| Hypertension and common complications --analysis of the ambulatory treatment cost. | |
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MedLine Citation:
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PMID: 20377054 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: Retrospective analysis of the prescribing practice and cost of ambulatory treatment of hypertension and its common complications--heart failure, sequelae of cerebrovascular disease, and angina pectoris. METHODS: Analysis of 3,240 reimbursable ambulatory prescriptions for hypertension, heart failure, sequelae of cerebrovascular disease and angina pectoris according to the complexity of the therapy and frequency of the prescribed medicines. Modeling and calculation of the expected monthly cost for outpatient therapy by using the "decision tree model". Sensitivity analysis is performed within the +/- 30% interval. RESULTS: 65% of the prescription were for the hypertension, and 35% for the observed complications. 1,297 prescriptions for hypertension include one medicine, 647 include two medicines, and only 8% of prescriptions were for three medicines. ACE inhibitors have been prescribed in 41% of all hypertension prescriptions, followed by beta-blockers (19%), Ca channel blockers (16%), diuretics (15%) etc. The prescriptions for hypertension complications are more diverse as therapeutic groups. The expected monthly cost of prescribed medicines per patient with hypertension alone is 6.90 Euro and in case of complications it is 10.71 Euro according to the prevalence of the complexity of therapy, and weighted monthly cost of medicines. The overall ambulatory cost is expected to be around 148 million Euro per year for near 1.5 million patients with 44% reimbursement. The cost of the therapy is sensitive more to changes in the medicine's prices than to its complexity. CONCLUSION: This study is a first step in providing information for evidence-based cost containment measures or policy decisions at ambulatory level in Bulgaria and for the assessment of the share of complications' therapy on the overall hypertension cost. |
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Authors:
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Anna D Ivanova; Guenka I Petrova |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Central European journal of public health Volume: 17 ISSN: 1210-7778 ISO Abbreviation: Cent. Eur. J. Public Health Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2010-04-09 Completed Date: 2010-04-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9417324 Medline TA: Cent Eur J Public Health Country: Czech Republic |
Other Details:
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Languages: eng Pagination: 223-30 Citation Subset: IM |
Affiliation:
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Department of Social Pharmacy, Faculty of Pharmacy, Medical University, Sofia, Bulgaria. an5dar@yahoo.co.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care
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economics* Angina Pectoris / drug therapy, economics Antihypertensive Agents / economics*, therapeutic use* Cardiovascular Agents / economics, therapeutic use Cardiovascular Diseases / drug therapy, economics* Decision Trees Drug Therapy, Combination Drug Utilization Heart Failure / drug therapy, economics Humans Hypertension / drug therapy*, economics* Physician's Practice Patterns / economics Prescription Fees Retrospective Studies |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents; 0/Cardiovascular Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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