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The investigators have performed cost-minimisation analysis and compared the expenses based on the plan for public procurement (without clinical pharmacist involvement) for drugs with the results of public procurement based on the revised plan for public procurement by the clinical pharmacist. The plan for public procurements was based on the 1 year quantity for each medicine used by the hospital in the previous year, based on the latest deliverable prices at the time of extracting the data to workbook for MS Excel program (ver. 2002, Microsoft, Redmond, WA, USA).
The investigators have performed cost-minimisation analysis and compared the expenses for all received requests for medicines to the drug and therapeutics committee (DTC) for a decision in the 1 year period, before and after involvement of clinical pharmacist in the committee work. The expenses were based on approval decisions in the 1 year period for approval time period. The denial decisions were also calculated and reported. The denial period calculated in rationalisation of expenses were based on 1 year treatment period.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Public procurement | Drug | Cost minimisation study through public procurement | ||
| Drug and Therapeutics Committee | Drug | Cost minimisation analysis of results of the drug and therapeutics committee before and after clinical pharmacist involvement |
| Measure | Description | Time Frame |
|---|---|---|
| Reducing prices of medicines | Reduce prices of medicines in percentage, since different countries and hospitals have various budgets and medicine prices | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Rationalization of expenses | Rationalization of expenses through rquests for medicines sent to Drug and Therapeutics Committee | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Inhospital patients, all patients receiving any medicine during their stay in the hospital within 1 year period.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| General Hospital Bjelovar | Bjelovar | 43000 | Croatia |
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| ID | Term |
|---|---|
| D004364 | Pharmaceutical Preparations |
| D010606 | Pharmacy and Therapeutics Committee |
| ID | Term |
|---|---|
| D011367 | Professional Staff Committees |
| D011364 | Professional Practice |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
| D011785 | Quality Assurance, Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
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