Cost of outpatient hypertension pharmacotherapy: comparative study between Bulgaria and Serbia
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Centro de investigaciones y Publicaciones Farmacéuticas
2009
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| _version_ | 1876424603914469376 |
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| author | Anna IVANOVA |
| author_facet | Anna IVANOVA |
| contents | Cost of outpatient hypertension pharmacotherapy: comparative study between Bulgaria and Serbia Anna IVANOVA Dragana LAKIC Vesna ANDRIC Guenka PETROVA Medicina Serbia Bulgaria drug costs Hypertension health expenditures Objective: To compare the prescribing practice and pharmacotherapy outpatient cost of hypertension and its common complications between two neighboring countries, Bulgaria and Serbia. The study questions focus on consistency of the prescribing practice with the treatment guidelines; comparability of the treatment patterns among both countries, and burden of hypertension cost to the population and third party payer in the countries under consideration. Methods: Retrospective study, one year time horizon is for outpatient therapy. Results: Patients with arterial hypertension in Bulgaria are most often on monotherapy (61% vs 6% in Serbia), as well as those with complications (66% vs 0% Serbia). In both countries the first choice of therapy are the ACE inhibitors (37.01% in Serbia and 41% in Bulgaria) and then follows the calcium antagonists, beta-blockers, and diuretics. The weighed monthly cost of hypertension and complicated hypertension is almost doubled in Serbia (12.56 vs 8.23 EUR for hypertension, and 13.39 vs 8.23 EUR) and prevailing part is reimbursed (88% vs 44% in Bulgaria). Conclusion: Our study confirms that hypertension and its complications therapy consumes a huge amount of financial resources. In both countries under consideration the therapy is corresponding with the European treatment guidelines. The international cost comparisons are possible but they depend on many external factors as the regulatory measures, prescribing habits and reimbursement policy and should be analysed within this framework. 2009 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69011697007 https://www.redalyc.org/journal/690/69011697007/ https://www.redalyc.org/journal/690/69011697007/html/ https://www.redalyc.org/journal/690/69011697007/69011697007.epub https://www.redalyc.org/journal/690/69011697007/movil en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.2 Vol.7 |
| format | Artículo científico |
| id | redalyc_69011697007 |
| institution | Redalyc |
| language | en |
| publishDate | 2009 |
| publisher | Centro de investigaciones y Publicaciones Farmacéuticas |
| spellingShingle | Cost of outpatient hypertension pharmacotherapy: comparative study between Bulgaria and Serbia Anna IVANOVA Medicina Serbia Bulgaria drug costs Hypertension health expenditures Cost of outpatient hypertension pharmacotherapy: comparative study between Bulgaria and Serbia Anna IVANOVA Dragana LAKIC Vesna ANDRIC Guenka PETROVA Medicina Serbia Bulgaria drug costs Hypertension health expenditures Objective: To compare the prescribing practice and pharmacotherapy outpatient cost of hypertension and its common complications between two neighboring countries, Bulgaria and Serbia. The study questions focus on consistency of the prescribing practice with the treatment guidelines; comparability of the treatment patterns among both countries, and burden of hypertension cost to the population and third party payer in the countries under consideration. Methods: Retrospective study, one year time horizon is for outpatient therapy. Results: Patients with arterial hypertension in Bulgaria are most often on monotherapy (61% vs 6% in Serbia), as well as those with complications (66% vs 0% Serbia). In both countries the first choice of therapy are the ACE inhibitors (37.01% in Serbia and 41% in Bulgaria) and then follows the calcium antagonists, beta-blockers, and diuretics. The weighed monthly cost of hypertension and complicated hypertension is almost doubled in Serbia (12.56 vs 8.23 EUR for hypertension, and 13.39 vs 8.23 EUR) and prevailing part is reimbursed (88% vs 44% in Bulgaria). Conclusion: Our study confirms that hypertension and its complications therapy consumes a huge amount of financial resources. In both countries under consideration the therapy is corresponding with the European treatment guidelines. The international cost comparisons are possible but they depend on many external factors as the regulatory measures, prescribing habits and reimbursement policy and should be analysed within this framework. 2009 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69011697007 https://www.redalyc.org/journal/690/69011697007/ https://www.redalyc.org/journal/690/69011697007/html/ https://www.redalyc.org/journal/690/69011697007/69011697007.epub https://www.redalyc.org/journal/690/69011697007/movil en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.2 Vol.7 |
| title | Cost of outpatient hypertension pharmacotherapy: comparative study between Bulgaria and Serbia |
| topic | Medicina Serbia Bulgaria drug costs Hypertension health expenditures |
| url | https://www.redalyc.org/articulo.oa?id=69011697007 https://www.redalyc.org/journal/690/69011697007/ https://www.redalyc.org/journal/690/69011697007/html/ https://www.redalyc.org/journal/690/69011697007/69011697007.epub https://www.redalyc.org/journal/690/69011697007/movil |