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Challenges in promoting rational use of medicine
Challenges in promoting rational use of medicine. Nov 25, 2022 · Background. Several factors can promote irrational use of medicine at different stages of the medicine use cycle. Medicines play an integral part of healthcare delivery. 1 SIAPS APPROACH Jun 12, 2010 · WHO's recommendations to encourage the rational use of therapies include creation of special committees to monitor and improve use of medicines; training students in pharmacotherapy and prescription of drugs; removal of financial incentives for prescribers; and establishment of criteria for ethical drug promotion. Thus, this systematic review identified all empirical evidence to answer the practice of rational drug medicine in Ethiopia. Use of clinical guidelines. Irrational use of medicines is a major challenge facing many health systems across the world. viii RATIONAL USE OF MEDICINES IN THE ASEAN REGION EXECUTIVE SUMMARY Rational Use of Medicines (RUM) was identified as a priority agenda under the ASEAN work plan on pharmaceutical development 2011-2015. Jan 1, 2010 · It encompasses rational prescribing (good diagnosis practice and good prescribing practice, ie, the process of safe, effective, and economical ordering of drugs for the benefit of the patient Use 27 Managing for rational medicine use 28 Investigating medicine use 29 Promoting rational prescribing 30 Ensuring good dispensing practices 31 Community-based participation and initiatives 32 Drug seller initiatives 33 Encouraging appropriate medicine use by consumers 34 Medicine and therapeutics information 35 Pharmacovigilance Summary 29. Keywords: rational use of medicine, WHO/INRUD core drug use indicators, northwest Ethiopia Introduction Medicines are a major contributor to the health and well-being of human beings;1,2 Oct 1, 2019 · Dutta. Oct 28, 2016 · This article summarizes basic concepts such as rational medicine use, good prescribing and dispensing, and explores some of the factors that contribute to irrational use of medicines as well as potential impacts of such practices. A Drug Therapeutics Committee (DTC) is a tool for promoting more efficient and rational use of medicines by providing a forum for joint work jointly to improve health care delivery, focusing on medicines Jan 10, 2014 · The use of herbal remedies has also been widely embraced in many developed countries with complementary and alternative medicines (CAMs) now becoming mainstream in the UK and the rest of Europe, as well as in North America and Australia (Committee on the Use of Complementary, and Alternative Medicine by the American Public, Board on Health underlined the need for more to be done to rectify the irrational use of medicines, which was a serious global problem. WHO advocates 12 key interventions to promote more rational use: Establishment of a multidisciplinary national body to coordinate policies on medicine use. Apr 29, 2014 · A recent systematic review concluded that high levels of adherence to medicines (variously defined but including continued medicine use, or use above a threshold such as 80% of pills taken) was associated in many cases with positive health outcomes, such as decreased mortality (Simpson 2006). In view of the challenges and measures put in place by MoHSS and partners to minimize DR in Namibia, SIAPS has supported UNAM SOP in two key activities to: Organize and conduct a national workshop on promoting rational use of ARVs and other medicines Establish an International Network for Rational Use of Drugs Namibia chapter at UNAM Jun 22, 2021 · An optimal antimicrobial dose provides enough drug to achieve a clinical response while minimizing toxicity and development of drug resistance. This focus on RUM comes at a time when health systems in the ASEAN region face increasing challenges for high-quality health care. Implementing guidelines and protocols for appropriate prescribing practices, promoting adherence to treatment regimens, and raising awareness about the risks of self-medication and antibiotic Aug 30, 2016 · Medicines play an integral part of healthcare delivery. However, the current surge in antimicrobial misuse and overuse in human, agricultural and veterinary practices have escalated world-wide spread of antimicrobial-resistant organisms which has emerged as a big threat to global health [2–4]. Promoting the rational use of medicines will result in improved quality and increased accessibility of drugs leading to better quality of life for the community. () The Alma Ata declaration has outlined the eight essential components of primary health care and provision of essential medicines is one Jan 1, 2018 · Nevertheless, this has also given rise to irrational, inappropriate, and ineffective use of medicines. (2) To present, share and review the experiences on the projects on empowering consumers to promote rational use of medicines. In developing and transitional countries, in primary care less than 40% of To promote rational use of medicines to the consumer in the South-East Asia Region. The definition of rational use of medicines was formulated at the Conference of Experts on the Rational Use of Drugs held in Nairobi in 1985, and endorsed by resolution WHA39. Please see later in the article for the Editors' Summary WHO supports countries and regions to: Build capacity for treatment: Reducing the problem of snakebite envenoming begins by improving education about its risk and providing training to medical staff and health-care workers in affected countries. 