Repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

Quality of cardiovascular drugs prescribing in Croatia 2003-2008.

Štimac, Danijela (2012) Quality of cardiovascular drugs prescribing in Croatia 2003-2008. Collegium Antropologicum, 36 (S1). pp. 189-94. ISSN 0350-6134

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    Croatian abstract

    KVALITETA PROPISIVANJA KARDIOVASKULARNIH LIJEKOVA U REPUBLICI HRVATSKOJ OD 2003–2008 ----- Cilj ovoga rada je utvrditi izvanbolničku potrošnju i kvalitetu propisivanja kardiovaskularnih lijekova na razini primarne zdravstvene zaštite od 2003–2008. godine u Republici hrvatskoj. Podaci o veličini i broju pakovanja za sve propisane kardiovaskolurane lijekove u razdoblju od 2003–2008. godine dobiveni su od Hrvatskog zavoda za zdravstveno osiguranje (HZZO). Na temelju podataka o broju pakovanja izračunat broj utrošenih definiranih dnevnih doza (DDD) i broj definiranih dnevnih doza na 1000/stanovnika/dan (DDD/1000/dan) za sve kardiovaskularne lijekove. Kvaliteta propisivanja ocjenjena je DU90% metodom. Najvećeg udjela u potrošnji kardiovaskularnih lijekova imaju propravci s učinkom na renin-angiotenzinski sustav te zatim, blokatori kalcijevih kanala. Ove dvije skupine čine više od polovice ukupne potrošnje kardiovaskularnih lijekova. Najveće promjene u potrošnji u promatranom razdoblju bilježe skupine hipolipemika i lijekova s učinkom na rennin-angiotenzinski sustav. U promatranom rarazdoblju broj lijekova unutar DU90% segmenta je porastao, kao i kvaliteta propisivanja, dok se trošak/DDD smanjio.

    English abstract

    The aim of the study was to determine cardiovascular drugs utilization and quality of prescribing in Croatia from 2003 to 2008. Data on the outpatient utilization of cardiovascular drugs in Croatia were collected during 2003-2008. Data on the size and number of packages, were obtained from Croatian institute for Health Insurance (CIHI). Based on the data obtained, the numbers of DDD and DDD per 1000 inhabitants per day (DDD/1000/day) were calculated for all cardiovascular drugs. Quality of drugs prescribing was assessing using Drug Utilization 90% (DU90%) method. Renin-angiotensin system agents showed highest share in the utilization of group C drugs, followed by calcium channel blockers. These two groups of drugs accounted for half of the overall cardiovascular drug utilization. Greatest changes were observed in the groups of renin-angiotensin system agents and hypolipemics. The number of drugs within DU90% segment increased between 2003 and 2008. In the same period Cost/DDD decreased.

    Item Type: Article
    MeSH: Cardiovascular Agents/therapeutic use ; Croatia ; Drug Prescriptions ; Humans ; Insurance, Health ; Quality Control
    Divisions: Katedra za socijalnu medicinu i organizaciju zdravstvene zaštite
    Depositing User: Marijan Šember
    Status: Published
    Creators:
    CreatorsEmail
    Štimac, Danijela
    Date: January 2012
    Date Deposited: 16 Mar 2012 12:53
    Last Modified: 16 Mar 2012 12:53
    Subjects: /
    Related URLs:
    URI: http://medlib.mef.hr/id/eprint/1533

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