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Preprečevanje bolezni z zdravili - prihranek ali strošek? = Prevention of diseases with drugs - savings or costs?Fürst, JurijPrispevek obravnava tri področja preprečevanja srčno-žilnih bolezni z ekonomskega vidika: nacionalne programe za zmanjševanje dejavnikov tveganja, antiagregacijska zdravila in strategije zdravljenja ... lipidov. Stroškovno najučinkovitejši pristop za zmanjšanje dejavnikov tveganja za srčno-žilne bolezni združuje populacijski program v kombinaciji s presejalnim. Izvajanje samo presejalnega programa je stroškovno manj učinkovito in vodi v večje razslojevanje družbe. Acetilsalicilna kislina je antiagregacijsko zdravilo izbire za preprečevanje aterosklerotičnih zapletov. Alternativna antiagregacijska zdravila so stroškovno učinkovita le v okviru sekundarne preventive klopidogrel za preprečevanje srčno-žilnih dogodkov, kadar je uporaba acetilsalicilne kisline kontraindicirana in kombinacija dipiridamola z acetilsalicilno kislino za preprečevanje ponovnih možgansko-žilnih zapletov prvi dve leti po prvem dogodku. Strategija zdravljenja lipidov v ciljne vrednosti ima verjetno slabšo stroškovno učinkovitost kot alternativna strategija zdravljenja vse populacije z določeno ravnjo tveganja za srčno-žilne bolezni z enotnimi odmerki statinov.Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 81, št. 6, jun. 2012, str. 487-492)Type of material - article, component partPublish date - 2012Language - slovenianCOBISS.SI-ID - 36099589
Author
Fürst, Jurij
Topics
farmakologija |
preprečevanje |
strategije |
zdravila |
srčno-žilne bolezni |
možgansko-žilne bolezni
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source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 81, št. 6, jun. 2012, str. 487-492)
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Fürst, Jurij | 12595 |
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