| Title |
Vaistų skyrimo kokybės ir efektyvumo vertinimas, naudojant Valstybinės ligonių kasos informacinę sistemą / |
| Translation of Title |
Using National Health Insurance Fund database for the assessment of prescribing quality and efficiency. |
| Authors |
Garuolienė, Kristina |
| Full Text |
|
| Pages |
125 |
| Keywords [eng] |
drug utilization studies ; prescribing quality indicators ; administrative databases ; prescribing efficiency ; rational drug use |
| Abstract [eng] |
The aim of this thesis is to evaluate to what extent the National Health Insurance Fund (NHIF) database is a relevant and reliable tool for the assessment of drug utilization, prescribing quality and efficiency. The comprehensive investigation on NHIF database data on reimbursed medicines was carried out in this work. That enabled to assess the suitability of NHIF data for evaluation of prescribing patterns, quality and efficiency. NHIF database data is suitable for drug utilization studies. NHIF database data on drugs with prescribing restrictions represents only a part of the total drugs utilization in Lithuania. NHIF database data can be used to assess prescribing quality to analyze prevalence of drugs utilization, variations in prescribing in different Lithuanian regions. During the first year of life, half of the infants are treated with systemic antibiotics. The most of antibiotics were prescribed for viral infections. Wide variations were observed between regions for prevalence of use of all antidiabetic drugs (1.6 fold). NHIF database data is applicable for the evaluation of prescribing efficiency: The reimbursed drugs price reduction was the same as in other European countries. NHIF expenditure of reimbursed drugs had been used efficiently for the period 2000-2009. Utilization rates of reimbursed statins and PPIs are the lowest among 19 European countries. |
| Type |
Doctoral thesis |
| Language |
Lithuanian |
| Publication date |
2012 |
