Plavinski S. L., Davydov K.V.
Cost-Effectiveness and Budget Impact Analysis for Russian Federation of the fluvoxamine replacement in the treatment of recurrent depression of tricyclic antidepressants
pp. 1-10 (Research)
Tricyclic antidepressants (TCA) and selective serotonin reuptake inhibitors (SSRI) are the main drug classes used in the treatment of recurrent depressive disorder. The study analyzed cost-effectiveness and budget impact of replacement of TCA with SSRI fluvoxamin. It was found that when indirect costs (GDP loss due to lost workdays) is taken into account use of fluvoxamine dominated TCA by both effectiveness and costs. If indirect costs were ignored then increment cost-effectiveness ration (77,6 thou. RUR/ QALY gained) was well below “willingness to pay” threshold. If indirect costs were taken into account budget savings from replacing treatment with amitriptyline and clomipramine in 50% of cases amount to 3632 mln. RUR per year, if only clomipranime is replaced – 1695 mln. RUR per year.
Key words: fluvoxamine, amitriptyline, clomipramine, recurrent depressive disorder
Danishevskiy K. D.
Evaluation of cost-efficiency in public healthcare
pp. 11-19 (Reviews)
The article describes the current approaches to evaluating the cost-effectiveness in health care, and the methods used for this purpose. The conclusion is made about the effectiveness of economic analysis in distribution of funds allocated for health care.
Key words: economic efficiency, investments, optimization, technology, health, quality of life, evidence-based medicine
Tselinskiy B.P.
Law provisions for juvenile to be considered in the practice of addiction doctors
pp. 20-39 (Reviews)
The article provides an overview of the current legislation governing the legal status and liability of minors in relation to addiction doctors’ practices.
Key words: minors, administrative liability, criminal liability, the legal representative of a minor
Govorin N.V.
Maintaining and strengthening of human resources in the health sector as the country's national task
pp. 40-43 (Discussion)
Address at the forum "For quality and affordable medicine!", organized by the All-Russian Public Movement "All-Russia People's Front").
Key words:
Ivanov V. P.
On the establishment of a national system of comprehensive rehabilitation and re-socialization of people using drugs and psychotropic substances for non-medical purposes
pp. 44-51 (Conference Proceedings)
Speech at the XVI Congress of Russian Psychiatrists.
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