Greek National E-Prescribing System: Preliminary Results of a Tool for Rationalizing Pharmaceutical Use and Cost.

Nikolaos Polyzos, Catherine Kastanioti, Christos Zilidis, George Mavridoglou, Stefanos Karakolias, Panagiota Litsa, Valantis Menegakis, Chara Kani
Author Information
  1. Nikolaos Polyzos: Department of Social Administration and Political Science, Democritus University, of Thrace, Komotini, Greece. catherinekastanioti@yahoo.gr.

Abstract

BACKGROUND: In Greece, due to the ongoing economic crisis a number of measures aiming at rationalising expenditure implemented. A new e-prescribing system, under a unified healthcare fund was the main pillar of these reforms focus on monitoring and auditing prescribing patterns.
OBJECTIVE: Main objective of this study was to document the Greek experience with the new national e-prescribing system.
METHODS: We analyse the dispensed prescriptions over the period 2013-2014, stratified into four levels: therapeutic subgroup, patent status, physician's specialty and geographical region.
RESULTS: Data analysis offered a comprehensive insight into pharmaceutical expenditure over the timeframe and revealed discrepancies regarding composition of spending, brand-generic substitution within certain therapeutic subgroups, physicians' prescribing behaviour based on medical specialty, therapeutic subgroup as well as regional per capita measures.
CONCLUSIONS: E-prescribing system is a valuable tool providing sound information to health policymakers in order to monitor and rationalize pharmaceutical expenditure, in value and volume terms.

Word Cloud

Created with Highcharts 10.0.0expendituresystemtherapeuticmeasuresnewe-prescribingprescribingGreeksubgroupspecialtypharmaceuticalBACKGROUND:GreecedueongoingeconomiccrisisnumberaimingrationalisingimplementedunifiedhealthcarefundmainpillarreformsfocusmonitoringauditingpatternsOBJECTIVE:MainobjectivestudydocumentexperiencenationalMETHODS:analysedispensedprescriptionsperiod2013-2014stratifiedfourlevels:patentstatusphysician'sgeographicalregionRESULTS:Dataanalysisofferedcomprehensiveinsighttimeframerevealeddiscrepanciesregardingcompositionspendingbrand-genericsubstitutionwithincertainsubgroupsphysicians'behaviourbasedmedicalwellregionalpercapitaCONCLUSIONS:E-prescribingvaluabletoolprovidingsoundinformationhealthpolicymakersordermonitorrationalizevaluevolumetermsNationalE-PrescribingSystem:PreliminaryResultsToolRationalizingPharmaceuticalUseCost

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