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Herri S.Sastramihardja
PEMERIKSAAN
DIAGNOSA PENGOBATAN
Tanpa Dengan
obat obat
EBM ?
Evidence-based medicine is
the integration of best
research evidence with
individual clinical expertice
and patient values and
expectations
EBM - WHAT IT IS
Clinical
Expertise
Research Patient
Evidence Preferences
The aim of any drugs management
system :
to deliver the correct drugs to the patient who
needs that medicine
Correct diagnosis
Appropriate indication
Appropriate drug (s)
Approriate dosage, administration &
duration of treatment
Appropriate patient
Appropriate information
Appropriate evaluation & follow-up
Extravagant prescribing
Over prescribing
Incorrect prescribing
Multiple prescribing
Under prescribing
Self medication
SM is the treatment of health problems
without medical supervision.
by using:
Non-prescriptions drugs (commonly)
Traditional drugs (TD +)
Prescriptions drugs:
Pharmacies freely supply drugs to
informal shops & small groceries
Re-use of copies of prescription
RUD only partly improve the use of drugs
SM is the most common form of choice &
people often rely on informal drug
distribution channel (including the
possibility of buying medicines through
internet)