Uporaba zdravstvenoinformacijskog sustava: usporedba dva modela određivanja referentnih cijena lijekova

professional thesis

• Title (english): Use of health information system: a comparison of two models of reference price systema
• Author: Ljiljana Sović Brkičić
• Mentor: Zdenko Sonicki (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2024-07-08, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care

Abstract

Određivanje referentnih cijena lijekova jedna je od mjere snižavanja cijena lijekova i kontrole rasta zdravstvene potrošnje. Uporabom zdravstvenoinformacijskog sustava napravljena je usporedba modela određivanja referentnih cijena lijekova na ATK razini III-V i ATK razini V kako bi se prikazali mogući financijski učinci provedbe jednog ili drugog modela.
Određivanje referentnih cijena lijekova u Hrvatskoj se provodi na ATK razini III-V. Na modelu određivanja referentnih cijena lijekova provedenom 2012. godine na ATK razini III-V napravljen je usporedni model određivanja referentnih cijena lijekova na ATK razini V. Navedena dva modela su uspoređena na osnovi projekcije moguće uštede vezano uz provedbu jednog ili drugog modela.
Projekcija moguće uštede napravljena je na osnovi potrošnje lijekova u godini koja je prethodila postupku određivanja referentnih cijena. Primjenom modela određivanja referentnih cijena lijekova na ATK razini III-V procijenjena ušteda bi iznosila 318.398.149,58 kn dok bi primjenom modela određivanja referentnih cijena lijekova na ATK razini V procijenjena uštede bi iznosila 254.451.262,30 kn.
Prikazana je korisnost primjene zdravstvenoinformacijskog sustava u svakodnevnom radu u procesu donošenje odluka vezano uz odabir modela određivanja referentnih cijena lijekova. Primjenom modela određivanja referentnih cijena lijekova na ATK razini III-V moguće je postići veću uštedu u odnosu na model koji se provodi ATK razini V.

Abstract (english)

A determination of referent prices of drugs is one of measures of the pharmaceutical costs reduction and control of total health costs. In order to present financial effects of the application of the model of reference price system at the Anatomical Therapeutic Chemical Classification System (ATC) III-V level and the model of reference price system at ATC V level, a comparative analysis of those two models has been performed using health information system.
In Croatia, the model of reference price system at ATC III-V level has been applied. For the model of reference price system at ATC III-V level, applied in 2012, a comparative model of reference price system at ATC V level has been performed. Those two models have been compared based on the financial benefits projection related to their application. Financial benefits projection has been made based on the drug expenditure in the year that preceded a price referencing year.
Financing benefits projection using the model of reference price system at ATC III-V level has been estimated on 318.398.149,58 HRK, whereas financing benefits projection using the model of reference price system at ATC V level has been estimated on 254.451.262,30 HRK.
Benefits of the use of health information system in a reference price system, related to selection of the best price referencing model, have been presented. Financial benefits using the price referencing system model on the ATC III-V level seemed to be greater than using the price referencing system model on the ATC V level.

• Keywords: cijene lijekova; lijekovi; liste lijekova; određivanje referentnih cijena lijekova
• Keywords (english): drugs; drug list; medicines; pricing; reference price system; reimbursement
• Language: croatian
• URN:NBN: urn:nbn:hr:105:387220
• Study programme: Title: Leadership and management of health services; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra menadžmenta u zdravstvu (sveučilišni/a magistar/magistra menadžmenta u zdravstvu)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-08-21 08:54:03