Avtor/Urednik		Marolt-Gomišček, Marica
Naslov		Analiza porabe zdravil in razvrščanje zdravil na liste - slovenske izkušnje
Prevedeni naslov		Analysis of drug consumption and their ranging on lists - Slovenian experiences
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 69, št. Suppl 1
Leto izdaje		2000
Obseg		str. I-11-4
Jezik		slo
Abstrakt		Background. Towards the end of the 1960 countries which were members of the WHO began upon its advice to register systematically the drug utilization. The automatic analysis of prescriptions (AAP) was began in Slovenia in 1974. In 1978 the Commission for Drugs at Health Committee of Republic Slovenia, which included specialists in the field of medicine and pharmacology, was appointed. This group analysed data from the profession point of view for all Slovenian health regions. 1991 drugs were divided into three categories depending on their efficacy and significance. Due to the severe economic situation patients were required to participate in the cost of a drug. The share of patients co-payment depended on the list where the drug was ranged. The competence for the ranging drugs on lists was 1992 attributed to the national health insurence. A Committee for Ranging of Drugs on Lists continued to use professional medical criteria at its work. It also took into consideration the cost of drugs, particularly in cases of parallel substances. Pediatric drugs have been always put on the positive list. Many widely used but inefficient drugs were put on a negative list. Conclusions. Committees, which have been active in the field on the analysis and ranging of drugs upon the lists, have contributed with its warnings and guide-lines to a greater awareness of drug usage in Slovenia.
Izvleček		Izhodišča. Po priporočilih SZO konec 60. let so pričele države sistematično spremljati porabo zdravil. Avtomatska obdelava receptov (AOR) je v Sloveniji stekla leta 1974. Leta 1978 je bila ustanovljena Komisija za zdravila zdravstvenega sveta skupščine Zdravstvene skupnosti Slovenije, sestavljena iz strokovnjakov s področja medicine in farmacije, ki je zbrane podatke iz vse Slovenije analizirala s strokovnega stališča. Zaradi hudih ekonomskih težav konec osemdesetih let smo januarja 1991 zdravila razvrstili glede na njihovo učinkovitost in pomembnost v tri skupine oziroma na tri liste: P-pozitivno, V-vmesno in N-negativno. Del sredstev za zdravila so morali prispevati bolniki. Prispevek je bil odvisen od razporeditve zdravila na listo. Leta 1992 je prešla pristojnost razporejanja zdravil na liste na Zavod za zdravstveno zavarovanje Slovenije (ZZZS). Ta je leta 1995 ustanovil Komisijo za razporeditev zdravil na liste, ki je na strokovni podlagi razporejala zdravila in predvsem pri paralelnih substancah upoštevala tudi ceno. Otroške oblike zdravil je vedno razvrščala na pozitivno listo. Zdravila, katerih učinki so bili minimalni ali nezadostni, vendar pa so jih zdravniki veliko predpisovali, je razvrščala na negativno listo. Zaključki. Komisije, ki so delovale na področju analize in razvrščanja zdravil na liste, so s svojimi smernicami in opozorili prispevale k bolj racionalni uporabi zdravil v Sloveniji.
Deskriptorji		DRUG UTILIZATION PRESCRIPTIONS, DRUG INSURANCE, HEALTH SLOVENIA