Utjecaj socioekonomskog statusa na kupovinu bezreceptnih lijekova i dodataka

professional thesis

• Title (english): The impact of socioeconomic status on the purchase of over-the-counter drugs and supplements
• Author: Sven Pavlić
• Mentor: Miroslav Mastilica (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2018-06-04, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Public Health

Abstract

Svjetska zdravstvena organizacija i Međunarodna farmaceutska federacija su definirali
samoliječenje kao proces u kojem osoba sama prepoznaje simptome bolesti te ih liječi koristeći
bezreceptne lijekove. Samoliječenje je poželjno prakticirati kod manjih bolesti tj. tegoba. U
svijetu, a pogotovo razvijenim i zemljama u razvoju sve se više potiče samoliječenje. Za
državne institucije to znači smanjenje izdataka za zdravstvo a za liječnike znači mogućnost da
se fokusiraju na ozbiljnije zdravstvene probleme.
Teoretski, rizici samoliječenja su brojni. Samoliječenje podrazumijeva i samodijagnozu koja
može biti pogrešna i može dovesti do odgode prijeko potrebnog liječenja. Lijekovi koji se
koriste moraju imati izrazito pozitivan sigurnosni profil, biti namijenjeni stanjima i simptomima
koji se vrlo lako prepoznaju i biti dostupni u prikladnim dozama i pakiranjima.
Cilj ovog istraživanja je ispitati potrošnju na bezreceptne lijekove i dodatke prehrani te utvrditi
je li kupovina tih lijekova povezana sa socioekonomskim i sociodemografskim faktorima.
Anketa je provedena na prigodnom uzorku od 200 ispitanika. Na upitnik je odgovorilo njih 185,
a 15 nije kompletiralo odgovaranje na anketu. (stopa odaziva bila je 92,5%). Istraživanje je
provedeno na pacijentima u ZU Ljekarne Pavlić koja se sastoji od 3 ljekarničke jedinice: dvije
ljekarničke jedinice u Sisku i jednoj podružnici u Martinskoj Vesi, koji su ušli u ljekarnu između
1. srpnja i 1. rujna 2016. godine.
U ovom istraživanju utvrdili smo povezanost gotovo svih socioekonomskih i
sociodemografskih čimbenika sa kupovinom bezreceptnih lijekova, međutim takvu povezanost
nismo našli i sa dodacima prehrani. Skupine na koje bi trebalo staviti fokus pri izradi
javnozdravstvenih kampanja i edukacija o sigurnom korištenju bezreceptnih lijekova trebale bi
biti žene i ljudi višeg socioekonomskog statusa. Također, utvrdili smo mogući izvor
zdravstvene nejednakosti u budućnosti zato što sve više lijekova prelazi u bezreceptni status
i potiče se kupovina lijekova iz vlastitog džepa.

Abstract (english)

World Health Organization and International Pharmaceutical Federation define selfmedication
as a practice where an individual selects and uses medicines for self-diagnosed
symptoms and minor illnesses. In hole world and especially in developing countries
governments and health policies are encouraging self-medication practice to reduce health
expenditure and so physicians could focus on serious health problems.
In theory, there are many risks of self-medication. Self-medication includes self-diagnosis
which can be incorrect and can cause delay of appropriate treatment. Medicines used for selfdiagnosis
should be of high standard of safety. Medicines used are those indicated for
conditions that are self-recognizable and for some chronic or recurrent conditions. In all cases,
these medicines should be specifically designed for the purpose, and will require appropriate
dose and dosage forms.
Aim of this study is to examine out of pocket expenditure on nonprescription medicines and
food supplements in pharmacy and to determine whether the purchase is associated with
socioeconomic and sociodemographic factors.
The survey was conducted on a sample of 200 respondents. The questionnaire answered 185
people and 15 did not complete the questionnaire. (The response rate was 92.5%). The study
was conducted on patients at Pharmacies Pavlić, which consists of three pharmacy units: two
pharmacy units in Sisak and one branch in Martinska Ves, who entered the pharmacy between
July 1st and September 1st, 2016.
In this study, we have associated virtually all socioeconomic and sociodemographic factors
with the purchase of non-prescription drugs, but we have not found such a connection with
dietary supplements. The groups that should be in focus of public health campaigns and
education on the safe use of non-prescription drugs should be women and people with higher
socioeconomic status. Also, we have identified a possible source of health inequality in the
future as more medicines are switched to nonprescription status and governments encourage
out of pocket expenditure on medications.

• Keywords: socioekonomski status; bezreceptni lijekovi; dodaci prehrani; lijekarne; Sisačko-moslovačka županija
• Keywords (english): socioeconomic status; over-the-counter medications; food suplements; pharmacies; Sisak-Moslavina County
• Language: croatian
• URN:NBN: urn:nbn:hr:105:622455
• 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
• Public note: Ključne riječi oblikovao urednik.
• Created on: 2021-05-07 11:38:24