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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 |
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creator | Kuang, Lishan Liu, Yizhuo Wei, Wei Song, Xueqing 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 |
format | article |
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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0243555</identifier><identifier>PMID: 33301450</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2020-12, Vol.15 (12), p.e0243555-e0243555</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Kuang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Kuang et al 2020 Kuang et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-72b7cdaea976e3c6889bec0c6ab34f1986cc6c139f11d46232465db42f626dce3</citedby><cites>FETCH-LOGICAL-c692t-72b7cdaea976e3c6889bec0c6ab34f1986cc6c139f11d46232465db42f626dce3</cites><orcidid>0000-0002-9816-8359</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2469058412?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2469058412?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,38516,43895,44590,53791,53793,74412,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33301450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Schneider, Carl Richard</contributor><creatorcontrib>Kuang, Lishan</creatorcontrib><creatorcontrib>Liu, Yizhuo</creatorcontrib><creatorcontrib>Wei, Wei</creatorcontrib><creatorcontrib>Song, Xueqing</creatorcontrib><creatorcontrib>Li, Xiaoqian</creatorcontrib><creatorcontrib>Liu, Qiqi</creatorcontrib><creatorcontrib>Hong, Weimin</creatorcontrib><creatorcontrib>Liu, Qian</creatorcontrib><creatorcontrib>Li, Jingwei</creatorcontrib><creatorcontrib>Chen, Zhongwei</creatorcontrib><creatorcontrib>Fang, Yu</creatorcontrib><creatorcontrib>Xia, Sujian</creatorcontrib><title>Non-prescription sale of antibiotics and service quality in community pharmacies in Guangzhou, China: A simulated client method</title><title>PloS one</title><addtitle>PLoS One</addtitle><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.</description><subject>Amoxicillin</subject><subject>Amoxicillin - therapeutic use</subject><subject>Anti-Bacterial Agents - economics</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Biology and Life Sciences</subject><subject>Cephalosporins</subject><subject>Cephalosporins - therapeutic use</subject><subject>China - epidemiology</subject><subject>Commerce</subject><subject>Community Pharmacy Services - economics</subject><subject>Community Pharmacy Services - trends</subject><subject>Customer services</subject><subject>Dispensing</subject><subject>Distribution</subject><subject>Drug stores</subject><subject>Drugstores</subject><subject>Health Services</subject><subject>Herbal medicine</subject><subject>Humans</subject><subject>Infections</subject><subject>Investigations</subject><subject>Licenses</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Nonprescription drugs</subject><subject>People and Places</subject><subject>Pharmacies - economics</subject><subject>Pharmacies - trends</subject><subject>Pharmacists</subject><subject>Pharmacists - economics</subject><subject>Prescription drugs</subject><subject>Public awareness</subject><subject>Quality of service</subject><subject>Respiratory tract</subject><subject>Respiratory tract diseases</subject><subject>Respiratory Tract Infections - drug therapy</subject><subject>Rural areas</subject><subject>Sales</subject><subject>Services</subject><subject>Traditional Chinese