Towards the rational use of medicines

Yevstigneev, S.V.; Титаренко, А. Ф.; Abakumova, Tatyana; Alexandrova, Elvira G.; Khaziakhmetova, V.N.; Зиганшина, Л. Е.

doi:10.3233/jrs-150690

Cited by 9 publications

(7 citation statements)

References 1 publication

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“…Optimal medicines management helps ensure that essential drugs are available at affordable prices [ 1 ]. Reliable data would, therefore, contribute to an uninterrupted healthcare supply chain by planning and estimating the medicines needed and the total charges in a given period [ 3 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Among inventory control techniques used, we may enumerate ABC, VEN, FSN, HML, SOS, and ABC-VEN [ 14 ]. Among those techniques, ABC-VEN analysis is often preferred since it contributes to analyzing the medicines expenditures based on public health value and cost [ 12 , 15 ]. ABC analysis enables efficient management of pharmaceuticals, especially in hospitals and healthcare supply chain facilities, helps compare the cost of managed items and may optimize services by predicting inventory level, ordering, and purchasing cost.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of pharmaceutical inventory management based on ABC-VEN analysis in Rwanda: a case study of Nyamagabe district

Mfizi

Niragire

Bizimana

et al. 2023

J of Pharm Policy and Pract

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Background Pharmaceuticals account for a large portion of healthcare spending in healthcare organizations. Their effective inventory management is required to match the cost of stocks with the customer demand and avoid shortage of supplies at any health facility level. This study aimed to analyze pharmaceuticals' inventory management using ABC-VEN analysis. Methods The study was conducted at Rwanda Medical Supply (RMS) Ltd, Nyamagabe Branch for products distributed to health facilities in Nyamagabe District catchment area from the financial years 2017–2018 to 2019–2020. It consisted of a descriptive retrospective study of 457 items. The latter are generic essential medicines distributed to public health facilities during the study period. Products were arranged according to a descending order of importance, and we performed a breakdown of products according to the Pareto Principle. Following an ABC analysis of distribution data for such drugs billed to healthcare facilities, a VEN analysis was performed to identify high-value vital products that require more attention. Results During the ABC analysis, 76 products were classified in group A. These accounted for 19.84% and had a value of 74.91% of the total cost of all products. Group B included 116 products, representing 30.29% with a value of 20% of the total cost, while Group C had 191 products, representing 49.87% with a value of only 5.09% of the total cost. During the VEN analysis, 202 products (44.20%) were classified as vital, 231 (50.54%) as essential, and 24 products (75.26%) as non-vital. The analysis with ABC-VEN resulted in Class I representing 55.80% of all medicines that cost 87.88% of all total cost, Class II representing 40.70% with a total cost of 11.82%, and Class III representing 3.50% with a cost of 0.3%. Conclusions This study results show that inventory management of vital and expensive products, such as antibiotics, antihypertensive pharmaceuticals, consumables, and massive solutions would be carefully monitored to prevent a shortage of such products at health facility levels. The ABC-VEN analysis is one of the practical and affordable method to achieve their optimized supply chain.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Analysis of pharmaceutical inventory management based on ABC-VEN analysis in Rwanda: a case study of Nyamagabe district

Mfizi

Niragire

Bizimana

et al. 2023

J of Pharm Policy and Pract

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“…There is no denying the advance that medicines have brought to humanity, increasing life expectancy, eradicating certain diseases, bringing social and economic benefits. However, although medications are essential instruments for health recovery, they are not without risk and can lead to severe adverse reactions when misused, making them a significant public health problem globally (Yevstigneev et al, 2015;Ofori-Asenso & Agyeman, 2016) The WHO estimates that more than half of all medications are prescribed, dispensed, or sold inappropriately and that half of all patients fail to take them correctly. The overuse, underuse, or misuse of medicines results in squandering scarce resources and widespread health hazards (WHO, 2002;Calikoglu et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System

