Increased antimicrobial consumption following reimbursement reform in Turkey

Objectives This study examined antibiotic utilization patterns in Turkey between 2001 and 2006. Methods A comprehensive collection and analysis of Turkish antibiotic data from 2001 to 2006 was conducted. The anatomical therapeutic chemical (ATC) classification and the defined daily dose (DDD) method...

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Bibliographic Details
Published in:Journal of antimicrobial chemotherapy 2008-05, Vol.61 (5), p.1169-1171
Main Authors: Karabay, Oguz, Hosoglu, Salih
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - classification
Anti-Bacterial Agents - therapeutic use
antibacterial drug screening policy
antibiotic policy
Antibiotics
Antibiotics. Antiinfectious agents. Antiparasitic agents
antimicrobial agents
antimicrobial resistance surveillance
Biological and medical sciences
Chemotherapy
Commerce - trends
Drug Utilization - trends
Health care policy
Humans
Medical sciences
Pharmacology. Drug treatments
Practice Patterns, Physicians' - trends
Public Policy
Reforms
Reimbursement
Reimbursement Mechanisms - standards
Time Factors
Turkey
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Summary:Objectives This study examined antibiotic utilization patterns in Turkey between 2001 and 2006. Methods A comprehensive collection and analysis of Turkish antibiotic data from 2001 to 2006 was conducted. The anatomical therapeutic chemical (ATC) classification and the defined daily dose (DDD) methodology were used to calculate antibiotic consumption. Data were presented as DDD/1000 inhabitant-days, and the relation between antimicrobial consumption and governmental reimbursement policy was evaluated. Results Total utilization of antibiotics increased from 14.62 to 31.36 DDD/1000 inhabitant-days between 2001 and 2006. The largest increase took place after the implementation of social insurance reform (SIR) in 2005, as evidenced by the DDD ratio increasing 1.87-fold after SIR went into effect. The largest increase occurred in the prescription of penicillins, from 7.13 in 2001 to 14.09 in 2006. Conclusions In Turkey, antibiotic consumption increased markedly in recent years, in a close relationship, to a new reimbursement policy following the implementation of the SIR, which facilitated the prescription and consumption of drugs compared with the earlier SIR conditions.
ISSN:0305-7453
1460-2091
DOI:10.1093/jac/dkn055