title: [Effects of health-service reform in the field of medicinal drugs I. Analysis from the standpoint of a pharmacy].
abstract: The paper examines the effects of changes in medicinal drug policy valid since 1 January 2008 by comparing the dispensation to patients in a pharmacy supplying a hospital in the years 2007 and 2008. The examination was performed using financial representation (sale price without VAT), the number of original packages and classification according to ATC groups. The data were obtained from the information system of the pharmacy. In the year 2008 the total number of received prescriptions decreased by 29.05% versus the year 2007, the payments from health insurance companies decreased by 12.85%, the total number of dispensed packages decreased by 18.20%, the number of packages dispensed on prescriptions decreased by 21.88%. There was an increase in the prescriptions not covered by health insurance by 33.94%, in the number of packages of medicinal drugs dispensed without prescription by 1.59%, and in the sales of medicinal drugs dispensed without prescription by 11.00%. The total annual cash of the pharmacy in the year 2008 increased by 21.14%, resulting from the complex effects of the individual measures of the reform. An analysis according to the ATC groups shows a decrease in the number of packages dispensed on prescription in all groups; in the dispensation without prescription there was an increase in the groups C05 (vasoprotectives, venopharmaceuticals) and M01 (non-steroidal anti-inflammatory and antirheumatic drugs). The results correspond with the statistics for the whole republic. The reform reduced the amount of public funds spent for the treatment of out-patients and at the same time resulted in an increase in the dispensation of medicinal drugs without prescription.
authors.affiliation: Veterinární a farmaceutická univerzita Brno, Farmaceutická fakulta, Ustav aplikované farmacie, Brno. maceskovab@vfu.cz
authors.forename: Bozena
authors.initials: B
authors.lastname: Macesková
authors.forename: Jana
authors.initials: J
authors.lastname: Streitová
mesh_terms: D003157:Community Pharmacy Services / Q000191:economics*; D018153:Czech Republic; D016527:Drug Costs; D011307:Drug Prescriptions / Q000191:economics / Q000706:statistics & numerical data*; D017850:Economics, Pharmaceutical; D018166:Health Care Reform / Q000191:economics / Q000458:organization & administration*; D006801:Humans