This document defines pharmacoepidemiology and discusses its objectives and importance. Pharmacoepidemiology applies epidemiological methods to study drug utilization and effects in large populations. It measures frequency and distribution of drug use outcomes. Types of pharmacoepidemiology research assess specific drugs used, patterns of use, and reasons for drug taking behaviors. Data sources include institutional records, health databases, and field data. Pharmacoepidemiology helps evaluate beneficial and adverse effects of drug therapy and detect inappropriate drug use.
Clinical pharmacy may be defined as the science and practice of rationale use of
medications, where the pharmacists are more oriented towards the patient care
rationalizing medication therapy promoting health , wellness of people.
It is the modern and extended field of pharmacy.
“ The discipline that embodies the application and development (by pharmacist) of
scientific principles of pharmacology, toxicology, therapeutics, and clinical pharmacokinetics, pharmacoeconomics, pharmacogenomics and other allied
sciences for the care of patients”.
Definition and scope of Pharmacoepidemiology ABUBAKRANSARI2
In these slides I shared the information of definition and scope of pharmacoepidemiology. Types of studies - cohort studies, cross-sectional studies etc.
Clinical pharmacy may be defined as the science and practice of rationale use of
medications, where the pharmacists are more oriented towards the patient care
rationalizing medication therapy promoting health , wellness of people.
It is the modern and extended field of pharmacy.
“ The discipline that embodies the application and development (by pharmacist) of
scientific principles of pharmacology, toxicology, therapeutics, and clinical pharmacokinetics, pharmacoeconomics, pharmacogenomics and other allied
sciences for the care of patients”.
Definition and scope of Pharmacoepidemiology ABUBAKRANSARI2
In these slides I shared the information of definition and scope of pharmacoepidemiology. Types of studies - cohort studies, cross-sectional studies etc.
Epidemiology is the study of occurrence, distribution and determinants of health and
diseases or disorders in man and its application in controlling health problems.
Epidemiology has by tradition two major areas.
First is the study of infectious diseases that spread to large populations, i.e., epidemics.
The second is the study of chronic diseases.
Epidemiological studies help to solve such health problems and provide a basis for
improving living conditions of the people.
During its progress and development, epidemiology has made available precise and
strict methodologies for the study of diseases.
Pharmacology is the study of the effects of drugs.
Clinical Pharmacology is the study of the effects of drugs in humans, It is traditionally
divided into two basic areas namely:
1. Pharmacokinetics
2. Pharmacodynamics.
Pharmacokinetics is the study of the relationship between dose administered of a drug
and the serum or blood level achieved, it deals with absorption, distribution, metabolism
and excretion.
Epidemiology is the study of the distribution and determinants of diseases in
populations.
Epidemics is the study of chronic/ infectious diseases in large populations.
Pharmacoepidemiology is the study of the use of and the effects of drugs in large
number of people.
It involves the examination of a single individual or large groups of people followed for
many years.
It involves gathering & analysis of information in order to identify possible causation &
related factors, that can be applied in clinical practice to group of people & also to
individuals undergoing treatment.
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This presentation describes the objectives, approach and application of Drug Utilization studies in Pharmacotherapeutics. This emphasizes on how to conduct a drug utilization studies.
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Limitation of Premarketing Phase and Importance of Phase IV period
Definition of DUS
History of DUS
Objectives of DUS
Types of Drug Use Information
Drug Utilization Cycle
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptxraviapr7
b) Clinical Pharmacy
Introduction to Clinical Pharmacy, Concept of clinical pharmacy
Functions and responsibilities of clinical pharmacist, Drug therapy monitoring
Medication chart review, clinical review., pharmacist intervention
Ward round participation, Medication history and Pharmaceutical care.
Dosing pattern and drug therapy based on Pharmacokinetic & disease pattern
Pharmacoepidemiology is the study of effects of drugs in large numbers of people.
Epidemiologic Study Designs, Reasons to perform Pharmacoepidemiology studies, Users of pharmacoepidemiology and Role of Pharmacists & other Public Health Practitioners in Pharmacoepidemiology are discussed in this presentation.
