Accessibility of drugs was considered as inseparable part of the long term drug policies by World Health Organization (WHO), with reference to health  and  equality  for  accessing  the  healthcare  service are  human  rights. Referring  in  general,  this  issue  was  also  evaluated  as  a part  of  the general health policy. Wrong, unnecessary, ineffective and high cost drug use cause various problems in all over the world.  The increased rate of disease incidence and mortality, increased drug side effect risk, the decreased rate of access to essential medicines due to inappropriate use of sources, the raise of social and economic treatment cost based on possible resistance against essential and emergency medicines could be counted in these problems. For these reasons there was an attempt to produce and improve different solutions in the world. In this context, Rational Use of Medicines (RUM) studies were initiated.

In  1985,  WHO  Nairobi  meeting    is  regarded  as  the  beginning  for  RUM  studies.  WHO  identified  RUM  as  “patients  receive  medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community”.

According to WHO data, approximately 50 % of all drugs are inappropriate prescribed, dispensed or sold in all over the world. More than half of all patients fail to take their medicines properly.

Irrational drug use is a serious problem affecting public health in the world as well as in Turkey. Irrational drug use cause to decreased patient adherence to treatment, drug interactions, resistance to some of drugs, raised incidence of adverse drug reactions and treatment cost.

To create awareness and to give information  regarding rational use and medicines physicians, pharmacists, nurses, other health professionals, patients/patient relatives, industry, regulatory authorities, professional organizations and other (media, academy etc.) are all important stakeholders and they have huge responsibilities.


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