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MTP APPROACH TO REDUCE INAPPROPRIATE USE OF MEDICINES

T. M. P. Early-Bird Session, 1 April 2004. MTP APPROACH TO REDUCE INAPPROPRIATE USE OF MEDICINES. Sri Suryawati. Description of the recent situation. Reflection of previous experience. 80%. 20%. Problem solving & scientific/reality testing. Setting the target of improvement.

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MTP APPROACH TO REDUCE INAPPROPRIATE USE OF MEDICINES

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  1. T M P Early-Bird Session, 1 April 2004 MTP APPROACH TO REDUCE INAPPROPRIATE USE OF MEDICINES Sri Suryawati

  2. Description of the recent situation Reflection of previous experience 80% 20% Problem solving & scientific/reality testing Setting the target of improvement What is MTP • Monitoring - Training - Planning M P T • Adult learning process

  3. Monitoring (problem identification and measurement) When MTP has been running: • To follow up commitments from the previous session • To evaluate the result of improvement • To conclude the achievement • To identify the specific drug use problem • To select a priority problem • To determine drug use indicator(s) and data source • To identify the target of intervention

  4. Training (problem solving) • Discuss the problem: why, what are the underlying factors? • Collect supporting information • Collect scientific information, e.g., reference books, standard treatment guidelines, etc. • Decide how to solve the problem • Solve the problem

  5. 80% 20% Planning (setting target for improvement) • Set a target of improvement • Set measures to achieve target • Assign who is responsible for the execution of the plan • Set the date for the next MTP session • Assign who will collect and present data in the next MTP session

  6. P P P P P T T T T T M M M M M MTP meeting MTP cycle Flow of activities • 2-hour MTP meeting • 3-4 cycles for each problem • Simultaneous or parallel activities

  7. Conducting MTP in hospital • Set up the core MTP team in hospital, with supports from Director • Plan for MTP activities, assign MTP Group(s) involving the targets of intervention • Plan activities in MTP Groups • Identification and involvement of internal resources • Conducting MTP sessions • Periodic evaluations

  8. Approach the Director Provide articles Provide microbial culture Collect indicators Approach the professor Distribution of activities MTP team at hospital level MTP teams at ward/unit level

  9. Results of the field-test Sardjito Karyadi Sleman Yogya Panti Rapih PKU

  10. MTP implementation? • Indonesia (Dr. Intri) • Kingdom of Cambodia (Dr. Sokhan) • Lao PDR (Dr. Bouathong)

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