Nappo

Bigal

2021

RSD

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Patients’ knowledge and awareness of their disease and medication (health literacy) are essential to ensure treatment effectiveness. This work analyzed the health literacy (HL) level of users of the Brazilian Unified Health System (SUS) in Diadema city (SP) and its consequences concerning the rational use of prescribed medication. A total of 1,121 SUS users were interviewed and descriptive and inferential analyses were performed. Bivariate analyses estimated the crude odds ratio. A logistic regression model was developed, and the results were presented as adjusted odds ratio. Almost half of the sample did not know the name of the drug, 20% did not know the reason for using it, 14% did not know how to use the drug, 71% declared that they were unaware of the drug’s adverse reactions, 21.3% believed that the drug did not cause any adverse reaction, and only 7.7% considered that the drug could cause some problem and 92% claimed not to have asked the doctor anything about this matter. The data show an inadequate level of HL of SUS users concerning basic information about the prescribed drug and a potential risk arising from the drug’s misuse, considering the patient’s lack of familiarity with the medication and their pathology and poor interaction with the health professional.

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“…Konferansta akılcı ilaç kullanımı kişilerin klinik bulguları ile bireysel özelliklerine göre uygun ilaca, uygun süre ve dozda, en düşük fiyata ve kolayca ulaşabilmeleri olarak tanımlanmıştır. Ayrıca konferansta, ilaçların akılcı kullanımı için devletlerin DSÖ temel ilaçlar politikası eksenli ulusal ilaç politikaları geliştirmesi gerektiği belirtilmiştir (3). İlaçların akılcı kullanımı yoluyla; etkin bir ilaç tedavisi, sağlık hizmetlerinde kalite ve verimliliğin artması, ayrıca tedavi harcamalarında da tasarruf sağlanması gibi kazanımlar hedeflenmektedir (4).…”

Section: Introductionunclassified

Bir kamu hastanesinde görevli hemşirelerin akılcı ilaç kullanımı konusundaki bilgi, tutum ve davranışlarının değerlendirilmesi

Karakoç

Uyanık

2018

Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi

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Ülkemizdeki ilaç harcamaları dünya ortalamasının üzerinde bir artış göstermektedir. Bu artışın ülkemizin hastalık yükü ile paralellik göstermemesi, akılcı ilaç kullanımı konusu üzerinde titizlikle durmayı gerektirmektedir. Çalışma, hastanelerde görevli hemşirelerin akılcı ilaç kullanımına ilişkin bilgi ve davranışlarını inceleyerek, atılması gereken adımların belirlenmesi amacıyla yapılmıştır. Materyal-Method: Çalışma 08.12.2016-26.01.2017 tarihleri arasında bir kamu hastanesinde gerçekleştirilmiştir. Araştırmaya katılmak isteyen tüm hemşirelere 18 soruluk bir anket uygulanarak 392 kullanılabilir anket elde edilmiştir. Böylece toplam evrenin (555) %70,6'sına ulaşılmıştır. Verilerin analizinde tanımlayıcı istatistikler ve ki-kare analizi uygulanmıştır. Bulgular: Araştırmaya göre hemşirelerin uygulayacakları ilaçlar konusunda bilgi almak için en çok hekim/eczacıya (%84,4), daha sonra meslektaşlarına (%54,1) başvurdukları görülmüştür. En sık karşılaşılan ilaç uygulama hatalarının; ilacın yanlış zamanda uygulanması (%66,3) ve doz atlanması (%57,7) olduğu belirlenmiştir. Hemşirelerin eğitim seviyeleri ile advers etki bildirimi yapma oranlarının arasında istatistiksel anlamlılık olduğu saptanmıştır (p<0.001). Servislerde çalışan hemşirelerin diğer birimlerde çalışan katılımcılara göre ilaç ve besin alerjisi sorgulama oranının önemli ölçüde yüksek olduğu tespit edilmiştir (p<0,001). Sonuç: Hemşirelerde ilaçların akılcı kullanımı hususunda genel bir bilinç oluştuğu ancak özellikle advers etki bildirimleri ile gebelik, pediatri, organ yetmezlikleri gibi özel durumlarda ve ilaçların etkileşimleri konularında eğitim ihtiyacının olduğu belirlenmiştir.

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Towards the rational use of medicines

Cited by 9 publications

References 1 publication

Analysis of pharmaceutical inventory management based on ABC-VEN analysis in Rwanda: a case study of Nyamagabe district

Analysis of pharmaceutical inventory management based on ABC-VEN analysis in Rwanda: a case study of Nyamagabe district

Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System

Bir kamu hastanesinde görevli hemşirelerin akılcı ilaç kullanımı konusundaki bilgi, tutum ve davranışlarının değerlendirilmesi

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