Transcript Monitoring of doctor´s prescribtion

Monitoring of doctor´s prescribtion
Michaela Gajdošová
Gabriela Kliešková
Ministry of Health
Slovakia
Regulations before June 2006
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20 Sk for Rp
50 Sk/day in a hospital
Monitoring of doctors
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Managment done by HCIC
Cost effectivness analyses of doctors
Each HCIC has revisory doctors
Responsible for control of prescribtion
limitation, indication limitation – all listed in
our reimbursement list
If IL is not kept HCIC do not pay
patient´s book – future tool – control of
doctors by PIN of patient
Monitoring of doctors
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In expensive treatment before
priscribing a drug,doctor has to ask for
a permision based on the patient´s
condition patient´s HCIC
Revisory doctors are responsible for
giving such a permision
Such drugs have a mark in indication
limitation as - RL
Financially regulated
prescribtion
The most efficient gun ever discovered to
fight for the controle of drug
expenditure
(Prof. E. Mossalios, London School of Economics and Political Science)
Financially regulated
prescribtion
Potential risks
 Expensive drugs could not be
prescribed eventhough it is necessary
 Seriously ill patient could not be
„atractive“ for a doctor
Pharmacy monitoring
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Every month pharmacy sends report of
costs
Rps are sent to HCIC
All data in electronic version
Every Q data are sent to national
institute for statistics – for MoH
Pharmacy monitoring
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On each Rp dg is indicated
Coupled in HCIC with doctor´s reports
Thank you