Pharmacovigilance &
health care
Public health is defined as the organized efforts of
society to protect, promote and restore people’s health. It is the combination
of science, skills and beliefs that is directed to the maintenance and
improvement of the health of all the people through collective or social actions.
The programmes, services and institutions involved focus on the prevention of disease
and the health needs of the population as a whole. Public health activities
change in response to variations in technology and social values, but the goals
remain the same: to promote health and to reduce the amount of disease,
premature death and disease related discomfort and disability in the
population.
Pharmacovigilance is the science and activity relating to
the detection, assessment, understanding and prevention of adverse effects or
any other possible medicine related problems.
The aims of pharmacovigilance are to:
1. To improve patient
care and safety in relation to the use of medicines and all medical and
paramedical interventions.
2.
To improve public
health and safety in relation to the use of medicines.
3. To detect problems
related to the use of medicines and communicate the findings in a timely
manner.
4. To contribute to the
assessment of benefit, harm, effectiveness and risk of medicines, leading to
the prevention of harm and maximization of benefit.
5. To encourage the safe,
rational and more effective (including cost-effective) use of medicines.
6. To promote
understanding, education and clinical training in pharmacovigilance and its effective
communication to the public.
Good pharmacovigilance
practice
To attain a coherent pharmacovigilance system it is vital
that guidelines and standards are developed, which describe the practical
details of the intended information flow.
Effective pharmacovigilance relies on contributions by many
people with varying educational backgrounds. The concept of pharmacovigilance
is normally not well understood, either by health professionals, patients or
the general population. To attain a coherent pharmacovigilance system it is
most important that guidelines and standards are developed, which describe the
practical details of the intended information flow. Such standard operating
procedures should include information on the following:
1.
What constitutes a
reportable adverse reaction?
2.
Who is expected to
report an observation of a suspected medicine-related problem?
3.
The availability and
practicalities of filling in a reporting form.
4.
Procedures for
submission or collection of reports.
5.
Routines for
assessment, follow-up and processing of case reports at the pharmacovigilance
centre.
6.
Procedures for
analysis of aggregated information and options for action.
7.
Good communication
practices.
8.
A description of
indicators by which the progress of the monitoring system may be measured.
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