Evaluating current practices and policies in the use of injectable medicines for treating myalgia in a primary care center in Pamekasan, Indonesia

AbstractBackgroundMyalgia in patients can be associated with a large array of conditions, including injuries, infections and inflammations. Treatment for myalgia may include the use of oral, topical and injectable medicines (IM). However, the use of IM has been restricted by the World Health Organization due to the common hazards associated with inappropriate medicine use, risks of disease transmission and more expensive spending for using IM. Accordingly, the Ministry of Health of Indonesia (MoH) has limited the use at the level of ≤1% in every primary care center (Puskesmas) across the nation. The aim of this study was to report and evaluate rational drug use injection in myalgia in a Puskesmas in Pamekasan, Indonesia.MethodsThis study reviewed official documents, such as rational drug use report, medicine use databases and drug request report. The documents were obtained from the district health office or public domain from 2014 to 2018. Data were then collated, extracted and presented as frequencies.ResultsThe average rate of use of IM for myalgia in Pamekasan was 36.15%. All 20 Puskesmas in Pamekasan conducted injection practice above the recommended level, thus reflecting a major gap between practice and policy implementation. This study implies that a substantial effort is needed to enforce the policy.ConclusionsThe use of IM for myalgia treatment in Pamekasan from 2014 to 2018 was significantly higher than the recommended level, thus reflecting a major problem in the practice. This is an alarming call for the local healthcare stakeholders to improve such a situation.

Download Full-text

Evaluation of rational drug use based on World Health Organization prescribing indicators in a primary care center in Pamekasan East Java, Indonesia

Journal of Basic and Clinical Physiology and Pharmacology ◽

10.1515/jbcpp-2019-0326 ◽

2020 ◽

Vol 30 (6) ◽

Author(s):

Eko Prasetio ◽

Wahyu Utami ◽

Zulhabri Othman ◽

Ari Wardani ◽

Abdul Rahem ◽

...

Keyword(s):

Primary Care ◽

Drug Use ◽

World Health Organization ◽

Care Center ◽

World Health ◽

Primary Care Center ◽

Prescribing Indicators ◽

Rational Drug Use ◽

Rational Drug ◽

Health Organization

AbstractBackgroundThe Government of Indonesia has put in place many interventions for rationalizing drug use at all levels of the health services including in primary care centers (puskesmas). One of the programs for the rational use of drugs at the puskesmas is the monitoring and evaluation of drug use conducted by pharmacists. The purpose of this research was to evaluate the rationality of drug use in Pamekasan puskesmas that use World Health Organization (WHO) prescribing indicators and to find the difference in the percentage of rationality of drug use between puskesmas in Pamekasan.MethodsThis study reviewed official documents considering reporting of rational drug use. The documents were obtained from the district health office or from the public domain from 2014 to 2018. Data were then collated, extracted, and presented as frequencies.ResultsThe percentage prescribed for antibiotics for acute respiratory infection (ARI) non-pneumonia was 47.27% and percentage prescribing antibiotic drugs in a non-specific diarrhea was 59.85%. The percentage prescribed for injection was 36.15%. The average number of drugs prescribed per treatment was 2.61.ConclusionsThe majority of WHO guidelines stated that prescribing indicators were not met by the puskesmas in Pamekasan, except for the parameters for the average number of drugs prescribed per consultation. This shows an alarming clarion call for the local healthcare stakeholders to improve such situations.

Download Full-text

Rational drug use in elderly patients in a primary care center

Journal of the Pakistan Medical Association ◽

10.47391/jpma.909 ◽

2021 ◽

pp. 1-10

Author(s):

Bahadir Yazicioglu ◽

Elif Dikmetas Yardan

Keyword(s):