1. 2 PTCs have been shown to be effective in promoting rational medicine use in developing countries, even though the use of such committees has been minimal. Jul 27, 2021 · Despite of efforts have been tried to promote rational drug use, hundreds of millions of people in both developed and the developing countries do not have access to essential medicines, which further leads to inappropriate use of medicines. Rational use of drugs is one of the major issues in health systems. Measuring the impact/obtaining the evidence: Conducting cost benefit analysis; A cross-cutting health system approach and the establishment of national programmes to promote rational use of medicines would require much more investment than governments and donors have so far been willing to give. saved with more rational medicine use. The government estimates that the percentage of Indian population accessing public healthcare will be around 52% by 2017 from present value of 22%. To address Mar 28, 2024 · Citation 23 Both documents point to the lack of policies that promote the rational use of medicines, the absence of therapeutic committees within health facilities, the lack of (independent) information for prescribers and dispensers, and the insufficient training of health care staff in the rational use of medicines. The number of doctors, nurses and paramedical staff in public facilities has increased markedly. The infrastructure for such activities will Jan 28, 2017 · Rational Use of Medicine (RUM) The aim of any pharma-management system is to deliver the correct medicine to the patient Appropriate selection, procurement, and distribution are precursors to RUM. Rational drug Jul 3, 2021 · further understanding of rational medicine use practice. A government strategy to promote rational use of antimicrobials in health care reduced antibiotic sales and percentage of prescriptions for antimicrobials for both hospitalized patients and outpatients, and offers insights to shape future initiatives. And, although the consequences are severe, less than half of all countries implement many of the basic policies needed to ensure Mar 1, 2019 · Irrational use of medicines is a major challenge facing many health systems across the world. This awareness must be increased in all relevant sectors. The critics broadcast that these issues are Jun 21, 2021 · According to the WHO/INRUD core drug use indicators, rational medicine use is not achieved in terms of most components of the prescribing, patient care, and facility-specific indicators. However, they are expensive commodities and account for a significant proportion of overall health May 27, 2013 · This initiative has been undertaken to promote rational use of medicines and reduce the consumption of unscientific and hazardous medicines. Increased burden and work of health personnel 7. However, the review also suggested that good Nov 19, 2013 · Xonghong Xiao and colleagues analyze the challenge of antimicrobial resistance in China. Development and use of national essential medicines list. The Conference of Experts on the Rational Use of Oct 28, 2016 · Irrational use of medicines is a major global health challenge with significant implications for patients, healthcare systems and communities as a whole. wjpmr. Establishment of drug and therapeutics committees in districts and hospitals. Jan 23, 2018 · WHO recommends twelve key interventions to promote rational use which include the formulation and use of evidence-based standard treatment guidelines for training, supervision and supporting critical decision-making about medicines as well as the development and use of national essential medicines lists. RUM fulfils following criteria; Appropriate indication Appropriate medicine Appropriate dosage Correctly dispensed Appropriately informed patients Oct 16, 2022 · The activities were conducted by following the WHO’s twelve core interventions to promote the rational use of medicine that includes clinical guidelines, an essential medicines list based on treatments of choice, drugs and therapeutics committees in districts and hospitals, supervision audit and feedback, independent information on medicines 27. Since antimicrobials are a precious resource, it is essential that they are only prescribed by qualified healthcare professionals for patients with a confirmed need. Rational use of medicines requires that "patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community. 2 USE 27. May 1, 2005 · Promoting the rational use of medicines requires effective policies as well as efficient collaboration between health professionals, patients, and entire communities. Apr 15, 2020 · The concept has also been relevant for community practice where services and functions of community pharmacists in promoting and supporting rational medicines use and counseling is imperative. The following interventions, which underline the WHO medicines strategy, are recommended:1 • establishing a mandated multidisciplinary national body to coordinate policies on medicine use and monitor their impact specific indicators. Manual and a Promoting Rational Drug Use in the Community course. It also requires patients to receive medications appropriate to their clinical needs at optimum doses that meet their requirements for an adequate time and at an affordable cost. •Promoting rational drug (medicine) use in the community, in collaboration with