Trends in Prescribing in Primary Care in Croatia, 2000-2012: Prescibing Volume, Costs and Regulatory Measures
The rise of pharmaceutical costs is a significant burden to overall health care expenditure.
The Croatian Health Insurance Fund (CHIF) in attempts of its containment, uses
administrative measures directed toward the two greatest generators: pharmaceutical
industry, through negotiating prices and periodic revisions of basic and suplemental lists,
and primary care physicians, through limits in the volume of prescriptions, and annual
financial expenditure. The aim of the study was to determine trends in quantity of issued
prescriptions and pharmaceutical expanditure from 2000 to 2012. Data were obtained from
the CHIF annual reports. Results clearly demonstrate two trends: the increase in quantity
of issued prescriptions, together with accompanying rates of prescriptions per inhabitants,
and per patients, and the increase in total cost of prescriptions until 2004, with their
maintenance and slight variations since then. Despite controversies in approach, CHFI
succeded in slowing down the costs, primarily by applying measures towards regulation of
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