Department of Pharmacology & Therapeutics, Makerere University College of Health Sciences, Kampala, Uganda.
Department of Nursing, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
J Clin Pharm Ther. 2022 Feb;47(2):135-138. doi: 10.1111/jcpt.13479. Epub 2021 Jul 12.
The Anatomical Therapeutic Chemical Classification/Defined Daily Doses (ATC/DDD) methodology is a WHO gold standard for ensuring systematic Drug Utilization Research (DUR) and has been mainly used in the developed world. This article examines the challenges and way forward for using this methodology in resource-limited countries.
The ATC/DDD is superior over other methods employed in DUR as it offers a unified medicines regulation and management system at all care levels. The ATC/DDD allows access to standardized and validated information on DUR by: assessing patterns of utilization, defining optimal use levels, identification of gaps, aggregating and analysing statistics for reporting adverse drug reactions, as well as assisting in developing rational medicines use interventions and monitoring their outcomes.
Application of the ATC/DDD methodology is crucial for improved patient management, optimal consumption of national pharmaceutical budgets and policy formulation in resource-limited countries.
解剖治疗化学分类/定义日剂量(ATC/DDD)方法是世界卫生组织确保系统药物利用研究(DUR)的黄金标准,主要在发达国家使用。本文探讨了在资源有限的国家使用这种方法的挑战和前进方向。
ATC/DDD 在 DUR 中优于其他方法,因为它在所有护理水平提供了一个统一的药品监管和管理系统。ATC/DDD 通过以下方式提供了关于 DUR 的标准化和经过验证的信息:评估利用模式、定义最佳使用水平、确定差距、汇总和分析用于报告药物不良反应的统计数据,以及协助制定合理的药物使用干预措施并监测其结果。
在资源有限的国家,应用 ATC/DDD 方法对于改善患者管理、优化国家药品预算的消耗和政策制定至关重要。