Primary Care ◽

Drug Use ◽

Primary Care Physicians ◽

Care Center ◽

Family Health ◽

Drug Misuse ◽

Primary Care Center ◽

Drug Usage ◽

Elder Patients ◽

Rational Drug

Abstract Objective: The objective of the research was to examine and evaluate rational drug uses of patients over 65 years of age referring to Primary Care Center. Methods: A questionnaire on the drug usage habits of elder patients prepared by making literature scanning and taking expert view was applied in the study to the participants accepting to join the study among patients over 65 years of age applying to Family Health Center. Results: A total of 291 patients including 127 males (43.6%) and 164 females (56.4%) over 65 years of age were included in the study. Mean age of the participants was found 72.76. Leftover drug keeping ratio of the participants at home was found as 53.3% (n=155). When unprescribed drug usage conditions of the participants were questioned, 60.8% (n=177) stated that they didn't use unprescribed drugs. Conclusions: Polypharmacy is an important health problem for elder individuals with the lengthening of average duration of life and increase in the prevalence of chronic diseases. Drug use for a wrong time and dose may cause conditions such as the lack of the effect which should be provided by the drugs, or occur more than expected or unexpected drug-nutrient interactions. Primary care physicians have an important role in disease and health phases of elder patients. Keywords: Aging, Drug therapy, Drug misuse, Continuous...

Download Full-text

Rational and Irrational Drug Use: Factors, Impacts and Strategies to Combat Irrational Drug Use: A Narrative Review

10.47890/ijpscp/zahrahassanalqamariat/2021/24148307 ◽

2021 ◽

Vol 2 (1) ◽

pp. 6-17

Author(s):

Zahra Hassan AL Qamariat ◽

Keyword(s):

Drug Use ◽

Health System ◽

Essential Medicines ◽

World Health ◽

Local Health ◽

Rational Drug Use ◽

Inappropriate Use ◽

Rational Drug ◽

The World ◽

Health Organization

Misuse of drugs is a serious health problem all around the world. Rational drug use can be characterized as follows: patients receive drugs that meet their clinical needs, at doses that meet their requirements, promptly and at the lowest cost to themselves and their region. Drug abuse, polypharmacy, and misuse are the most prominent drug use problems today. Misuse of drugs can occur for a variety of reasons at different levels, including recommended mistakes and over-the- counter medications. Inappropriate use of income can lead to real negative benefits and financial results. There are many irrational drug mixtures available. Appropriate rational use of medicines will increase personal satisfaction and lead to better local health services. A list of essential medicines recommended by the World Health Organization (WHO) can assist the countries around the globe in rationalizing the distribution and purchasing of medicines, thus decreasing the costs to healthcare systems. Irrational drug use has been a subject of concern for years as it affects the health system and patients badly. Irrational use of drugs can result from several factors such as patient, prescriber, dispenser, health system, supply system, or regulations. Thus, diverse strategies have been used to promote rational drug use and also to tackle irrational use. Thereby the concept of rational and irrational drug use and factors that lead to either result should be identified and monitored.

Download Full-text

Evaluating rational drug use with the help of World Health Organization's core indicators in Bule Hora Hospital, Southern Ethiopia

Gaziantep Medical Journal ◽

10.5455/gmj-30-1206 ◽

2015 ◽

Vol 21 (2) ◽

pp. 108 ◽

Cited By ~ 4

Author(s):

Andinet Mariam ◽

Y Raghavendra ◽

Eshetu Mulisa

Keyword(s):

Drug Use ◽

World Health ◽

Southern Ethiopia ◽

Rational Drug Use ◽

Rational Drug

Download Full-text

Application of propensity scores to explore the effect of public reporting of medicine use information on rational drug use in China: a quasi-experimental design

BMC Health Services Research ◽

10.1186/s12913-014-0492-6 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 4

Author(s):

Xiaopeng Zhang ◽

Lijun Wang ◽

Xinping Zhang

Keyword(s):

Experimental Design ◽

Drug Use ◽

Propensity Scores ◽

Public Reporting ◽

Medicine Use ◽

Rational Drug Use ◽

Rational Drug ◽

Quasi Experimental

Download Full-text

In Pursuit of Rational Drug Use and Effective Drug Management: Clinical and Public Health Pharmacy Viewpoint

