Naslov
CONSUMPTION OF PSYCHOTROPIC DRUGS IN PRIMARY HEALTH CARE IN HERZEGOVINA-NERETVA COUNTY; COMPARISON OF DATA FROM 2020 AND 2021
(HEALTH CARE IN HERZEGOVINA-NERETVA COUNTY; COMPARISON OF DATA FROM 2020 AND 2021)

Autori
Vukoja, Martina

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Pharmaca / Ksenija Makar-Aušperger, Chief editor of the jurnal Pharmaca - Zagreb, 2022, 42-42

Skup
10th Adriatic and 7th Croatian congress of pharmacoeconomics and outcomes research

Mjesto i datum
Pula, Hrvatska, 02.06.2022. - 04.06.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
prescriptions, ATC classification N, DDD/1000/day

Sažetak
Introduction: Drug consumption is a growing public health problem, and proper and regular monitoring of drug consumption is one of the fundamental indicators of the health status of the country. Major psychiatric disorders require long-term use of psychotropic drugs and represent a significant economic burden. Guided by the need to ensure the quality of health care, but also its economic efficiency, it is necessary to strive for the rational use of medicines. Objective: The main objective of this research is to show the consumption of psychotropic drugs at the level of primary health care in Herzegovina-Neretva County during 2020 and 2021 and to assess the rationality of prescribing based on data on financial indicators and number of packages of prescribed drugs. Materials and methods: Data on prescribing drugs that affect the nervous system were obtained and analyzed by the Health Insurance Institute of Herzegovina-Neretva County. The retrospective study included only electronic prescriptions with data on drugs according to ATK classification N, diagnosis according to ICD-10 classification, form, strength, drug packaging, financial report and the amount of prescribed generics in 2020 and 2021. The number of defined daily doses and the number of DDD per 1000 inhabitants per day for each individual drug were calculated. Results: According to the data of The Agency for Medicinal Products and Medical Devices of Bosnia and Herzegovina in 2020, drugs according to ATK classification N were in the fourth place out of the total consumption of medicines with the amount of 87.145.176, 94 KM (11, 74%). The total number of prescribed prescriptions in 2020 was 199.217 and 202.933 in 2021 ; this represents an increase of 3.716 prescriptions (1, 9%). The number of patients using psychotropic drugs increased from 10.600 (15, 6%) in 2020 to 12.696 (18, 7%) in 2021. The most prescribed drug in 2020 and 2021 was N05BA01 diazepam 8, 76 DDD/1000/day and 8, 82 DDD/1000/day, respectively, most indicated for primary (essential) hypertension I10, followed by N06AB05 paroxetine and N06AB10 escitalopram. The financial share of drugs from group N in 2020 amounted to 14, 7% of total drug consumption, while in 2021 it was 15, 17%. N03AX09 antiepileptic lamotrigine as a drug ≈ 9% and psycholeptics as a group of drugs ≈38% recorded the highest financial consumption of drugs according to ATK classification N in both years. Conclusion: The increase in consumption and increase in drug costs according to ATK classification N in health care requires a detailed analysis, using pharmacoeconomic methods that should help make decisions about the allocation of available funds and the development of health care. Measures are needed to streamline prescribing, control unnecessary spending in the country and improve patient welfare.

Izvorni jezik
Engleski

Znanstvena područja
Farmacija

POVEZANOST RADA