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Drug-utilization study on Curaçao

L E Visser1, M H Oosterveld, G I Vos

  • 1Department of Pharmacology and Pharmacotherapeutics, University of Groningen, The Netherlands.

Pharmacy World & Science : PWS
|April 23, 1993
PubMed
Summary

Drug use on Curaçao shows high prescription rates for broad-spectrum antibiotics and antirheumatic drugs, but low psycholeptic use. Significant disparities exist between insurance groups, impacting healthcare costs.

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Area of Science:

  • Pharmacology
  • Public Health
  • Pharmacoepidemiology

Background:

  • Evaluating drug utilization patterns is crucial for understanding healthcare needs and resource allocation.
  • Community pharmacy data provides valuable insights into prescribing trends and medication consumption.

Purpose of the Study:

  • To assess drug utilization in Curaçao, focusing on systemic antibiotics, psycholeptics, and anti-inflammatory/antirheumatic drugs.
  • To compare drug consumption patterns between different insurance groups (Poor People and Social Insurance Bank).

Main Methods:

  • Analysis of prescription forms from twelve community pharmacies in Curaçao over a three-month period.
  • Focus on three key therapeutic drug groups: systemic antibiotics, psycholeptics (including benzodiazepines), and anti-inflammatory/antirheumatic drugs.
  • Comparison of drug consumption data with international benchmarks (Denmark, Netherlands) and between insurance schemes.

Main Results:

  • Broad-spectrum antibiotics were frequently prescribed over narrow-spectrum penicillins.
  • Psycholeptic consumption, particularly benzodiazepines, was notably low compared to Denmark and the Netherlands.
  • Antirheumatic drug consumption was higher than in Denmark and the Netherlands.
  • Patients with Poor People (PP) insurance consumed significantly more antibiotics, psycholeptics, and antirheumatic drugs than those with Social Insurance Bank (SVB) insurance.
  • PP-insured patients consumed nearly double the amount of antibiotics and antirheumatics, and five times more psycholeptics compared to SVB-insured patients.

Conclusions:

  • Drug prescribing patterns on Curaçao differ from European data, with higher use of certain drug classes and lower use of others.
  • Significant disparities in drug consumption exist between PP- and SVB-insured populations.
  • These consumption differences have substantial financial implications, highlighting potential inefficiencies and inequities in the healthcare system.

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