ANALYSIS OF THE FORMULARY ENSURE CHILDREN'S HOSPITALS IN UKRAINE- FIRST RESULTS

Author(s)

Zalis'ka O, Maynych YDanylo Halytsky Lviv National Medical University, Lviv, Ukraine

OBJECTIVES: The Order of Ministry of Health (N 529 from July 22, 2009) was introduced system of formulary medicines in Ukraine. In 2011  the third edition of the Ukrainian State Formulary of medicines  was made. However, the State formulary for children in Ukraine has not been adopted. METHODS:  We conducted a retrospective analysis of a local formulary for children, according to two divisions - Children's neonatology and intensive care for children in an Lviv medical hospital. We used the method of ABC-analysis, the costs and rates of provision children's medicines for public funds and resources for parents. RESULTS: Established that the local formulary of children's health-care setting contains 443 medicines with 14 ATC -groups. The major share of exchanges takes four groups: A-20%; R-16%; J -14%; N - 12%. Determined that the cost of treatment of pulmonary surfactant preparations is 1175 euros for one child (at June 1, 2011, 1 Euro = 11,40 UAH). Provision of surfactant for infants for the budget is only about 28%, the rest is funded by parents. In the Formulary 17 includes antibiotics, of which only 24% provided by the budget, the rest - at the expense of patients.Innovational antibiotics financed only by 2-4% of the requirement. In children's hospitals  2.5% took medication extemporal production, in particular vitamin powders, solutions, powders with folic acid, solution for rehydration, and others. CONCLUSIONS: Real data of medicines in children's hospitals do not meet the need. Necessary to create the State formulary for children, costs to be financed from public funds. The method of "willingness to pay" to determine the list of medicines that will pay parents.

Conference/Value in Health Info

2011-11, ISPOR Europe 2011, Madrid, Spain

Value in Health, Vol. 14, No. 7 (November 2011)

Code

PIH54

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Formulary Development

Disease

Pediatrics

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