Asia Pacific Journal of Public Health ◽

10.1177/101053959400700408 ◽

1994 ◽

Vol 7 (4) ◽

pp. 236-241 ◽

Cited By ~ 1

Author(s):

Phillip Raymond Passmore ◽

Stanley George Kailis

Keyword(s):

Public Health ◽

Drug Use ◽

Health Benefit ◽

Effective Drug ◽

World Health ◽

Drug Management ◽

Rational Drug Use ◽

Rational Drug ◽

Optimal Drug ◽

Drug Problems

Drugs are a major technology in preventing and combating disease both at the individual and community levels. Managing this valuable resource for optimum public health benefit is paramount. Pharmacists have been recognized by the World Health Organisation and others as having a key role to play in promoting rational drug use and strengthening effective drug management. However, the profession needs to answer some critical questions relating to effective communication of their clinical role. Factors associated with the primary care role of pharmacists are discussed and include education, social and political pressures and professional attitudes. There is evidence of an expanding role for pharmacy in the health sector and a number of new challenges for pharmacy's role in strengthening public health are emerging. These include the profession's involvement in overcoming chronic shortages of essential drugs, strategies to combat the fake and inferior quality drug problems, and increased efforts to educate the public in optimal drug therapy and compliance with recognized drug dosages. Pharmacists are urged to assist governments develop effective policies and legislations for the pharmaceutical sector, based on research findings of pharmaceutical issues affecting public health. Asia Pac J Public Health1994; 7(4):236-41.

Download Full-text

Rational Drug Use Evaluation Based on World Health Organization Core Drug Use Indicators in Ethiopia: A Systematic Review

Drug Healthcare and Patient Safety ◽

10.2147/dhps.s311926 ◽

2021 ◽

Vol Volume 13 ◽

pp. 159-170

Author(s):

Birye Dessalegn Mekonnen ◽

Mekuanent Zemene Ayalew ◽

Asnakew Asres Tegegn

Keyword(s):

Systematic Review ◽

Drug Use ◽

World Health Organization ◽

World Health ◽

Rational Drug Use ◽

Drug Use Evaluation ◽

Rational Drug ◽

Health Organization

Download Full-text

Prescrições em serviços de saúde mental: aspectos legais e indicadores do uso racional de medicamentos

Scientia Medica ◽

10.15448/1980-6108.2017.3.25597 ◽

2017 ◽

Vol 27 (3) ◽

pp. 25597

Author(s):

Sarah Nascimento Silva ◽

Marina Guimarães Lima

Keyword(s):

Mental Health ◽

Drug Use ◽

Psychosocial Care ◽

Legal Aspects ◽

Essential Medicines ◽

World Health ◽

Patient Identification ◽

Rational Drug Use ◽

Rational Drug ◽

Health Organization

*** Prescriptions in mental health services: legal aspects and indicators of rational drug use ***AIMS: To evaluate the legal aspects and indicators of rational drug use in prescriptions issued by mental health services.METHODS: Prescriptions dispensed by pharmacies of reference of the Psychosocial Care Centers located in the Medio Paraopeba region, Minas Gerais, Brazil, were evaluated. A semi-structured questionnaire was developed for the collection of data, including the World Health Organization prescribing indicators and the criteria for compliance of prescriptions with the Brazilian legislation.RESULTS: A total of 390 prescriptions were analyzed, and the average number of drugs in each prescription was 2.17. It was observed that 96.78% of the drugs were prescribed by their generic names and that 97.13% were on the essential medicines list of municipalities. Legal aspects of the prescriptions were met for several criteria: 99.23% of the prescriptions had the prescriber’s signature, 98.97% showed the date of issue, and 97.69% contained minimum information for the user regarding the use of the medications. None of the assessed health centers issued prescriptions with all the necessary patient data and with information about the dispensed medications, as required by law.CONCLUSIONS: The study indicated that most of the prescriptions analyzed complied with the legal requirements and that the indicators of rational medication use were satisfactory. However, information on dispensing control and records of users was incomplete, demonstrating problems with patient identification and with the traceability of dispensed medicines.

Download Full-text