The Rational Use of Medicines and Medical Devices: A Strategic Imperative for Health System Sustainability
Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention),
Vol. 13 No. 2 (1404),
11 July 2026
,
Page 1-5
Abstract
Rational use of medicines and medical devices is a fundamental prerequisite for improving healthcare quality, enhancing patient safety, and increasing the efficiency of health systems. In recent years, Iran's healthcare system has faced major challenges, including self-medication, inappropriate prescribing, resource constraints, rising healthcare costs, inadequate supervision, and inefficient management of medical devices. These challenges have contributed to unnecessary expenditures, antimicrobial resistance, waste of valuable resources, and reduced access to essential healthcare services. Evidence from recent studies indicates that irrational use is influenced by a complex interaction of individual, cultural, organizational, and policy-related factors, highlighting the need for comprehensive evidence-based interventions. Key strategies include reforming provider payment systems, strengthening the referral and family physician programs, expanding electronic health records, implementing intelligent prescription monitoring, improving public health literacy, empowering pharmacists, and promoting strategic management of medical devices. This editorial emphasizes the critical role of research and evidence-informed policymaking in fostering rational resource utilization and achieving a more efficient, equitable, and sustainable healthcare system.
- Health policy
- Health system
- Medical devices
- Patient safety
- Rational use of medicines
- Resource management
How to Cite
References
1. Haider A, Saha L, Basu D. Patterns of utilization of antipsychotic drugs and direct medical costs among patients with schizophrenia in a tertiary care hospital. World Journal of Psychiatry. 2026;16(1):109365. https://doi.org/10.5498/wjp.v16.i1.109365
2. Goruntla N, Ssesanga J, Bommireddy BR, Thammisetty DP, Kasturi Vishwanathasetty V, Ezeonwumelu JO, Bukke SP. Evaluation of rational drug use based on who/inrud core drug use indicators in a secondary care hospital: a cross-sectional study in western Uganda. Drug, Healthcare and Patient Safety. 2023:125-135. https://doi.org/10.2147/DHPS.S424050
3. Minaei H, Peikanpour M, Yousefi N, Peymani P, Peiravian F, Shobeiri N, Majd ZK, Shamsaee J. Country pharmaceutical situation on access, quality, and rational use of medicines: An evidence from a middle-income country. Iranian Journal of Pharmaceutical Research: IJPR. 2019;18(4):2191. https://doi.org/10.22037/ijpr.2019.111636.13273
4. Azami-Aghdash S, Mohseni M, Etemadi M, Royani S, Moosavi A, Nakhaee M. Prevalence and cause of self-medication in Iran: a systematic review and meta-analysis article. Iranian Journal of Public Health. 2015;44(12):1580. https://pmc.ncbi.nlm.nih.gov/articles/PMC4724731/
5. Ofori-Asenso R, Agyeman AA. Irrational use of medicines—a summary of key concepts. Pharmacy. 2016;4(4):35. https://doi.org/10.3390/pharmacy4040035
6. Khoshnoud MJ, Hajian A, Asemani O. Drug counseling for herbal medicines: patients’ perspectives on the professional performance of pharmacists in urban pharmacies. BMC Complementary Medicine and Therapies. 2025;25(1):335. https://doi.org/10.1186/s12906-025-05079-3
7. Jahani MA, Pasha MR, Hashemi SN, Soltani SA, Nikbakht HA, Mahmoudi G. The model for induced drug demand management in Iranian hospitals: a qualitative study. BMC Research Notes. 2025;18(1):443. https://doi.org/10.1186/s13104-025-07194-3
8. Sami R, Salehi K, Sadegh R, Solgi H, Atashi V. Barriers to rational antibiotic prescription in Iran: A descriptive qualitative study. Antimicrobial Resistance & Infection Control. 2022;11(1):109. https://doi.org/10.1186/s13756-022-01151-6
9. Raeis Zadeh MM, Borhani M, Soleymani F, Yazdizadeh B, Nikfar S. Impact of Delisting Non-Prescription Medicines from Health Insurance Coverage on Physicians’ Prescribing Behaviour in Iran: A Qualitative Study. Journal of Research in Pharmacy Practice. 2026;15(1):1. https://doi.org/10.4103/jrpp.jrpp_53_25
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