Intervention research in rational use of drugs: a review.
Many studies have been done to document drug use patterns, and indicate that overprescribing, multi-drug prescribing, misuse of drugs, use of unnecessary expensive drugs and overuse of antibiotics and injections are the most common problems of irrational drug use by prescribers as well as consumers....
| Publicado en: | Health Policy & Planning Vol. 14; no. 2; pp. 89 - 103 |
|---|---|
| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
Jun1999
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104718399&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104718399 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02681080 N5E jtl: Health Policy & Planning issn: 02681080 maglogo: N pubinfo: dt: Jun1999 vid: 14 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104718399 104718399 NLM10538724 2011076045 NLM10538724 104718399 ppf: 89 ppct: 14 formats: tig: atl: Intervention research in rational use of drugs: a review. aug: au: le Grand, A Hogerzeil, H V Haaijer-Ruskamp, F M sug: subj: Drug Utilization Methods Health Services Research Methods Developing Countries Health Care Costs Education, Medical, Continuing Formularies Practice Guidelines Human Experimental Studies ab: Many studies have been done to document drug use patterns, and indicate that overprescribing, multi-drug prescribing, misuse of drugs, use of unnecessary expensive drugs and overuse of antibiotics and injections are the most common problems of irrational drug use by prescribers as well as consumers. Improving drug use would have important financial and public health benefits. Many efforts have been undertaken to improve drug use, but few evaluations have been done in this field. This article provides an overview of 50 intervention studies to improve drug use in developing countries. It highlights what type of interventions exist and what is known about their impact. It reveals that commonly used interventions, such as an essential drug list and standard treatment guidelines, have rarely been systematically evaluated so far. The majority of intervention studies are focused on prescribers in a public health setting, while irrational use of drugs is also widespread in the private sector. Furthermore, the magnitude of inappropriate drug use at community level is often overlooked and few interventions address drug use from a consumer's perspective. More research on different types of intervention strategies in various health care settings is needed to draw conclusions on the effectiveness of a specific intervention strategy. Also more research is needed on socio-cultural factors influencing the impact of drug use interventions, particularly from a user perspective. To enhance evaluative research, more technical support will be needed for researchers in developing countries. The design of available studies from developing countries is generally weak, only six of the 50 studies included in this overview were randomized controlled studies. In order to provide technical support and coordination of future intervention research the establishment of an international resource centre for drug use intervention research is recommended. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|