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PHARMACOECONOMICAL APPROACHES TO ANALYSIS OF BASIC MODELS OF TREATMENT OF COMMUNITY-ACQUIRED PNEUMONIA OF CHILDREN
O.I. Belyaeva, V. V.Trokhimchuk
Odessa National Medical University
In the children's population of Ukraine morbidity on pneumonia approaches the indexes of morbidity of the leading countries of the world, and the lethality level of children doesn’t exceed 0,5-1%. In 2005, the protocols of treatment of children with pneumonia were adopted by the order of Ministry of health protection of Ukraine №18 from 13.01.2005, where certain directions of medicamental therapy and basic pharmacotherapeutic groups of medicinal facilities were defined, and where concrete lists of preparations for treatment of this category of patients were not defined. Realization of Pharmacoeconomical analysis of basic models of medicamental therapy and determination of optimal lists of medicinal facilities became a research aim for the treatment of сommunity-acquired pneumonia of children. The rational selection of preparations within the limits of certain standard approaches and alternative models of treatment of the сommunity-acquired pneumonia of children is carried out by means of pharmacoeconomical methods of analyses. Determinations of basic charts of medicamental therapy and their indexes of efficiency are carried out by means of methods of statistical analysis. The method of pharmacoeconomical cost-effectiveness analysis and computer program "Pharmexpert Service" were used for establishment of optimal models of treatment pneumonia of children. At the result of the research the breadth of the presented assortment of preparations for treatment of community-acquired pneumonia has been set, and the basic charts of medicamental therapy have been determined. The indexes of efficiency of application of medicinal facilities were got from data of expert evaluation with further calculations by means of the program "Pharmexpert Service". Preparations that entered in the complement of select charts can be plugged in the formular lists of medicinal facilities of both separate curative establishment and providing of medical establishments of appropriate profile at the level of region. Realization of pharmacoeconomical analysis by means of the program "Pharmexpert Service" considerably improves the quality and shortens the time on carrying out calculations, that is expedient to use for justification of the lists of preparations that are bought by means of public funds.
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