who medicines strategy - libdoc.who.int - World Health Organization

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WHO MEDICINES STRATEGY 2004-2007 | 124EO 7.7Training in good prescribing anddispensing practices promotedRationaleRational use depends on the knowledge, attitudes,and practices of health care practitioners andconsumers. Educational strategies for both groupsare essential but these are often inappropriateor neglected. In basic (undergraduate) trainingof health care practitioners, for example, thereis often a focus on the transfer of narrow, timelimitedpharmacological knowledge, rather thanon the development of lifetime prescribing skillsand the ability to assess medicines informationcritically.ProgressWHO has had an impact on the training ofprescribers worldwide through the publicationof the Guide to Good Prescribing and trainingin the use of this. The Teachers Guide to GoodPrescribing was published in 2001. Work is inprogress to develop material for a Guide to GoodPharmacy Practice. Three international trainingcourses per year in English, French, and Spanishon problem-based pharmacotherapy have beensupported. An evaluation of their impact is underway.Over the past three years, in partnership withother concerned groups, WHO has conducteda wide range of training courses on differentaspects of rational use of medicines, togetherwith the production and promotion of trainingmaterials.Training courses related to therational use of medicines> Promoting the rational use ofmedicines, in collaboration withINRUD and coordinated byManagement Sciences for Health(MSH), USA. This course teachesthe investigation of medicine usein primary health care and how topromote rational use of medicinesby providers.> Promoting rational medicine usein the community, in collaborationwith the University of Amsterdam,the Netherlands. This course teachesthe investigation of medicine usein the community, and how topromote rational use of medicinesby consumers.> Drugs and therapeutics committees,in collaboration with theRational Pharmaceutical Programcoordinated by ManagementSciences for Health, USA. Thiscourse teaches methods forevaluating medicine utilizationand how to promote rational use ofmedicines in hospitals and districts.> Problem-based pharmacotherapyteaching, in collaboration withGroningen University, TheNetherlands, the University ofCape Town, South Africa, theUniversity of La Plata, Argentina(in Spanish) and the NationalCentre for Pharmacovigilance,Ministry of Health, Algiers, Algeria(in French). This course teaches a
COMPONENTS OF THE STRATEGY | 125problem-based approach to rationalprescribing based on WHO’s Guideto Good Prescribing.> Pharmacoeconomics, incollaboration with the Universityof Newcastle, Australia. This courseteaches how to do economicevaluation in medicine selection.> Medicine policy issues fordeveloping countries, incollaboration with BostonUniversity, USA. This courseteaches about general medicinespolicy including aspects relatingto promoting more rational use ofmedicines.> ATC/DDD methodology formedicine consumption, incollaboration with the WHOCollaborating Centre for DrugStatistics Methodology. Thiscourse provides an introductionto the application of ATC/DDDmethodology in measuringmedicine consumption.Challenges remainingIn many undergraduate medical curricula thereis insufficient focus on clinical pharmacotherapyand problem-based teaching methods are notused. As a result, traditional training programmesfor health professionals do not prepare themadequately for the rational use of medicines inhealth care.Meeting the challenges 2004-2007Over the next four years WHO will:> advocate for and support the inclusionof problem-based and skills-basedpharmacotherapy teaching in undergraduateand postgraduate training programmes forhealth professionals.> support an evaluation of the prescribinghabits of doctors and prescribers whoreceived problem-based pharmacotherapytraining compared with those who didnot. Such evaluation can be used toadvocate for more appropriate training onclinical pharmacotherapy teaching at bothundergraduate and postgraduate levels.OUTCOME INDICATORS1999 2003 2007No. of countries that include the concept of essentialmedicines in basic curricula for medicine and / orpharmacy#REPORTING % TARGET#REPORTING % TARGETna na na 72/88 82% 85%
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who medicines strategy - libdoc.who.int - World Health Organization

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