TY - JOUR T1 - Assessment of the prevalence of bronchial asthma among the population in Yaroslavl and level of the free-drug funding JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P3937 AU - Shamil Palyutin AU - Ilya Zilber AU - Alexander Petrochenko Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P3937.abstract N2 - Objective: to evaluate of the prevalence of bronchial asthma (BA) in Yaroslavl from 1999 to 2010 and analysis of financial resources for the free-drugs from the funds of municipal budget in 2000-2010.Methods: a prospective cohort study; the data of the healthcare department.Results: in 1999, patients with BA in Yaroslavl was 4053 man. In 2010 number of registered patients was 7426 (in 11 years increased by 83.2%). The largest increase was observed in 1999-2005 - up to 16% annually. The incidence in these years also increased significantly: from 0.88 to 1.31. This is due to the introduction of spirometry, unification of approaches to diagnosing of BA and education for doctors. In subsequent years, the increase in patients quite clearly slowed, the annual growth was observed at 0.2-2.2%. The reason for such changes may be the achievement of epidemiological "ceiling". In 2000 in the municipal budget were allocated 4.9 mln roubles for free-drugs for BA. In the next years the financing increased annually by approximately 24% (min - in 2009 - 12%, max - in 2010 - 30%). In 2008, there was a significant increase in funding to 17.2 mln rubles, which meant an increase to 2353/patient. The world financial crisis had a serious impact on the funding in the subsequent 2 years – a reduction of funds to 8.3 and 8.0 mln roubles in 2009 and 2010.Conclusions: implementation of standards and increased diagnostic capacity of healthcare made it possible to reveal a large number of patients with BA in the late 90-ies and in the beginning of 2000-ies. Due to great social significance of BA there was a steady tendency to increase the expenses on of free-drugs during the ten-year period. ER -