MSH
The Role of DTC in Evaluating Drug Use emphasizes the importance of ongoing, systematic review of medicine use to ensure appropriate medicine use and good planning of medicine needs.
2014 · 9 pages

Abstract
This process involves defining appropriate medicine use by establishing standard treatment guidelines (STGs) and auditing these guidelines against actual prescribing practices. Prescribers are given feedback on problems identified, and efforts are made to ensure that STGs are followed and prescribing is improved. Key findings from the presentation include the need to address overuse or underuse of medications, excessive use of non-formulary medications, and the use of high-cost medications where less expensive alternatives exist. Strategies to improve medicine use include education, managerial, and regulatory interventions. Education involves informing or persuading prescribers through in-service education, pharmaceutical bulletins, and face-to-face education. Managerial interventions include structuring decisions through drug use evaluation, STG, and clinical pharmacy programs. Regulatory interventions involve restricting decisions through registration of professionals, facilities, and professionals. The presentation highlights the importance of ongoing data collection and analysis to identify problems and develop recommendations for improvement. It also emphasizes the need to establish thresholds for intervention, such as 90% of prescriptions within STGs, and to determine why these thresholds are not met. The presentation concludes that drug use evaluation will help improve medicine use by ensuring that pharmaceutical therapy meets current standards, promoting optimal medication therapy, preventing medication-related problems, and enhancing accountability in medicine use. Implementation of the strategies outlined in the presentation involves developing recommendations and plans of action, checking to see that these recommendations have been implemented, and re-evaluating to see if problems have been resolved. The presentation also highlights the need for prescribers to receive feedback on problems identified and for corrective action to be taken to address these issues. Geographic focus and context The presentation does not specify a particular geographic location or context, but it is likely that the strategies outlined are applicable to various healthcare settings worldwide. Timeframes and recommendations The presentation does not provide specific timeframes for implementing the strategies outlined, but it emphasizes the need for ongoing evaluation and improvement of medicine use. Recommendations for improvement include developing recommendations and plans of action, checking to see that these recommendations have been implemented, and re-evaluating to see if problems have been resolved.
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