T.C.T.C.SOCIAL SECURITY SOCIAL SECURITY

INSTITUTIONINSTITUTION

DIRECTORATE GENERAL of UNIVERSAL HEALTH INSURANCEDEPARTMENT of PHARMACY and PHARMACEUTICALS

RATIONAL DRUG USE - SOCIAL SECURITY PERSPECTIVE RATIONAL DRUG USE - SOCIAL SECURITY PERSPECTIVE

Hüseyin KILIÇASLAN, MDHüseyin KILIÇASLAN, MDDepartment of Pharmacy and PharmaceutıcalsDepartment of Pharmacy and Pharmaceutıcals

Head of the DepartmentHead of the Department

SSI DG of UHI Department of Pharmacy and Pharmaceutıcals

WHO DEFINED RATIONAL DRUG USE AS ;

In simplest words rational use means

“prescribing right drug, in adequate dose for the

sufficient duration & appropriate to the clinical

needs of the patient at lowest cost.

Nairobi,1985

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lowest cost ???• The cost is not only the price written on the box of

the medicine

• Advers reactions – contrindications

• Protecting from complications

• Duration of use

• Budget impact - the incidence / prevalence

• ………3

SSI DG of UHI Department of Pharmacy and Pharmaceutıcals

• Antibiotic resistance

• Adverse drug effects

• Wrong habits of drug use

• Direct costs / indirect costs

IRRATIONAL DRUG USE

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SSI DG of UHI Department of Pharmacy and Pharmaceutıcals

•Covering nearly the whole of the population

•Accessible health service delivery

•The scope of the social security package

•Access to ‘only with prescription’ medicines

•Participation fees and exemptions

ACCESS to MEDICINE in TURKEY

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SSI DG of UHI Department of Pharmacy and Pharmaceutıcals

While the most prescribed drugs all over the world are medicines for cardiovascular disease,

The antimicrobial drugs are most common in TurkeyAnd the drugs for cardiovascular diseases are sixth

(2004/2006 data)

One example…

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SSI DG of UHI Department of Pharmacy and Pharmaceutıcals

• Education

• Guides and clinical guidelines

• Assessment and evaluation

• Rewards and Sanctions

HOW TO DEVELOP RATIONAL DRUG USE ?

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SSI DG of UHI Department of Pharmacy and Pharmaceutıcals

Rational drug use…

• Is good for the physician: the most accurate way to treat patients.

• Is good for the patient: they get the most appropriate treatment, for the most appropriate time and by the most appropriate way

• Is good for the health authority: the community will be presented in the correct drug treatment options

• Is good for the Social Security Institution : the best treatment would be financed with the least possible cost

…is good for everybody.8

SSI DG of UHI Department of Pharmacy and Pharmaceutıcals

Hüseyin KILIÇASLAN, MDHüseyin KILIÇASLAN, MD

Department of Pharmacy and PharmaceutıcalsDepartment of Pharmacy and Pharmaceutıcals

Head of the DepartmentHead of the Department

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