{"title":"Availability of Free Drug Provision for Patients with Type 2 Diabetes at the Outpatient Level in the Republic of Kazakhstan","authors":"Ansar Kablaev, Zh A Dauletkalieva, Sh. S. Kalieva","doi":"10.32921/2225-9929-2022-2-46-4-12","DOIUrl":null,"url":null,"abstract":"The purpose of the study: To analyze the availability of free drug provision for patients with type 2 diabetes at the outpatient level in the Republic of Kazakhstan.Methods: in this work, a comparative analysis of the drug provision of patients with type 2 diabetes mellitus was carried out within the framework of the list of outpatient drug provision and the clinical protocol for the treatment of type 2 diabetes mellitus. A pharmacoeconomic analysis was also carried out in terms of calculating the annual cost of pharmacotherapy with drugs for the treatment of type 2 diabetes mellitus.Results. 42 types of medicines are included in the clinical protocol for the treatment of type 2 diabetes mellitus, of which 24 international nonproprietary names for the treatment of type 2 diabetes are included in the List of free outpatient drug provision (6 oral combinations are also possible). Thus, patients with type 2 diabetes mellitus in the Republic of Kazakhstan have access to 71% of medicines from the clinical protocol for free drug provision.The cost of annual therapy with sitagliptin and alogpliptin is cheaper than analogues, and the results of efficacy and safety are comparable, the inclusion of these drugs in the list of free drug provision will also make it possible to make 2 oral combinations, which will increase the availability of free outpatient drug provision for patients with type 2 diabetes mellitus, and increase this show up to 81%.Conclusions. For patients with type 2 diabetes, 30 types of drugs are available for free outpatient drug provision, which is 71% of the drugs included in the clinical protocol.To increase accessibility, we consider it appropriate to include the drug alogliptin in the list of outpatient drug provision.Key words: type 2 diabetes mellitus, availability of drug provision, pharmacotherapy, of type 2 diabetes mellitus","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ethiopian Journal of Health Development","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.32921/2225-9929-2022-2-46-4-12","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
The purpose of the study: To analyze the availability of free drug provision for patients with type 2 diabetes at the outpatient level in the Republic of Kazakhstan.Methods: in this work, a comparative analysis of the drug provision of patients with type 2 diabetes mellitus was carried out within the framework of the list of outpatient drug provision and the clinical protocol for the treatment of type 2 diabetes mellitus. A pharmacoeconomic analysis was also carried out in terms of calculating the annual cost of pharmacotherapy with drugs for the treatment of type 2 diabetes mellitus.Results. 42 types of medicines are included in the clinical protocol for the treatment of type 2 diabetes mellitus, of which 24 international nonproprietary names for the treatment of type 2 diabetes are included in the List of free outpatient drug provision (6 oral combinations are also possible). Thus, patients with type 2 diabetes mellitus in the Republic of Kazakhstan have access to 71% of medicines from the clinical protocol for free drug provision.The cost of annual therapy with sitagliptin and alogpliptin is cheaper than analogues, and the results of efficacy and safety are comparable, the inclusion of these drugs in the list of free drug provision will also make it possible to make 2 oral combinations, which will increase the availability of free outpatient drug provision for patients with type 2 diabetes mellitus, and increase this show up to 81%.Conclusions. For patients with type 2 diabetes, 30 types of drugs are available for free outpatient drug provision, which is 71% of the drugs included in the clinical protocol.To increase accessibility, we consider it appropriate to include the drug alogliptin in the list of outpatient drug provision.Key words: type 2 diabetes mellitus, availability of drug provision, pharmacotherapy, of type 2 diabetes mellitus
期刊介绍:
The Ethiopian Journal of Health Development is a multi and interdisciplinary platform that provides space for public health experts in academics, policy and programs to share empirical evidence to contribute to health development agenda.
We publish original research articles, reviews, brief communications and commentaries on public health issues, to inform current research, policy and practice in all areas of common interest to the scholars in the field of public health, social sciences and humanities, health practitioners and policy makers. The journal publishes material relevant to any aspect of public health from a wide range of fields: epidemiology, environmental health, health economics, reproductive health, behavioral sciences, nutrition, psychiatry, social pharmacy, medical anthropology, medical sociology, clinical psychology and wide arrays of social sciences and humanities.
The journal publishes the following types of contribution:
1) Peer-reviewed original research articles and critical or analytical reviews in any area of social public health. These papers may be up to 3,500 words excluding abstract, tables, and references. Papers below this limit are preferred.
2) Peer-reviewed short reports of research findings on topical issues or published articles of between 2000 and 4000 words.
3) Brief communications, and commentaries debating on particular areas of focus, and published alongside, selected articles.
4) Special Issues bringing together collections of papers on a particular theme, and usually guest edited.
5) Editorial that flags critical issues of public health debate for policy, program and scientific consumption or further debate