[A modeling analysis of possible generic substitutions in an inpatient facility]

The paper presents an example of a sectional analysis of drug consumption in a large in-patient health-service facility which is to be used as a foundation for making decisions about the measures to decrease the costs of drugs. Consumption of industrially produced pharmaceutical preparations at a selected facility for a period of four months was analyzed. The authors evaluated possible substitution of administered important preparations by cheaper equivalents and by means of model analysis they calculated expected savings when using the cheapest available mass-produced pharmaceutical preparations. In the preparations under study, possible savings of costs in the extent of 2.2% of the spent sum were found. On the basis of the results of the analysis, the hospital formulary authors consider the positive list with a quality system of objective monitoring of drug consumption to be the most suitable way of introduction of more rational prescription of industrially produced drugs in an in-patient facility.