The patient should be prescribed with medicines having regard to his or her state of health, by selecting the most appropriate dose and the optimal time period of treatment, treatment costs – the most favourable both for the patient and the society. The so-called Wise List of Medicines of a recommendatory nature, which is planned to be prepared at the initiative of the Ministry of Health, and intended for healthcare and pharmacy professionals and patients, is expected to help to strengthen these principles of rational use of medicines in Lithuania.
According to Kristina Garuoliene, the Vice-Minister of Health, currently the problem of irrational use of medicines is relevant worldwide. According to the data of the World Health Organisation (WHO), more than a half of medicines are prescribed improperly, and even half of the patients take medicines in a wrong way, and thereby they not only do not help themselves but also risk their health.
"The figures presented both by the WHO and other responsible institutions speak for themselves. For example, the worldwide problem of antibiotic resistance is the consequence of irrational use of medicines. Our goal is to address this persistent problem by providing in one place clear, unbiased, advisory information based on scientific evidence, advisory information both to physicians who prescribe medicines and patients who take them", - says K. Garuoliene.
To this end, a Wise List of Medicines is planned to be prepared. The list will specify diseases and recommendations which medicines should be selected as the first choice to treat them based on the principles of evidence-based medicine, of efficacy, safety, and cost-effectiveness of medicines.
According to Gita Krukiene, the Director of the Pharmacy Department of the Ministry of Health, having decided to produce systematic information, Lithuania follows in the same path as Sweden where the Wise List practice, which helps ensure rational use of medicines, has been in place for about 25 years.
"We will draw experience from Sweden. Healthcare professionals in specific areas will decide which medicines will be listed on a Wise List. However, this does not in any way mean that the list will only include the cheapest medicines. Rationality will be one of the most important criteria, or, in simple terms, the condition is that patients get the maximum possible health benefits without spending a disproportionately considerable amount of money on medicines", - states G. Krukiene.
Information events are planned to be organised in ten regions of the country with the aim of familiarizing health care and pharmacy professionals with a Wise List of Medicines, and informing the society of rational use of medicines.
The Project is funded by the European Union (EU) Structural Funds. More than 331 thousand euros from these funds were allocated to implement the Project.
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