Treatment of hypertension by general practitioners and antihypertensive drugs expenditure in an urban environment [Liječenje hipertenzije od strane liječnika obiteljske medicine i potrošnja za antihipertenzivne lijekove u gradskoj sredini]

Bergman Marković, Biserka and Kranjčević, Ksenija and Stojanović-Špehar, Stanislava and Blažeković-Milaković, Sanja and Kern, Josipa and Vrca Botica, Marija and Doko Jelinić, Jagoda and Marković, Maja (2009) Treatment of hypertension by general practitioners and antihypertensive drugs expenditure in an urban environment [Liječenje hipertenzije od strane liječnika obiteljske medicine i potrošnja za antihipertenzivne lijekove u gradskoj sredini]. Collegium Antropologicum, 33 (1). pp. 71-76. ISSN 0350-6134

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Abstract

Aim of our study was to determine the treatment habits of hypertension by general practitioners (GPs) as well as the monthly costs of prescribed antihypertensive drugs and their share in the total prescription drug expenditure approved by the Croatian Institute for Health Insurance (CIHI), the compulsory health insurance system. The study was performed in six GPs offices in Zagreb, serving 8,866 patients, in December 2005. The monthly costs of antihypertensive drugs prescribed by the GPs was obtained by summarizing the prices of all antihypertensive drugs prescribed in one month and then comparing the sum with total monthly prescription drug expenditure approved by the CIHI. The type and dosage of prescribed antihypertensive drugs were also analyzed. Hypertension was diagnosed in 2,342 (26.4%) patients. The monthly costs of prescribed antihypertensive drugs accounted for 52.33% of the total amount approved for medications by the CIHI. 945 (40.0%) hypertensive patients were taking antihypertensive monotherapy. The most frequently prescribed drugs as monotherapy were ACE inhibitors (38.3%), calcium-channel blockers (26.7%), beta blockers (18.6%), and diuretics (10.3%). a antagonists (3.6%). Angiotensin receptor blockers (2.5%) were rarely prescribed. As combination therapy, ACE inhibitors and diuretics (30.4%) were most frequently used. More than 50% of the funds allocated to GPs for medications were spent for the treatment of only one disease. The most used antihypertensive drugs were ACE inhibitors.

Abstract in Croatian

Cilj ovog istraživanja bio je ispitati navike liječnika obiteljske medicine u liječenju hipertenzije i izračunati udio mjesečne potrošnje za antihipertenzivene lijekove u ukupnoj dozvoljenoj potrošnji za lijekove. Istraživanje je provedeno na populaciji (N = 8.866) iz šest ordinacija obiteljske medicine u Zagrebu, liječenih tijekom prosinca 2005. Mjesečna potrošnja za antihipertenzivne lijekove propisane od strane liječnika obiteljske medicine je uspoređena sa dozvoljenom ukupnom potrošnjom za lijekove odobrene od strane Hrvatskog zavoda za zdravstveno osiguranje (HZZO). Analizirane su također vrsta i broj propisanih antihipertenzivnih lijekova svakom hipertoničaru. Dijagnosticiranu hipertenziju imalo je 26,4% promatrane populacije, a mjesečna potrošnja njima propisanih antihipertenzivnih lijekova iznosila je 52,33% ukupno dozvoljene potrošnje za lijekove. Monoterapiju je koristilo 945 (40,0%) bolesnika. Najpropisivaniji antihipertenzivni lijekovi u monoterapiji su bili ACE inhibitori (38,3%), blokatori kalcijskih kanala (26,7%), b blokeri (18,6%) i diuretici (10,3%). a antagonisti (3,6%), blokatori angiotenzinskih receptoraand (2,5%) su rijetko propisivani. Najčešće kombinirani antihipertenzivi kod hipertoničara kojima su bila propisana dva antihipertenziva bili su ACE inhibitori i diuretici (30,4%). Preko 50% dozvoljenih ukupnih sredstava za propisivanje lijekova liječnicima obiteljske medicine potrošeno je za samo jednu bolest. Najčešće propisivan antihipertenzivni lijek je bio ACE inhibitor.

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