>free_for_read</oa></addata></record>
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subjects Amoxicillin
Amoxicillin - therapeutic use
Anti-Bacterial Agents - economics
Anti-Bacterial Agents - therapeutic use
Antibiotics
Biology and Life Sciences
Cephalosporins
Cephalosporins - therapeutic use
China - epidemiology
Commerce
Community Pharmacy Services - economics
Community Pharmacy Services - trends
Customer services
Dispensing
Distribution
Drug stores
Drugstores
Health Services
Herbal medicine
Humans
Infections
Investigations
Licenses
Medicine and Health Sciences
Methods
Nonprescription drugs
People and Places
Pharmacies - economics
Pharmacies - trends
Pharmacists
Pharmacists - economics
Prescription drugs
Public awareness
Quality of service
Respiratory tract
Respiratory tract diseases
Respiratory Tract Infections - drug therapy
Rural areas
Sales
Services
Traditional Chinese medicine
title Non-prescription sale of antibiotics and service quality in community pharmacies in Guangzhou, China: A simulated client method
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