title: [Public health service prescriptions of vaccines not included in systematic vaccination programs in Valencian community, Spain, during the period 2004-2009].
abstract: BACKGROUND
  In the context of the policies of rational use of medicine, and in order to achieve an efficient management of the vaccinations programs, we expect to know the number of packings and cost of prescribed vaccines not included in the vaccination programs of Valencian Community and its departments during 2009 and to analyze its evolution since 2004, focusing on an analysis of Heptavalent pneumococcal conjugate vaccine in children under two years old.
  
  
  METHODS
  Retrospective descriptive study to analyze the prescriptions of vaccines in Valencian Community during 2009 and its evolution since 2004.
  
  
  METHODS
  vaccine availability, number of packings, group of beneficiary (actives/pensioners), department, and cost of prescriptions.
  
  
  METHODS
  Gestor de Prestación Farmacéutica (GAIA) and Sistema Información Poblacional (SIP).
  
  
  RESULTS
  In 2009 prescribed vaccines on official national health system prescription forms that are not included in vaccination programs, supposed a cost of 683.445,71 € corresponding to 17.353 packings (87% of the total prescribed vaccines). Heptavalent pneumococcal conjugate vaccine generated 72% of the total cost of vaccines not included in the vaccination programs. The trend from 2004 to 2009 shows an increase in expenditure of 735.334 € (24,66%) in 2005 from which there takes place a marked and gradual decrease that reaches 1.562.650,67 € (-228.64%). The cost by departments of prescriptions per 1000 children under two years old of pneumococcal conjugate vaccine ranges between 17.377 and 324 €.
  
  
  CONCLUSIONS
  The declining trend of prescriptions, mainly of pneumococcal conjugate vaccines, continues during 2009. A great interdepartmental variability is observed, nevertheless, in rates of prescription that should be corrected.
authors: Servicio de Promoción de la Salud, Dirección General de Salud Pública, Conselleria de Sanitat, Comunitat Valenciana, España.
authors: Ana
authors: A
authors: Ruiz Palacio
authors: Eliseo
authors: E
authors: Pastor Villalba
authors: Rosa
authors: R
authors: Martín Ivorra
authors: Ana María
authors: AM
authors: Alguacil Ramos
authors: Antonio
authors: A
authors: Portero Alonso
authors: José Antonio
authors: JA
authors: Lluch Rodrigo
mesh_terms: D016527:Drug Costs / Q000706:statistics & numerical data / Q000639:trends*; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D004363:Drug Utilization / Q000191:economics / Q000706:statistics & numerical data / Q000639:trends*; D006077:Government Agencies; D000069443:Heptavalent Pneumococcal Conjugate Vaccine; D006801:Humans; D007223:Infant; D032541:Mass Vaccination; D009313:National Health Programs; D022242:Pneumococcal Vaccines / Q000191:economics / Q000600:supply & distribution; D011634:Public Health; D012189:Retrospective Studies; D013030:Spain; D014612:Vaccines / Q000191:economics* / Q000600:supply & distribution
chemical_list: D000069443:Heptavalent Pneumococcal Conjugate Vaccine; D022242:Pneumococcal Vaccines; D014612:Vaccines