Promoting Rational Use of Medicines: Core Components - WHO Policy Perspectives on Medicines, No. 005, September 2002
(2002; 6 pages) [French] [Spanish] View the PDF document
Table of Contents
View the documentDefinition of rational use of medicines
View the documentThe problem of irrational use
View the documentAssessing the problem of irrational use
View the documentWorking towards rational use of medicines
Close this folderCore policies to promote more rational use of medicines
View the document1. A mandated multi-disciplinary national body to coordinate medicine use policies
View the document2. Clinical guidelines
View the document3. Essential medicines list based on treatments of choice
View the document4. Drugs and therapeutics committees in districts and hospitals
View the document5. Problem-based training in pharmacotherapy in undergraduate curricula
View the document6. Continuing in-service medical education as a licensure requirement
View the document7. Supervision, audit and feedback
View the document8. Independent medicine information
View the document9. Public education about medicines
View the document10. Avoidance of perverse financial incentives
View the document11. Appropriate and enforced regulation
View the document12. Sufficient government expenditure to ensure availability of medicines and staff
View the documentKey documents
View the documentContacts at WHO Headquarters

7. Supervision, audit and feedback

Supervision is essential to ensure good quality of care, Supervision that is supportive, educational and face-to-face, will be more effective and better accepted by prescribers than simple inspection and punishment. Effective forms of supervision include prescription audit and feedback, peer review and group processes. Prescription audit and feedback consists of analysing prescription appropriateness and then giving feedback, Prescribers may be told how their prescribing compares with accepted guidelines or with that of their peers. Involving peers in audit and feedback (peer review) is particularly effective, In hospitals, such audit and feedback is known as drug use evaluation. Group process approaches amongst prescribers consist of health professionals themselves identifying a medicine use problem and developing, implementing and evaluating a strategy to correct the problem. This process needs facilitation by a moderator or supervisor. Community case management is a special type of supervised group process involving community members in treating patients.

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