军队慢性支气管炎人员药物供应的药物经济学分析

O. V. Plieshkova, O. Bielozorova, M. Bilous, D. Drozdov, A. Nikituk
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引用次数: 0

摘要

尽管支气管炎在军人呼吸道疾病结构中具有优势,但由于服役的特殊性,支气管炎的病程发展具有一定的特殊性。因此,优化向军事人员提供药品的费用越来越具有医疗和社会重要性。合理选择治疗慢性支气管炎的药物,是在考虑部队卫生保健成分费用的情况下,选择有效、安全的药物的结果。目的:对军队慢性支气管炎患者的药物供应情况进行药物经济学分析。材料和方法。研究的材料是在乌克兰注册的药物数据库,在乌克兰卫生部国家机构“国家专家中心”的官方网站上公布。该研究采用了“成本-效果”方法,可以比较一种特定治疗方法的成本和效果。提出了药物经济学分析方法的方案。根据以前编制的治疗军事人员慢性支气管炎药物清单的结果,利用专家调查对拟议的药物范围进行了进一步分析。通过计算每个药物治疗组的疗效比,编制了治疗慢性支气管炎最优药物的10项清单。对军事人员的医疗供应进行药物经济学分析,是确定乌克兰武装部队医疗服务需要的潜在药品供应商制造商过程中的一项建设性解决办法。根据对军队慢性支气管炎患者药物供应的药物经济学分析结果,形成了治疗慢性支气管炎患者的推荐药物清单。然而,根据专家评估,这个清单可以扩大到包括疗效最高的药物。未来它可能成为药物纳入医疗临床方案的基础,并可用于制定相关病种的成本标准,从而提高治疗效率和质量,并产生经济效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pharmacoeconomic analysis of drug supply of the military personnel with chronic bronchitis
Despite the superiority of bronchitis in the structure of respiratory diseases in the military personnel, its course develops with certain peculiarities due to the peculiarities of military service. Consequently, the optimization of the costs of providing the military personnel with medicines is becoming more and more of medical and social importance. Reasonable selection of medicines in the treatment of chronic bronchitis is the result of the choice of effective and safe drugs, considering the cost of the components for military health care. Aim. To perform a pharmacoeconomic analysis of drug supply to the military personnel with chronic bronchitis. Materials and methods. The materials of the study were a database of drugs registered in Ukraine, presented on the official website of the State Institution “State Expert Center” of the Ministry of Health of Ukraine. The study employed “cost – effectiveness” method, which allows comparing the cost of a particular treatment method and its effectiveness. Results. The scheme of the pharmacoeconomic analysis method has been offered. According to the results of the previously formed list of drugs for the treatment of military personnel with chronic bronchitis, a further analysis of the proposed range of drugs is conducted using an expert survey. By calculating the efficacy ratio within each presented pharmacotherapeutic group, a 10-item list of the most optimal drugs for the treatment of chronic bronchitis has been compiled. Conclusions. Pharmacoeconomic analysis of medical supply to the military personnel is a constructive solution in the process of identifying manufacturers as potential suppliers of medicines to cover the needs of the medical service of the Armed Forces of Ukraine. Based on the results of the pharmacoeconomic analysis of the drug supply to military personnel with chronic bronchitis, a recommended list of drugs for their treatment has been formed. However, this list can be expanded to include drugs with the highest efficacy – according to the expert assessment. In the future it may become the basis for inclusion of drugs in the clinical protocols of medical care and could be used for the development of cost standards for the relevant nosological forms, which will improve the efficiency and quality of treatment and will provide economic benefits.
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