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Monitoring of doctor‘s prescription PPRI Project Christine Leopold Gesundheit Österreich GmbH

Monitoring of doctor‘s prescription PPRI Project Christine Leopold Gesundheit Österreich GmbH PPRI Conference Warsaw, 29 October 2007. Prescription guidelines. Prescription guidelines Introduction of guidelines to promote the appropriate and economic prescribing of pharmaceuticals

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Monitoring of doctor‘s prescription PPRI Project Christine Leopold Gesundheit Österreich GmbH

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  1. Monitoring of doctor‘s prescription PPRI ProjectChristine LeopoldGesundheit Österreich GmbH PPRI ConferenceWarsaw, 29 October 2007 1

  2. Prescription guidelines • Prescription guidelines • Introduction of guidelines to promote the appropriate and economic prescribing of pharmaceuticals • Indicative (most countries) / obligatory (AT, DE, HU, NO, SK) • Example AT: “Guidelines on Economic Prescribing” provide that in case of several similar therapeutic options being available a physician has to choose the most cost-effective one 2

  3. Prescription monitoring • Prescription monitoring • In most countries Third Party Payers monitor the prescription habits of their contracted doctors – in raw cases sanctions • Example BE • Database system (Pharmanet) operated by Social Health Insurance to monitor the consumption and prescription pattern • All reimbursable pharmaceuticals dispensed in pharmacies • Pharmacies submit their data monthly - database is updated every three months • Individual profiles of physicians -> feedback on prescribing patterns • No monitoring of individual patients consumption since data is made anonymous 3

  4. Pharmaceutical budgets • Pharmaceutical budgets for doctors • Third Party Payers set ex-ante a maximum amount of money to be spent on pharmaceuticals in a specific region or period of time by a contracted doctor • Obligatory budgets in DE, LV, SE, SK – although in most cases still no sanctions • Different criteria for calculating the budgets, e.g.: • the number of patients • the age groups of the patients and their diseases 4

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