logo

Why not digitised medical prescription?

Neil Ray | Monday, 15 June 2015


The Indian government has decided to issue an instruction for that country's physicians to write the names of prescribed medicines in capital letters. This is in response to complaints made by different quarters for long against illegibly written medical prescriptions by most doctors.  At times, allegations have it, physicians prescribe medicines, God knows why, which are not available in the market. The situation is no different in Bangladesh.
Doctors are supposed to come from a brilliant stock of students in any country. Barring a very few, such students were credited with good hand writing. One wonders if they wrote so awfully in their answer scripts when they had to score higher marks to be considered for medical college test or its examination later on, could they be where they are now!
Then, what does prompt them to write prescriptions in a manner that those become extremely difficult or even impossible to decipher? They take the exercise casually. Bad handwriting is nothing but lack of concentration. Had they been attentive enough, their writings would not have turned so unreadable. What is even more intriguing is that almost an entire community of professionals does this by default. This is quite exceptional. Deed writers and a few other professionals may have a style of their own quite unintelligible but at no point do they write as badly as doctors usually do.
Also doctors write names of a few medicines -- its forms such as tablets or syrup -and the number of times and days for use or intake. Not a lot of writing indeed! But they would scribble the prescription awfully for a few or none to make any meaning out of it. Are they too busy to give the extra few seconds to write a prescription for all to read it clearly? A little care would have spared patients and their near and dear ones of the pains of rushing from one drug store to another as also the mounting tension and delay caused in the process.
Surely the Indian government's is a move in the right direction. Bangladesh should follow suit. It will bring about some improvement but then those who write badly in case of upper lower will do so when they endeavour with all caps. Reading the names of medicines prescribed can be equally frustrating unless doctors take some care when they write those in all caps. The busier the physicians are the greater the chance of their prescription becoming unintelligible to the ordinary mortals and the salesmen and women at the drug stores.
To avoid this, the best solution to the problem would be the digitised prescription. Busier doctors with hefty income will have no problem in writing the names of medicines on a computer. If a doctor so wishes s/he can dictate the drugs to an assistant employed for the purpose. There will be a ready format where the ailments will be entered first and then the prescribed medicines will be entered before ordering a print. If this is done, the chance of mistaking one medicine for another can be completely avoided. Death due to wrong medicines is not an unheard-of phenomenon. Further complications are most usual. All this can be a thing of the past if prescriptions are digitised.
Well, in villages and hinterlands where computer is still a luxury, doctors may not avail of the facility. But soon all areas of Bangladesh will enjoy the facility. In a digitised country, it will not be an outlandish proposal.
The Indian government's instruction also favours mentioning the generic names of the medicines. A good idea, no doubt. But no common man is expected to make a choice for an alternative from a different pharmaceutical company-one that may be cheaper. In that case patients or their relatives will have to depend on salespersons of a drug store.