Epidemiology is the study of occurrence, distribution and determinants of health and
diseases or disorders in man and its application in controlling health problems.
Epidemiology has by tradition two major areas.
First is the study of infectious diseases that spread to large populations, i.e., epidemics.
The second is the study of chronic diseases.
Epidemiological studies help to solve such health problems and provide a basis for
improving living conditions of the people.
During its progress and development, epidemiology has made available precise and
strict methodologies for the study of diseases.
Pharmacology is the study of the effects of drugs.
Clinical Pharmacology is the study of the effects of drugs in humans, It is traditionally
divided into two basic areas namely:
1. Pharmacokinetics
2. Pharmacodynamics.
Pharmacokinetics is the study of the relationship between dose administered of a drug
and the serum or blood level achieved, it deals with absorption, distribution, metabolism
and excretion.
Epidemiology is the study of the distribution and determinants of diseases in
populations.
Epidemics is the study of chronic/ infectious diseases in large populations.
Pharmacoepidemiology is the study of the use of and the effects of drugs in large
number of people.
It involves the examination of a single individual or large groups of people followed for
many years.
It involves gathering & analysis of information in order to identify possible causation &
related factors, that can be applied in clinical practice to group of people & also to
individuals undergoing treatment.
Essential drug concept and rational use of medicinesPravin Prasad
Many medical students are unheard of the Essential Medicine List. This has been mentioned in very small sections in various textbooks that are in use in Nepal. The discussion on this topic is a must among medical and nursing students, as well as anyone related to field of Medicine
This presentation describes the objectives, approach and application of Drug Utilization studies in Pharmacotherapeutics. This emphasizes on how to conduct a drug utilization studies.
Introduction to Premarketing Phase
Limitation of Premarketing Phase and Importance of Phase IV period
Definition of DUS
History of DUS
Objectives of DUS
Types of Drug Use Information
Drug Utilization Cycle
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptxraviapr7
b) Clinical Pharmacy
Introduction to Clinical Pharmacy, Concept of clinical pharmacy
Functions and responsibilities of clinical pharmacist, Drug therapy monitoring
Medication chart review, clinical review., pharmacist intervention
Ward round participation, Medication history and Pharmaceutical care.
Dosing pattern and drug therapy based on Pharmacokinetic & disease pattern
Pharmacoepidemiology is the study of effects of drugs in large numbers of people.
Epidemiologic Study Designs, Reasons to perform Pharmacoepidemiology studies, Users of pharmacoepidemiology and Role of Pharmacists & other Public Health Practitioners in Pharmacoepidemiology are discussed in this presentation.
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2. Yusi Anggriani
• S3 Social Pharmacy & Administrative, University Sain Malaysia, 2014
• S2 Manajemen & Kebijakan Obat, Fak Kedokteran UGM, 2002
• S1 dan Apoteker Farmasi UGM, 1995-2000
Pengalaman Periode
Dosen Fakultas Farmasi Universitas Pancasila 2004- Sekarang
Komite Nasional Penilai Obat Baru Badan Pengawasan Obat dan Makanan 2001-Sekarang
Komite Nasional Informatorium Obat Nasional Indonesia BPOM 2011-Sekarang
Konsultan/Tenaga Ahli/Narasumber berbagai studi terkait akses obat dan kebijakan kefarmasian di Litbangkes,
Kemenkes, HAI, UNDP, WHO
2009-Sekarang
Tim penyusun Pedoman Farmakoekonomi Kementerian Kesehatan RI 2011, 2016 dan 2019
Tim Nasional Percepatan Penanggulangan Kemiskinan Sekretariat Wakil Presiden, Pokja Kesehatan, Bidang Obat 2014-2016
Dosen Manajemen penggunaan obat, IKM Fak Kedokteran UGM 2003-2004
Apoteker pengelola Apotek di Yogya 2003-2004
Staff peneliti Pusat Studi dan Kebijakan Obat UGM 2001-2003
3. Objectives
• Define pharmacoepidemiology
• Understand the relationship of
pharmacoepidemiology to other disciplines
• Understand types of Pharmacoepidemiology
studies
• Understand the importance and clinical
relevancy of pharmacoepidemiology
4. Pharmacoepidemiology- What is it?
• Pharmacology is the study of the effect of
drugs
• Epidemiology can be defined as the study of
the distribution and determinants of diseases in
populations
• Clinical Pharmacology is the study of effect
of drugs in humans.
