Quality of cardiovascular drugs prescribing in Croatia 2003-2008

Scientific paper - Original scientific paper

• Title (croatian): Kvaliteta propisivanja kardiovaskularnih lijekova u Republici Hrvatskoj od 2003-2008
• Author: Danijela Štimac
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

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.

Abstract (croatian)

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.

• Keywords (english): Cardiovascular Agents/therapeutic use; Croatia; Drug Prescriptions; Humans; Insurance, Health; Quality Control
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Collegium Antropologicum
• Numbering: vol. 36, no. S. 1, pp. 189-194
• p-ISSN: 0350-6134
• URN:NBN: urn:nbn:hr:105:109591
• Publication: 2012-01
• Document URL: https://hrcak.srce.hr/75672
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-27 19:20:58