Drug utilization patterns in the global context

A systematic review

Muhammad Atif, Shane Scahill, Muhammad Azeem, Muhammad R. Sarwar, Zaheer-Ud-Din Babar

Research output: Contribution to journalLiterature review

1 Citation (Scopus)

Abstract

Objectives

Standard drug use indicators have been developed by the World Health Organization/International Network for Rational Use of Drugs (WHO/INRUD). The purpose of this systematic review was to examine and report the current status of health facilities in different regions of the world in terms of drug use based on WHO/INRUD core drug use indicators.

Design

Systematic review of the literature following PRISMA guidelines.

Methods

The INRUD bibliography, WHO archives, Google Scholar, Medline, PubMed, SpringerLink, ScienceDirect and Management Sciences for Health (MSH) resource databases were searched between 1985 and 2015 for studies -containing 12 WHO/INRUD core drug use indicators. Secondary data sources were also searched.

Results

Four hundred and sixty three studies were retrieved and 398 were excluded as they did not provide relevant information or fulfill the selection criteria. Sixty articles met the criteria and were selected for final review. With respect to prescribing indicators, studies of “drug use” showed mixed patterns across geographic regions. Overall trends in “patient-care” and “facility-specific” indicators were similar across most of the World Bank regions. However, based on the Index of Rational Drug Use (IRDU) values, East Asia and the Pacific region demonstrated relatively better drug use practices compared with other regions.

Conclusions

This systematic review revealed that the drug use practices in all regions of the world are suboptimal. A regulated, multi-disciplinary, national body with adequate funding provided by governments throughout the world are a basic requirement for coordination of activities and services, to improve the rational use of drugs at a local level.
Original languageEnglish
Number of pages14
JournalHealth Policy and Technology
DOIs
Publication statusPublished - 10 Nov 2017

Fingerprint

Drug Utilization
Health
Pharmaceutical Preparations
Management science
Bibliographies
Drug Utilization Review
Far East
United Nations
Health Resources
Information Storage and Retrieval
Health Facilities
Bibliography
PubMed
Patient Selection
Patient Care

Cite this

Atif, Muhammad ; Scahill, Shane ; Azeem, Muhammad ; Sarwar, Muhammad R. ; Babar, Zaheer-Ud-Din. / Drug utilization patterns in the global context : A systematic review. In: Health Policy and Technology. 2017.
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Drug utilization patterns in the global context : A systematic review. / Atif, Muhammad; Scahill, Shane; Azeem, Muhammad; Sarwar, Muhammad R.; Babar, Zaheer-Ud-Din.

In: Health Policy and Technology, 10.11.2017.

Research output: Contribution to journalLiterature review

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T1 - Drug utilization patterns in the global context

T2 - A systematic review

AU - Atif, Muhammad

AU - Scahill, Shane

AU - Azeem, Muhammad

AU - Sarwar, Muhammad R.

AU - Babar, Zaheer-Ud-Din

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N2 - ObjectivesStandard drug use indicators have been developed by the World Health Organization/International Network for Rational Use of Drugs (WHO/INRUD). The purpose of this systematic review was to examine and report the current status of health facilities in different regions of the world in terms of drug use based on WHO/INRUD core drug use indicators.DesignSystematic review of the literature following PRISMA guidelines.MethodsThe INRUD bibliography, WHO archives, Google Scholar, Medline, PubMed, SpringerLink, ScienceDirect and Management Sciences for Health (MSH) resource databases were searched between 1985 and 2015 for studies -containing 12 WHO/INRUD core drug use indicators. Secondary data sources were also searched.ResultsFour hundred and sixty three studies were retrieved and 398 were excluded as they did not provide relevant information or fulfill the selection criteria. Sixty articles met the criteria and were selected for final review. With respect to prescribing indicators, studies of “drug use” showed mixed patterns across geographic regions. Overall trends in “patient-care” and “facility-specific” indicators were similar across most of the World Bank regions. However, based on the Index of Rational Drug Use (IRDU) values, East Asia and the Pacific region demonstrated relatively better drug use practices compared with other regions.ConclusionsThis systematic review revealed that the drug use practices in all regions of the world are suboptimal. A regulated, multi-disciplinary, national body with adequate funding provided by governments throughout the world are a basic requirement for coordination of activities and services, to improve the rational use of drugs at a local level.

AB - ObjectivesStandard drug use indicators have been developed by the World Health Organization/International Network for Rational Use of Drugs (WHO/INRUD). The purpose of this systematic review was to examine and report the current status of health facilities in different regions of the world in terms of drug use based on WHO/INRUD core drug use indicators.DesignSystematic review of the literature following PRISMA guidelines.MethodsThe INRUD bibliography, WHO archives, Google Scholar, Medline, PubMed, SpringerLink, ScienceDirect and Management Sciences for Health (MSH) resource databases were searched between 1985 and 2015 for studies -containing 12 WHO/INRUD core drug use indicators. Secondary data sources were also searched.ResultsFour hundred and sixty three studies were retrieved and 398 were excluded as they did not provide relevant information or fulfill the selection criteria. Sixty articles met the criteria and were selected for final review. With respect to prescribing indicators, studies of “drug use” showed mixed patterns across geographic regions. Overall trends in “patient-care” and “facility-specific” indicators were similar across most of the World Bank regions. However, based on the Index of Rational Drug Use (IRDU) values, East Asia and the Pacific region demonstrated relatively better drug use practices compared with other regions.ConclusionsThis systematic review revealed that the drug use practices in all regions of the world are suboptimal. A regulated, multi-disciplinary, national body with adequate funding provided by governments throughout the world are a basic requirement for coordination of activities and services, to improve the rational use of drugs at a local level.

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SN - 2211-8837

ER -