Monitoring of doctor´s prescribtion

Michaela GajdošováGabriela Kliešková

Ministry of HealthSlovakia

Regulations before June 2006

20 Sk for Rp 50 Sk/day in a hospital

Monitoring of doctors

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

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

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

On each Rp dg is indicated Coupled in HCIC with doctor´s reports

Thank you