| Author/Editor | Fürst, Jurij; Kostnapfel, Tatja; Kos, Mitja | |
| Title | Kazalniki kakovosti predpisovanja zdravil v pediatriji | |
| Translated title | Pediatric drug prescribing quality indicators | |
| Type | članek | |
| Vol. and No. | Letnik 89, št. 7/8 | |
| Publication year | 2020 | |
| Volume | str. 408-422 | |
| ISSN | 1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal | |
| Language | slv | |
| Abstract | Izhodišče: Kazalniki predpisovanja zdravil so izbrani podatki, ki delno osvetljujejo zdravnikovo delo na področju predpisovanja zdravil. Temeljijo na podatkih o izdanih zdravilih na recept. Zavod za zdravstveno zavarovanje Slovenije (ZZZS) je v sodelovanju s predstavniki pediatrične stroke pripravil nabor kazalnikov kakovosti predpisovanja zdravil na področju pediatrije. Pripravljena je analiza kazalnikov za petletno obdobje od leta 2014%2018. Metode: V retrospektivni, opazovalni raziskavi so bili analizirani podatki o predpisanih zdravilih otrokom do 19. leta starosti. Vir podatkov je baza ambulantno predpisanih zdravil na ZZZS in na Nacionalnem inštitutu za javno zdravje (NIJZ). V analizo so bili vključeni podatki o številu ambulantno predpisanih zdravil na zelenih in belih receptih. Poraba zdravil je prikazana glede na razvrstitev po anatomsko-terapevtski-kemični (ATC) klasifikaciji v definiranih dnevnih odmerkih (DDD). Pregledane so bile tudi podskupine zdravil znotraj skupin ATC. Podatki so prikazani v tabelah. Rezultati: Število izdanih receptov v Sloveniji se je zmanjšalo za 8 %, vendar se je poraba zdravil v DDD povečala za 4 %. Najvišji delež oseb, ki so prejele vsaj en recept za zdravila za sistemsko zdravljenje bakterijskih okužb, je bil v območni enoti (OE) Murska Sobota 35 %, sledijo OE Krško s 34,1 %, OE Ravne s 33,2 % in OE Novo mesto z 32 %. Najmanj oseb je zdravila prejelo v OE Nova Gorica % 21,1 %. Kazalnik KK1p, ki kaže strošek predpisanih zdravil na enoto DDD, kaže padajoči trend za Slovenijo in velike razlike med območnimi enotami ZZZS. Glede na izhodiščno leto je v Sloveniji prišlo do zmanjšanja deleža otrok, ki so prejeli recept za antibiotik za sistemsko zdravljenje, za 16 %. V OE Nova Gorica je to zmanjšanje kar 33-odstotno. Zaključek: Predstavljeni kazalniki kažejo izboljšanje kakovosti predpisovanja zdravil pri otrocih zlasti na področju sistemskih antibiotikov. Menimo, da so kazalniki koristni tako za posamezne zdravnike kot za odločanje na nacionalni ravni. Lahko prispevajo k nadaljnjemu obvladovanju porabe protimikrobnih zdravil pri otrocih, kar je njihov osnovni namen.Background: Drug prescribing indicators represent selected data providing a partial insight into physicians% work in the field of drug prescribing. They are based on the data on drug prescriptions issued. The Health Insurance Institute of Slovenia (HIISI, in cooperation with the representatives of paediatric specialty, prepared an array of drug prescription quality indicators for paediatrics. Indicators for the 5-year period between 2014 and 2018 were analysed. Methods: The retrospective observational study analysed the data on the drugs prescribed to children aged up to 19 years. The data were obtained from the Primary Care Prescriptions Database at the HIIS and at the National Institute of Public Health. The analysis included data on the number of primary care prescriptions issued on green and white prescription forms. The consumption of medications is shown according to the anatomical therapeutic chemical (ATC) classification in DDD. Medication subgroups within the ATC groups were also reviewed. The data are shown in tabular form. Results: The number of prescriptions issued for children in 2014%2018 in Slovenia is lower by 8 %, while the number of DDD prescribed in the same period was higher by 4 %. The highest percentage of persons receiving at least one prescription for systemic treatment of bacterial infections was observed in the Murska Sobota HIIS regional unit, i.e. 35 %, followed by regional units Krško with 34.1 %, Ravne with 33.2 % and Novo mesto with 32 %. The fewest persons received medications in the Nova Gorica regional unit. The KK1p indicator, which reflects the value of a defined daily dose (DDD) unit or the average price per unit of all medications prescribed in Slovenia, shows a downward trend for Slovenia as well as major differences between the HIIS regional units. Compared to the baseline year, there was a 16 % reduction in the proportion of children having received a prescription for an antibiotic. The reduction observed for the Nova Gorica regional unit amounted to 33 %. Conclusion: The indicators presented show an improved quality of drug prescription for children, notably regarding systemic antibiotics. We believe the indicators are useful both for individual physicians and for decision-making at national level. They also contribute to further control of antimicrobial use in children, which is their main purpose. | |
| Descriptors | Zdravila | |
| Keywords | kazalnik kakovosti definirani dnevni odmerek predpisovanje antibiotikov zdravila na recept kakovost izdaje zdravil |