Part of the task of clinical pharmacology is
to provide a risk benefit assessment for the
effect of drugs in patients.
5. Pharmacoepidemiology- What is it?
Doing the studies needed to provide:
an estimate of the probability of beneficial
effects in populations
the probability of adverse effects in populations
other parameters relating to drug use
Pharmacoepidemiology then can also be defined
as the application of epidemiological
methods to pharmacological issues
6. Pharmacoepidemiology- What is it?
• Pharmacoepidemiology may be defined as
the study of the utilization and effects of drugs in
large numbers of people.
• Pharmacoepidemiology borrows from both
pharmacology and epidemiology.
• Pharmacoepidemiology can be called a bridge
science spanning both pharmacology and
epidemiology.
7. Pharmacoepidemiology in Practice
1. The basics idea of pharmacoepidemiology is: to
measure the source, diffusion, use, and effects
of drugs in a population
2. To determined the frequency and distributions
of drug used outcomes in that population
8. The focus of the types of
pharmacoepidemiology research:
1. What is being used (an assessment of specific
drugs being used in certain situations)
2. How it is being used (an assessment of patterns
of use, including how much, where, when, by
whom)
3. Why it is being used (an assessment of the
reasons for drug-taking behaviors)
9. Pharmacoepidemiology in Practice
• The World Health Organization focuses it
pharmacoepidemiological efforts on ensuring :
The quality, safety, efficacy of drugs
Drugs used in specific populations
10. Pharmacoepidemiology in Practice
The organization’s of pharmacoepidemiological
studies are performed to:
1. Describe current patters of drug used in specific
populations.
2. Determined changed in drug used over time
3. Measure the effect of information, education,
promotional activities, media accounts, and prices
of drug use
4. Detect inappropriate drug use and associated
problems
5. Estimate drug needs in terms of disease pattern
6. Plan the selection, supply, and distribution of drugs
11. Problem Solving with
Pharmacoepidemiology
Medical drug use
Beneficial effect of drug therapy
Risk (AEs, side effects) of drug therapy
Inappropriate prescribing behaviors
Patient noncompliance
Irrational self medication practices
Poor drug use outcomes
Non medical drug use
12. Source of Data on Drug Use
Institutional record systems and databases
Drug utilization studies
Hospital-based medical audits (in Patiens)
Systemwide databased
Institutionally based reviews (outpatient)
Health insurance groups and third-party payers
Pharmaceutical organization
National databases
Government sponsored studies
Essential drug list and inventory data
Field data
records of drug dispensers, sellers, and distributors
Drug-taking behaviors of individuals and small groups
Experimental data
Clinical trial results
16. Hasil Evaluasi Pola Peresepan AB
NO Tempat Tahun % peresepan
AB
1 Puskesmas Jakarta Barat 2005 59,6
2 Puskesmas Jakarta Selatan 2005 53,1
3 Puskesmas Jakarta Timur 2007 53,9
4 Puskesmas Jakarta Pusat 2008 50,9
5 Puskesmas kota depok 2005 58,4
6 Apotek kota depok 2005 25,2
16
Evaluasi Pola Peresepan
ParametermenggunakanPrescribingindicatorsforRationalUseofMedicines
dariWHO.
Editor's Notes
Note : Diagram batang merah KFTD, kuning IGM, hijau RNI, biru lain-lain. Secara umum PBF BUMN memiiki tingkat ketersediaan yang lebih besar dibanding PBF non BUMN.