NUMBER OF MEDICATIONS PRESCRIBED PER ENCOUNTER

✁ ✂ ✄ ☎ ✁ ✆ ✝ ✞ ✟ ✄ ✠ ✁ ✆ ✠ ✁ ✡ ✞ ☛ ✂ ✁ ✂ ✄ ☛ ✂ ✄ ✠ ☛ ☞ ✌ ✍ ☞ ✩ ✤ ATC Level 1 Number Percentage of all medications n = 359,272 Rate per 100 encounters 95 CI n = 141,593 Rate per 100 diagnoses 95 CI n = 188,944 ATC Level 3 ATC Level 5 Blood and blood forming organs 10,454

2.9 7.4 7.2 - 7.5

5.5 5.4 - 5.6

Iron preparations 5,128 1.4 3.6 3.5 - 3.7 2.7 2.6 - 2.8 Iron, multivitamins and minerals 2,485 0.7 1.8 1.7 - 1.8 1.3 1.3 - 1.4 Vitamin B12 and folic acid 2,546 0.7 1.8 1.7 - 1.9 1.3 1.3 - 1.4 Folic acid 2,231 0.6 1.6 1.5 - 1.6 1.2 1.1 - 1.2 Antithrombotic agents 2,542 0.7 1.8 1.7 - 1.9 1.3 1.3 - 1.4 Acetylsalicylic acid 2,236 0.6 1.6 1.5 - 1.6 1.2 1.1 - 1.2 Systemic hormonal preparations, excl. sex hormones and insulins 5,610 1.6

4.0 3.9 - 4.1 3.0 2.9 - 3.0

Corticosteroids for systemic use, plain 5,102 1.4 3.6 3.5 - 3.7 2.7 2.6 - 2.8 Prednisolone 4,160 1.2 2.9 2.9 - 3.0 2.2 2.1 - 2.3 Sensory organs 5,505

1.5 3.9 3.8 - 4.0

2.9 2.8 - 3.0

Antiinfectives, ophthalmologicals 3,267 0.9 2.3 2.2 - 2.4 1.7 1.7 - 1.8 Chloramphenicol 2,563 0.7 1.8 1.7 - 1.9 1.4 1.3 - 1.4 Genito urinary system and sex hormones 3,107 0.9

2.2 2.1 - 2.3 1.6 1.6 - 1.7

Antiparasitic products, insecticides and repellents 1,640 0.5 1.2 1.1 - 1.2 0.9 0.8 - 0.9 Various 612

0.2 0.4 0.4 - 0.5

0.3 0.3 - 0.4 Note: ACE = Angiotensin converting enzyme 7DEOHVKRZVWKHGLVWULEXWLRQRIPHGLFDWLRQVE\PDLQJURXSVRIPHGLFDWLRQVFODVVLÀHGXVLQJ7OHYHO 1 index which were further broken down into public and private clinics for comparison by sectors. ‡ DUGLRYDVFXODU PHGLFDWLRQV ZHUH WKH PRVW IUHTXHQWO\ SUHVFULEHG DJHQWV LQ SXEOLF FOLQLFV 7KH\ contributed to 34.2 of medications in public clinics and given to 84 out of 100 patients. The predominant agents within this group of medications were lipid modifying agents 23 per 100 encounters, calcium channel blockers 19 per 100 encounters and ACE inhibitors 16 per 100 encounters. ‡ 3ULYDWHFOLQLFVUHFRUGHGKLJKHVWSUHVFULSWLRQUDWHVIRUUHVSLUDWRU\PHGLFDWLRQVSHUHQFRXQWHUV Antihistamines formed the majority, and prescribed at an average of 38 per 100 encounters in private clinics. Table 8.2 continued: Prescribed medications by ATC level 1, 3 and 5 in primary care clinics in 2012 ✁ ✂ ✄ ☎ ✁ ✆ ✝ ✞ ✟ ✄ ✠ ✁ ✆ ✠ ✁ ✡ ✞ ☛ ✂ ✁ ✂ ✄ ☛ ✂ ✄ ✠ ☛ ☞ ✌ ✍ ☞ ✩ ✥ Table 8.3: Prescribed medications by ATC level 1 and sector in primary care clinics in 2012 ATC Level 1 Number Percentage of all medications Rate per 100 encounters 95 CI Rate per 100 diagnoses 95 CI Public clinics n = 103,484 n = 42,340 n = 68,877 Cardiovascular system 35,342 34.2 83.5 83.1 - 83.8 51.3 50.9 - 51.7 Alimentary tract and metabolism 25,904 25.0 61.2 60.7 - 61.6 37.6 37.2 - 38.0 Respiratory system 13,540 13.1 32.0 31.5 - 32.4 19.7 19.4 - 20.0 Nervous system 8,604 8.3 20.3 19.9 - 20.7 12.5 12.2 - 12.7 Blood and blood forming organs 8,070 7.8 19.1 18.7 - 19.4 11.7 11.5 - 12.0 Musculo-skeletal system 3,859 3.7 9.1 8.8 - 9.4 5.6 5.4 - 5.8 Antiinfectives for systemic use 3,851 3.7 9.1 8.8 - 9.4 5.6 5.4 - 5.8 Dermatologicals 2,136 2.1 5.0 4.8 - 5.3 3.1 3.0 - 3.2 Sensory organs 894 0.9 2.1 2.0 - 2.3 1.3 1.2 - 1.4 Systemic hormonal preparations, excl. sex hormones and insulins 573 0.6 1.4 1.2 - 1.5 0.8 0.8 - 0.9 Genito urinary system and sex hormones 547 0.5 1.3 1.2 - 1.4 0.8 0.7 - 0.9 Antiparasitic products, insecticides and repellents 114 0.1 0.3 0.2 - 0.3 0.2 0.1 - 0.2 Various 50 0.1 0.1 0.1 - 0.2 0.1 0.1 - 0.1 Private clinics n = 255,788 n = 99,253 n = 120,067 Respiratory system 71,523 28.0 72.1 71.8 - 72.3 59.6 59.3 - 59.8 Alimentary tract and metabolism 51,233 20.0 51.6 51.3 - 51.9 42.7 42.4 - 43.0 Musculo-skeletal system 35,488 13.9 35.8 35.5 - 36.1 29.6 29.3 - 29.8 Nervous system 33,123 12.9 33.4 33.1 - 33.7 27.6 27.3 - 27.8 Antiinfectives for systemic use 29,733 11.6 30.0 29.7 - 30.2 24.8 24.5 - 25.0 Cardiovascular system 9,677 3.8 9.8 9.6 - 9.9 8.1 7.9 - 8.2 Dermatologicals 8,331 3.3 8.4 8.2 - 8.6 6.9 6.8 - 7.1 Systemic hormonal preparations, excl. sex hormones and insulins 5,038 2.0 5.1 4.9 - 5.2 4.2 4.1 - 4.3 Sensory organs 4,611 1.8 4.6 4.5 - 4.8 3.8 3.7 - 4.0 Genito urinary system and sex hormones 2,560 1.0 2.6 2.5 - 2.7 2.1 2.1 - 2.2 Blood and blood forming organs 2,383 0.9 2.4 2.3 - 2.5 2.0 1.9 - 2.1 Antiparasitic products, insecticides and repellents 1,525 0.6 1.5 1.5 - 1.6 1.3 1.2 - 1.3 Various 562 0.2 0.6 0.5 - 0.6 0.5 0.4 - 0.5