Healthy life as Human Rights must be realized in the form of various health efforts to the entire community through the organization of health including the provision of drugs is rational.
Giving medicine a rational core of many activities in the organization of health efforts should be done by health workers who have high ethics and morals, with the expertise must be continuously improved quality.
However, in reality and rational use of drugs that are often or less often found in daily health care, ranging from physician practices, clinics, health centers, arrived at the hospital.
However, in reality and rational use of drugs that are often or less often found in daily health care, ranging from physician practices, clinics, health centers, arrived at the hospital.
Classified as less rational use of drugs which include excessive use of drugs both in type and number of doses, indications of drug delivery that are not clear, the procedures the use or misuse, a combination of various high-risk drugs, the use of expensive drugs while there are many drug kind of a cheaper, and the use of drugs and intravenous injections are not necessary. If observed, that in general the goal of treatment is to abandon the treatment without side effects or drug with minimal side effects, and drug prices are affordable and readily available public.
In daily life is influenced by various factors, the goal of treatment is often not achieved. Factors that influence the lack of rational drug delivery, among others:
- Lack of knowledge of health personnel in the science of medicine.
- The habit of prescribing a particular drug type or brand.
- The public trust to the type or brand of a particular drug.
- The desire of patients who tend to consume a particular drug, with a suggestion to heal faster.
- The pharmaceutical industry sponsorship of a particular drug.
- Giving medicine based on the existence of good relations with the party of individual pharmaceutical industry.
- The necessity of the employer within a health agency or institution to prescribe certain drugs.
- Information that is not correct or biased, so the use of drugs to be inappropriate.
- Expenses are jobs that are too heavy so that health personnel be no time to think about the rationality of the drug.
- The existence of the limited supply of drugs in a particular health agency or institution, so this type of medication required for a disease it is not available, so the use of other drugs.
Administration of drugs that are less rational or not in accordance with standard treatment can be categorized as violations of the law. The existence of various effects of each type of medication can cause drug interactions effects in the body that can hurt or harm if the drug is given in number of species exceeds the limit.
For example, if given 3 types of drugs it will get the 3 kinds of types of drug interactions, but if given the 5 types of drugs will produce about 10 kinds of drug interactions that have a high risk to users.
Use of injectable and infusion drugs that are less rational is also found in the field, especially at primary level health facilities such as clinic or doctor's private practice in the area with the scope of communities down to the middle. The existence of trust is rooted in the low-educated people who are not treated if not given the drug injection. Type IV is kind limited & available at health facilities like health center also lead to inappropriate use of the infusion.
The existence of various information media (print media, television, radio, internet, etc.) also give unfavorable effects that cause people underrate taking medications such as pain-reducing medication or lowering the heat that is not exactly an indication of its usage. As because of the workload, then someone with easy to use pain-reducing medication because they feel a little headache. Likewise for the housewives who quickly feel worried if there are children with a fever, then they quickly given febrifuge.
The use of antibiotic drugs in the practice of health services can be classified into several types of treatment of a disease based on the guidelines for dose and a certain way, and there also are using doses based on everyday experience.
The existence of immunity and bacterial infection rates are increasing, causing the medication dose is usually higher than they should. Coupled with the advanced technology that develops pharmaceutical antibiotics into several generations and continue to develop until now.
Many private practitioners who are also now become marketers of certain pharmaceutical companies, or follow the membership of the Multi Level Marketing (MLM) health. Generally, products sold are food supplements (food supplement) or a multivitamin. Use a food supplement or a multivitamin has become irrational when the provision was not based on the indication, or because the price charged is quite expensive, sometimes even much more expensive than the drug which was important given to the disease.
In some cases, the pharmaceutical company sponsoring organization of scientific activities, sometimes considered to be associated with health care policy that becomes bound to the 'relationship' health with these pharmaceutical companies. Reluctance to prescribe generic drugs by most doctors for the intervention of pharmaceutical companies like these that make the middle class down to sometimes have to pay higher prices for drugs that should be purchased cheaply.
In the clinic area is very remote and very difficult to reach due to difficult terrain taken by the employee health department, sometimes the supply of drugs is not guaranteed with the current, thus providing employee health clinic only drugs that are only available to patients who seek treatment, although its use is not an indication appropriate.
Given the many problems, proposed alternative solutions to the problem:
- Health workers are encouraged to follow scientific forums on the rational use of drugs to add insight and knowledge of health personnel regarding the drug. As we know, the treatment will provide the principal effects, side effects, effects of unexpected and toxic effects. Therefore add knowledge about it is a necessity considering the possible risks that would arise.
- Limiting the use of injections or infusion of drugs that are not necessary.
- Urge the government to help restrict advertising in the mass media are 'inciting' consumers to use certain OTC drugs in the long term side effects that are less good for health.
- Provision of food supplements or multivitamins only if health workers feel the patient really needs it. For example, in diabetes patients given foods that do not contain glucose. We recommend that health workers are also seeing the economic situation of the patient, considering the price of food supplements are generally expensive.
- Encourage the habit to write the prescription of generic drugs, given the generic drugs at affordable prices by almost the whole society.
- Asking the government to increase publicity about the rational use of drugs, which is installed in public places and health facilities. It also requires health workers to attend seminars / trainings on the rational use of drugs along with 'Punish & reward' in its implementation.
It can be concluded that the rational use of drugs is a matter that should be done by all health personnel, bearing in mind the possibility of errors in treatment. Treatment with drugs that are less precise indication or a more expensive price than they should only be burdensome patient.