the University of Amsterdam, The Netherlands. There can be considerable variability in Rational use of medicine (RUM) is an extremely desirable requirement in the healthcare delivery system. What is rational use? WHO’s defi nition is, “Patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community” (WHO 1985). The concept of " rational use of medicine " can at times be confusing and not easily appreciated Dec 9, 2008 · Introduction. However, we believe this definition needs an urgent update to incorporate One-Health's philosophy. May 1, 2021 · For a long time, the definition of “Rational Use of Drugs” has set the basic conceptual framework for health providers worldwide to implement relevant recommendations about drug use, improving the quality of the lives of patients. play in promoting the rational use of medicines. WHO estimates that more than half of all medicines are prescribed Education, with its various approaches, has an important role to play in promoting the rational use of medicines. 5 Promoting rational medicine use (RMU) is vital to ensuring effective, safe, and cost-effective treatment outcomes and to preserving the efficacy of existing medicines. The National Committee of Rational Use of Drugs (NCRUD) activities to educate physicians, general population and children in rational use of drugs were efficient and the results show reduction of irrational Use of drugs. The issue has never been discussed in detail at the Regional Committee meetings. For all those patients, high-quality antimicrobials need to be accessible at any time to guarantee an appropriate clinical management. Analyzing the prescriptions would be of help in recognition of physicians' behavior and population Jun 21, 2021 · According to the WHO/INRUD core drug use indicators, rational medicine use is not achieved in terms of most components of the prescribing, patient care, and facility-specific indicators. World Journal of Pharmaceutical and Medical Research www. By relying on evidence from clinical research and guidelines, pharmacists can make informed decisions about medication therapy, ensuring that the chosen treatment is appropriate, effective, and safe for the patient. Let us now turn to the definition of the rational use of medicines. And, although the consequences are severe, less than half of all countries implement many of the basic policies needed to ensure appropriate medicine use. The average number of drugs per prescription, percentage of drugs encounter with antibiotics, drugs prescribed by their generic name, average consultation time, average dispensing time, percentage of drugs adequately labeled, and availability of essential drugs showed deviation from the The issue of rational use of medicines (RUM) has been throbbing since decades and the essential medicine (EM) concept has been pulsating for almost a quarter century. 6,15 Besides, medically inappropriate drugs, ineffective and inefficient use of medicines are commonly Mar 7, 2015 · Inappropriate and irrational use of medicines is a widespread problem that waste resources and seriously undermines the quality of patient care and can also result in antimicrobial resistance. 16 on “Progress in the rational use of medicines” was adopted. In order to strengthen enabling factors in education, there must be a comprehensive national medicines policy that has a concrete component of education to help improve the rational use of medicines. com 130 6. The Alma-Ata declaration during the International Conference on Primary Health Care in 1978 reaffirms that health is a fundamental human right and the attainment of the highest possible level of health is a most important worldwide social goal. National medicine policies often govern rational medicine use in any country, but unfortunately the need for rational medicine use is higher in developing countries that have limited financial resources and multiple pressing needs. A major global problemIrrational use of medicines is a major problem worldwide. The essential medicine list (EML), accessibility, affordability and availability of EM have been some of the important issues in RUM. The steps of appropriate selection, procurement, and distribution are necessary precursors to the rational use of medicines. 1 It encompasses rational prescribing (good diagnosis practice and good prescribing practice, ie, the process of safe, effective, and economical ordering of drugs for the benefit of the with MOHs to endorse rational use of medicines Maintain countries to launch a division on rational use of medicines within the MOH Enterprise advocacy Financial statement for actions on rational use of medicines[8] 1. RUM fulfils following criteria; Appropriate indication Appropriate medicine Appropriate dosage Correctly dispensed Appropriately informed patients play in promoting the rational use of medicines. Specific objectives (1) To review the regional situation in rational use of medicines. Therefore, both health centers should work towards promoting the rational use of medicines. The discovery of penicillin by Sir Alexander Fleming in 1928 is one of the greatest revolutions in therapeutics and practice of modern medicine []. WHO supports the development of standard treatment guidelines for medical professionals and health-care workers. 