TY - JOUR
T1 - WHO guide to good prescribing is 25 years old
T2 - quo vadis?
AU - Tichelaar, J.
AU - Richir, M. C.
AU - Garner, S.
AU - Hogerzeil, H.
AU - de Vries, Th. P. G. M.
N1 - Funding Information: We thank the members of the Education Working Groups of EACPT and IUPHAR for their valuable comments on and contributions to the draft version of this paper. We thank the authors of the first editions for their consent in the revision of the GGP and TGGP and their valuable advises. We also thank Robert Summers for his valuable comments and Chiel Bakkum for his help with both the part on internet/digital support systems and the development of the website. Publisher Copyright: © 2020, The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/4/1
Y1 - 2020/4/1
N2 - Introduction: Twenty-five years ago, the World Health Organization (WHO) published the Guide to Good Prescribing (GGP), followed by the accompanying Teacher’s Guide to Good Prescribing (TGGP). The GGP is based on a normative 6-step model for therapeutic reasoning and prescribing, and provides a six-step guide for students to the process of rational prescribing. Method: We reviewed the need to update both WHO publications by evaluating their use and impact, including new (theoretical) insights and demands. Based on information from literature, Internet, and other (personal) sources, we draw the following conclusions. Results: 1. An update of the GGP and TGGP, both in terms of content and form, is necessary because of the current need for these tools (irrational medicine use and unavailability of medicines), the lack of similar documents, and the lack of connection with recent developments, such as Internet and modern education; 2. The basic (6-step) model of the GGP is effective in terms of rational prescribing in the undergraduate situation and is still consistent with current theories about (context) learning, clinical decision-making, and clinical practice; 3. The dissemination and introduction of the GGP and TGGP in education has been successful so far, but is still not optimal because of lack of support and cooperation. Conclusions: On the basis of the evaluation results, a plan for the revision of the GGP and TGGP is presented.
AB - Introduction: Twenty-five years ago, the World Health Organization (WHO) published the Guide to Good Prescribing (GGP), followed by the accompanying Teacher’s Guide to Good Prescribing (TGGP). The GGP is based on a normative 6-step model for therapeutic reasoning and prescribing, and provides a six-step guide for students to the process of rational prescribing. Method: We reviewed the need to update both WHO publications by evaluating their use and impact, including new (theoretical) insights and demands. Based on information from literature, Internet, and other (personal) sources, we draw the following conclusions. Results: 1. An update of the GGP and TGGP, both in terms of content and form, is necessary because of the current need for these tools (irrational medicine use and unavailability of medicines), the lack of similar documents, and the lack of connection with recent developments, such as Internet and modern education; 2. The basic (6-step) model of the GGP is effective in terms of rational prescribing in the undergraduate situation and is still consistent with current theories about (context) learning, clinical decision-making, and clinical practice; 3. The dissemination and introduction of the GGP and TGGP in education has been successful so far, but is still not optimal because of lack of support and cooperation. Conclusions: On the basis of the evaluation results, a plan for the revision of the GGP and TGGP is presented.
KW - Clinical pharmacology
KW - Education
KW - Guide to good prescribing
KW - Pharmacotherapy
KW - Rational prescribing
KW - WHO 6 step
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85077995509&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31938856
UR - http://www.scopus.com/inward/record.url?scp=85077995509&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00228-019-02823-w
DO - https://doi.org/10.1007/s00228-019-02823-w
M3 - Article
C2 - 31938856
SN - 0031-6970
VL - 76
SP - 507
EP - 513
JO - European journal of clinical pharmacology
JF - European journal of clinical pharmacology
IS - 4
ER -