РОЛЯ НА ЛЕКАРСТВЕНАТА ПОЛИТИКА ПРИ ПРОФИЛАКТИКАТА И ЛЕЧЕНИЕТО НА СЪРДЕЧНО-СЪДОВИТЕ ЗАБОЛЯВАНИЯ В БЪЛГАРИЯ. (Bulgarian)

THE ROLE OF DRUG POLICY IN PROPHYLACTICS AND TREATMENT OF CARDIOVASCULAR DISEASES IN BULGARIA. (English)

A conducted study established a link between the burden of cardiovascular diseases on the Bulgarian society and the response to applied therapies. For this purpose, analysis on use of medications for treatment of arterial hypertension, ischemic heart disease, heart failure, and cerebrovascular diseases and public expenditure for 2011-2015 is made, examined through the prism of control of morbidity and mortality. Drug policy's impact on the treatment of these diseases is assessed. It has been found that the drug policy in Bulgaria resulted in reduced public funds, expenditures for reimbursement of major cardiovascular therapies after 2012, with significantly decreasing number of patients receiving such treatments after 2013. At the same time, it was found that, despite all this, there is no significant dynamic in the number of people who died of circulatory diseases during the period under review, with a slight decrease in individual years and most of all in 2013. These findings are also confirmed by standardized mortality rates. The correlations made indicate absence of a positive trend in the burden of cardiovascular diseases for the Bulgarian society during the period considered. This determines the need for a substantial change in the drug policy, for a more effective response of cardiovascular disease to treatment. [ABSTRACT FROM AUTHOR]

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