2 collect sufficient evidence to make recommendations on how to promote rational use of medicines. WHO advocates 12 key interventions to promote more rational use: Establishment of a multidisciplinary national body to coordinate policies on medicine use; Use of clinical guidelines; Development and use of national essential medicines list; Establishment of drug and therapeutics committees in districts and hospitals This course teaches the investigation of medicine use in primary health care and how to promote rational use of medicines by providers. reported progress in rational use of medicines and continued to advocate for the role of PTCs to improve the use of medicines in districts and hospitals. 1 Definition of rational medicine use The aim of any pharmaceutical management system is to deliver the correct medicine to the patient who needs that medicine. Irrational use of medicines is an extremely serious global problem that is wasteful and harmful. 28 In providing pharmaceutical care during the COVID-19 pandemic, the focus of community pharmacists will be on the prevention, identification and/or Nov 19, 2013 · Xonghong Xiao and colleagues analyze the challenge of antimicrobial resistance in China. Such practices are likely to lead to poor health delivery that may put patients at risk and result in wastage of Jan 16, 2020 · Rational drug use (RDU) is the process of appropriate prescribing, dispensing, and patient use of drugs for diagnosis, prevention, and treatment of diseases. Overuse and misuse of antimicrobials are main drivers of antimicrobial resistance. It is updated every six months. The World Health Organization (WHO) defines it as follows: ‘The rational use of medicines requires that patients receive medications appropriate to their clinical needs, in doses that meet their own requirements, for an adequate period of time and at the lowest rational use of medicines; (4) to promote research, particularly on development of sustainable interventions for rational medicine use at all levels of the health sector, both public and private; (5) to promote discussion among health authorities, professionals and patients on the rational use of medicines; Nov 21, 2023 · Priorities to address AMR in human health include preventing all infections, which may result in inappropriate use of antimicrobials; ensuring universal access to quality diagnosis and appropriate treatment of infections; and strategic information and innovation, for example surveillance of AMR and antimicrobial consumption/use, and research Nov 11, 2023 · Firstly, EBPP and pharmacist care promote the rational use of medications. The World Health Organization (WHO) has defined RUM as “patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community” []. Inappropriate drug promotion and advertisements Jul 27, 2021 · Conclusion . medicine use. This review was aimed at assessing the medicine use pattern in health facilities in a reproducible manner using the med- Rational Drug Use (RDU) demands the prescribing, dispensing, and patient’s use of medicine to be appropriate for diagnosis, prevention and treatment of diseases. Data resources: INRUD bibliography: The INRUD Bibliography is an annotated database of published and unpublished articles, books reports and other documents focusing on rational use of medicines, mainly in developing countries. Promoting Rational Drug Use: The Need for a National Rational Drug Use Sub-Mission Introduction: The Issues Health system strengthening is a central mandate of the National Rural Health Mission. The WHO analysis of 2020 The use of herbal remedies has also been widely embraced in many developed countries with complementary and alternative medicines (CAMs) now becoming mainstream in the UK and the rest of Europe, as well as in North America and Australia (Committee on the Use of Complementary, and Alternative Medicine by the American Public, Board on Health Rational use of medicines A pharmacist is one of the inevitable members of healthcare team who can help in achieving the goal of rational use of drugs. The issue of rational use of medicines (RUM) has been throbbing since decades and the essential medicine (EM) concept has been pulsating for almost a quarter century. 27 on the revised promoting rational use of medicines was discussed for the first time in detail at the World Health Assembly only in 2007 when resolution WHA60. So has the utilization of these facilities by the Nov 9, 2023 · Promote Rational Use of Medicines: Educating healthcare providers, pharmacists, and the public about the rational use of medicines is essential. 5 It is commonly expressed in terms of polypharmacy, inappropriate use of antimicrobials, over-use of injection, failure to prescribe in accordance with clinical guidelines, and inappropriate self-medication than on efforts to ensure rational use of drugs by consumers. Promoting rational medicine use (RMU) is vital to ensuring effective, safe, and cost-effective treatment outcomes and to preserving the efficacy of existing medicines. This study showed that the practice of rational drug use varied across region of the country. 2. Pharmacists with well-organized practice can go a long way toward ensuring rational use of medicines and ultimately contributing to providing quality health care for patients. However, they are expensive commodities and account for a significant proportion of overall health expenditure in most countries. WHO also participates in the creation Apr 18, 2021 · On the contrary, irrational or non-rational use is the use of medicines in a way that is not compliant with rational use as defined above.
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