title: [Efficiency in the prescription of drugs. Impact of a health policy: automatic change to prescription by active ingredient].
abstract: In the Basque Country in June 2010 were changed in the electronic prescription system the treatments prescribed by a brand by active ingredients, all the patients who had prescribed these molecules: atorvastatin, clopidogrel, weekly risedronate and losartan-hydrochlorothiazide. The aim of this study was to evaluate the economic impact of this change automated done in June 2010. Retrospective study of the prescriptions made in the Basque Country of the selected active ingredients. The use of generics of these molecules from May to December 2010 increased from 64 points to 87. Particularly clopidogrel increased from 6.25% in generic prescriptions to 93.76%, losartan + hydrochlorothiazide from 17.94% to 93.83%, 18.92% for atorvastatin acid and 96.03% risedronic 1.76% to 65.97%. If we make the estimation of the amount of active ingredient in generic containers that have been dispensed from June to December 2010. If they had dispensed brand drugs you get this quantity of total savings: 8 104 762.22 euros. This work suggests that a program to promote use of generics increased efficiency in the use of drugs. To promote the use of generic drugs is an efficiency measure implemented in the NHS and in the neighboring countries, in recent figures are reached 40% in securities of U.S.A packaging and around 65% in the Basque Country the consume in early 2010 was much lower than these figures stand at 20% and at the end of the year stood at 27% thanks to the measures taken.
authors.affiliation: Departamento de Sanidad y Consumo, Gobierno Vasco, C/ Donostia-San Sebastian 1. Vitoria-Gasteiz 01010, Alava/Araba. i-elizondo@ej-gv.es
authors.forename: Isabel Elizondo
authors.initials: IE
authors.lastname: López de Landache
authors.affiliation: Departamento de Sanidad y Consumo, Gobierno Vasco, C/ Donostia-San Sebastian 1. Vitoria-Gasteiz 01010, Alava/Araba.
authors.forename: Leire
authors.initials: L
authors.lastname: Braceras Izaguirre
authors.affiliation: Departamento de Sanidad y Consumo, Gobierno Vasco, C/ Donostia-San Sebastian 1. Vitoria-Gasteiz 01010, Alava/Araba.
authors.forename: Ainara
authors.initials: A
authors.lastname: Echeto García
authors.affiliation: Departamento de Sanidad y Consumo, Gobierno Vasco, C/ Donostia-San Sebastian 1. Vitoria-Gasteiz 01010, Alava/Araba.
authors.forename: Maria José
authors.initials: MJ
authors.lastname: Gardeazabal Romillo
authors.affiliation: Departamento de Sanidad y Consumo, Gobierno Vasco, C/ Donostia-San Sebastian 1. Vitoria-Gasteiz 01010, Alava/Araba.
authors.forename: Paloma
authors.initials: P
authors.lastname: Acevedo Heranz
mesh_terms: D011307:Drug Prescriptions / Q000592:standards*; D016568:Drugs, Generic; D006291:Health Policy; D006801:Humans; D012189:Retrospective Studies
chemical_list: D016568:Drugs, Generic