medicine</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9-L1DAQx4so3nn6H4gWBFFw1-ZH09YHYVn0XDg88NdrmE3TbY406SXp4fniv27q9o6t3IPkIcnkM9-ZTDJJ8hRlS0QK9PbCDs6AXvbWyGWGKcnz_F5yjCqCFwxn5P7B-ih55P1FluWkZOxhckQIyRDNs-Pk92drFr2TXjjVB2VN6kHL1DYpmKC2ygYlfFzXqZfuSgmZXg6gVbhOlUmF7brBjJu-BdeBUNKP9tMBzO5Xa4c36bpVBt6lq9SrbtAQZJ0KraQJaSdDa-vHyYMGtJdPpvkk-f7xw7f1p8XZ-elmvTpbCFbhsCjwthA1SKgKJolgZVltpcgEgy2hDapKJgQTiFQNQjVlmGDK8npLccMwq4UkJ8nzvW6vredT7TyPWJXlJUU4Eps9UVu44L1THbhrbkHxvwbrdhxcrIaWvECoiYFrVIqGlrkogaC8IBkghKocIGq9n6IN207G-CY40DPR-YlRLd_ZK14UuMRlGQVeTQLOXg7SB94pL6TWYKQdxrwLRFlWVGPeL_5B777dRO3i83JlGhvjilGUrxilOaIEs0gt76DiqGWnRPxojYr2mcPrmUNkgvwZdjB4zzdfv_w_e_5jzr48YFsJOrTe6mH8oX4O0j0onPXeyea2yCjjY5_cVIOPfcKnPoluzw4f6NbppjHIH-YqDp8</recordid><startdate>20201210</startdate><enddate>20201210</enddate><creator>Kuang, Lishan</creator><creator>Liu, Yizhuo</creator><creator>Wei, Wei</creator><creator>Song, Xueqing</creator><creator>Li, Xiaoqian</creator><creator>Liu, Qiqi</creator><creator>Hong, Weimin</creator><creator>Liu, Qian</creator><creator>Li, Jingwei</creator><creator>Chen, Zhongwei</creator><creator>Fang, Yu</creator><creator>Xia, Sujian</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>COVID</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9816-8359</orcidid></search><sort><creationdate>20201210</creationdate><title>Non-prescription sale of antibiotics and service quality in community pharmacies in Guangzhou, China: A simulated client method</title><author>Kuang, Lishan ; Liu, Yizhuo ; Wei, Wei ; Song, Xueqing ; Li, Xiaoqian ; Liu, Qiqi ; Hong, Weimin ; Liu, Qian ; Li, Jingwei ; Chen, Zhongwei ; Fang, Yu ; Xia, Sujian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-72b7cdaea976e3c6889bec0c6ab34f1986cc6c139f11d46232465db42f626dce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Amoxicillin</topic><topic>Amoxicillin - therapeutic use</topic><topic>Anti-Bacterial Agents - economics</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>Biology and Life Sciences</topic><topic>Cephalosporins</topic><topic>Cephalosporins - therapeutic use</topic><topic>China - epidemiology</topic><topic>Commerce</topic><topic>Community Pharmacy Services - economics</topic><topic>Community Pharmacy Services - trends</topic><topic>Customer services</topic><topic>Dispensing</topic><topic>Distribution</topic><topic>Drug stores</topic><topic>Drugstores</topic><topic>Health Services</topic><topic>Herbal medicine</topic><topic>Humans</topic><topic>Infections</topic><topic>Investigations</topic><topic>Licenses</topic><topic>Medicine and Health Sciences</topic><topic>Methods</topic><topic>Nonprescription drugs</topic><topic>People and Places</topic><topic>Pharmacies - economics</topic><topic>Pharmacies - trends</topic><topic>Pharmacists</topic><topic>Pharmacists - economics</topic><topic>Prescription drugs</topic><topic>Public awareness</topic><topic>Quality of service</topic><topic>Respiratory tract</topic><topic>Respiratory tract diseases</topic><topic>Respiratory Tract Infections - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuang, Lishan</au><au>Liu, Yizhuo</au><au>Wei, Wei</au><au>Song, Xueqing</au><au>Li, Xiaoqian</au><au>Liu, Qiqi</au><au>Hong, Weimin</au><au>Liu, Qian</au><au>Li, Jingwei</au><au>Chen, Zhongwei</au><au>Fang, Yu</au><au>Xia, Sujian</au><au>Schneider, Carl Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Non-prescription sale of antibiotics and service quality in community pharmacies in Guangzhou, China: A simulated client method</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-12-10</date><risdate>2020</risdate><volume>15</volume><issue>12</issue><spage>e0243555</spage><epage>e0243555</epage><pages>e0243555-e0243555</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.</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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