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08/40 - Prescrizione farmaceutica in Umbria. Analisi dei dati relativi al 2007.Roberto Da Cas, Paola Ruggeri, Clara Bianchi, Mariangela Rossi, Giampaolo Bucaneve, Paolo Di Loreto, Barbara Gamboni, Mauro Venegoni, Giuseppe Traversa2008, viii, 194 p.
Pharmaceutical prescription in Umbria (Italy). Analysis of the data of 2007.
Roberto Da Cas, Paola Ruggeri, Clara Bianchi, Mariangela Rossi, Giampaolo Bucaneve, Paolo Di Loreto, Barbara Gamboni, Mauro Venegoni, Giuseppe Traversa
2008, viii, 194 p. (in Italian)
Aim of this Report is to analyse the characteristics of drug prescription within the Umbria region in 2007. In comparison with 2006 a 4.1% decrease in the pharmaceutical expenditure was observed in the National Health Service (NHS) in Umbria (a corresponding 7.4% decrease was observed in Italy). The level of use, in terms of doses of medicines (defined daily doses, DDDs) per 1000 inhabitants die, was slightly higher in Umbria than in the average Italian population (902 vs 881). Age represented the most important determinant of drug prescription, and around 60% of DDDs and expenditure are received by the population older than 65. Drug expenditure paid for by the NHS (mainly, GPs’ prescriptions and in-hospital use) represented 75% of the total, whereas out of pocket expenditure was mainly allocated to drugs for minor conditions (12,4%) and to over-the-counter drugs (10,3%). Cardiovascular drugs represented the most widely used therapeutic category in the NHS, in terms of both doses (52%) and expenditure (43%), followed by drugs for “gastrointestinal tract and metabolism” (10% of the DDDs and 15% of the expenditure). The analysis of prescribing variability among GPs, and the pattern of use for therapeutic categories, make possible to include the Report within audit activities aimed at promoting a more appropriate drug use.
Key words: Pharmaceutical expenditure, Pharmacoepidemiology, Drug utilization studies, Monitoring system
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