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Patients, society, and the increase in self medication
1Department of Pharmacy Policy and Practice, Keele University, Keele, Staffordshire.
Summary
Self-medication with over-the-counter (OTC) drugs is rising due to reclassified prescriptions. This trend shifts healthcare costs to consumers, with doctor-pharmacist collaboration being key for patient empowerment and benefits.
Area of Science:
- Pharmacology
- Public Health
- Health Economics
Background:
- Self-medication with over-the-counter (OTC) medicines is a long-standing practice in public healthcare.
- Reclassification of prescription drugs to OTC status has increased public access to previously restricted medications.
- Global governments are promoting self-medication to transfer healthcare costs to consumers.
Purpose of the Study:
- To analyze the growing trend of self-medication and its implications.
- To understand the economic impact of increased OTC medicine sales on national health systems.
- To explore the potential benefits and challenges of patient empowerment through self-care.
Main Methods:
- Analysis of OTC medicine sales data in relation to national health expenditure.
- Review of policy changes regarding drug reclassification from prescription to OTC.
- Examination of the concept of patient empowerment in the context of self-care.
Main Results:
- OTC medicine sales now constitute a significant portion (one-third) of the National Health Service (NHS) drug bill.
- Governments worldwide are actively encouraging self-medication as a cost-shifting strategy.
- Increased patient self-care and empowerment present numerous potential advantages.
Conclusions:
- The rise in self-medication, driven by drug reclassification, necessitates a re-evaluation of healthcare cost distribution.
- Effective collaboration between medical doctors and pharmacists is crucial for navigating the complexities of increased patient self-care.
- The trend towards self-care and patient empowerment holds significant potential for improving health outcomes if managed collaboratively.