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スペインの財政赤字削減による医療費削減で、72億6700万0000ユーロのうち、22%の15億5000万0000ユーロの削減·節約は、前の社会党政府の医療費削減政策
Sanidad incluye en su ahorro 1.550 millones de medidas que aprobó el PSOE
Según las cuentas del ministerio, el aumento del copago farmacéutico aportará 500 millones
Health included in its savings measures 1,550 million approved by the PSOE
According to the accounts of the ministry, the pharmacist will provide copay increase of 500 million
Emilio de Benito Madrid 26 ABR 2012 - 19:34 CET
According to the accounts of the ministry, the pharmacist will provide copay increase of 500 million
Emilio de Benito Madrid 26 ABR 2012 - 19:34 CET
The Ministry of Health is left over. According to accounts given in the Economic Report of the Legislative Decree on urgent measures for the sustainability of national health system (the cuts), expects to save 7.267 million euros, 267 million more than the 7,000 million due to him within the latest announcement of adjustments announced by the Prime Minister, Mariano Rajoy.
The document, which has a date of entry into the registry of the Chamber of Deputies on 24 April at 19.59 hours, clarifies some of the speculations that have been doing in recent days about the expected impact of the measures.
The bulk of the savings (1,550 million, 22% of total) correspond to the measures of saving medicines. But the funny thing is that these, as recorded by the financial report are not new. They are simply the effect for this year on the measures adopted by the previous government. Specifically, memory refers to Royal Decree-Law 9/2011 (prescription by active ingredient, change the reference price system to be the cheapest equivalent drug) and the resolution of December last year that sets new reference prices. These measures were directly approved by the PSOE, or based on what this decided.
more informationThe Government estimated at 7.267 million savings by the cuts in healthHealth card will leave immigrants to 150,000 within two yearsIllegal immigrants have health insurance card to the August 31The retiree will advance 10% of the drugs even if it exceeds its limit
The remaining accounts are summarized as follows: 917 million health card to remove the foreign (and appropriate care), including 676,000 in Europe. In the report does not mention any number of foreigners from other sources, of which the newspaper estimated could be irregular but taxed, and therefore entitled to health insurance card so far, a total of 150,000.
The reassessment of the current portfolio of common and what the text calls his ordination, that is, defining what services are subject to copayment, provide another 700 million. Elimination of drugs in the portfolio of services, either old or because it is considered to be provided without a prescription, will save 500 million.
The pharmaceutical co-payment increase, which for the first time pensioners who were not officials, will pay part of the price of their medications, will mean 500 million. The system of public workers (Muface) does not change and will continue contributing 30% of their medication, whether active or retired.
Good use of the drug will 1,000 million. This item includes the effect of giving value to the product and dose adjustment of containers, to avoid being sent to destroy 3,800 million tons.
The shopping center save between 15% and 50% of supplies of both drugs and other products. Health estimates its savings at 1,000 million. The socio pact, exemplified by "the difference in cost per bed in relation to the hospital," will, with the "savings generated by 10% of overnight stays," 600 million.
The human resources policy has two axes. On the one hand, the approval of different professional levels between communities, thus facilitating mobility. On the other hand, the disappearance of the categories of APD officers (public attention at home) and personal and area quota. CSIF President, Fernando Molina said the move could affect about 25,000 workers in the first group, and between 8,000 and 10,000 the second. With the royal decree, shall be assimilated to other staff, which is considered to be statutory (a type of contract that governs health). Molina does not believe, however, that the measure will be a big savings, but a loss of benefits to be had by officials (to choose between Muface and public health, charge of three years on 10% of basic salary instead of a 36 euros). The Ministry itself admits that "it is not possible to accurately determine a specific economic value, since there is currently no record for the number of effective quota and existing area." But estimates that these measures will facilitate the mobility of staff and that this will 500 million euros.
In contrast, memory supports the new guarantee fund to treat patients displaced neighboring communities will require a budget increase, but does not say how much.
In his statement, the ministry said there was "no alternative" to this royal decree, states that the measures do not involve administrative burden and charge against the regional decontrol. "The absence of common rules on insurance throughout the country, the uneven growth in the performance of the catalog, the inadequacy of some of them to the socioeconomic reality and the very lack of rigor and emphasis on efficiency of the system have led to the national health system to a situation of serious economic hardship without precedent, "he says.
"The gender impact of this Royal Decree law is void, as there exist inequalities of departure in relation to equality of opportunity and treatment between women and men are not expected any change in this situation," he concludes.
The document, which has a date of entry into the registry of the Chamber of Deputies on 24 April at 19.59 hours, clarifies some of the speculations that have been doing in recent days about the expected impact of the measures.
The bulk of the savings (1,550 million, 22% of total) correspond to the measures of saving medicines. But the funny thing is that these, as recorded by the financial report are not new. They are simply the effect for this year on the measures adopted by the previous government. Specifically, memory refers to Royal Decree-Law 9/2011 (prescription by active ingredient, change the reference price system to be the cheapest equivalent drug) and the resolution of December last year that sets new reference prices. These measures were directly approved by the PSOE, or based on what this decided.
more informationThe Government estimated at 7.267 million savings by the cuts in healthHealth card will leave immigrants to 150,000 within two yearsIllegal immigrants have health insurance card to the August 31The retiree will advance 10% of the drugs even if it exceeds its limit
The remaining accounts are summarized as follows: 917 million health card to remove the foreign (and appropriate care), including 676,000 in Europe. In the report does not mention any number of foreigners from other sources, of which the newspaper estimated could be irregular but taxed, and therefore entitled to health insurance card so far, a total of 150,000.
The reassessment of the current portfolio of common and what the text calls his ordination, that is, defining what services are subject to copayment, provide another 700 million. Elimination of drugs in the portfolio of services, either old or because it is considered to be provided without a prescription, will save 500 million.
The pharmaceutical co-payment increase, which for the first time pensioners who were not officials, will pay part of the price of their medications, will mean 500 million. The system of public workers (Muface) does not change and will continue contributing 30% of their medication, whether active or retired.
Good use of the drug will 1,000 million. This item includes the effect of giving value to the product and dose adjustment of containers, to avoid being sent to destroy 3,800 million tons.
The shopping center save between 15% and 50% of supplies of both drugs and other products. Health estimates its savings at 1,000 million. The socio pact, exemplified by "the difference in cost per bed in relation to the hospital," will, with the "savings generated by 10% of overnight stays," 600 million.
The human resources policy has two axes. On the one hand, the approval of different professional levels between communities, thus facilitating mobility. On the other hand, the disappearance of the categories of APD officers (public attention at home) and personal and area quota. CSIF President, Fernando Molina said the move could affect about 25,000 workers in the first group, and between 8,000 and 10,000 the second. With the royal decree, shall be assimilated to other staff, which is considered to be statutory (a type of contract that governs health). Molina does not believe, however, that the measure will be a big savings, but a loss of benefits to be had by officials (to choose between Muface and public health, charge of three years on 10% of basic salary instead of a 36 euros). The Ministry itself admits that "it is not possible to accurately determine a specific economic value, since there is currently no record for the number of effective quota and existing area." But estimates that these measures will facilitate the mobility of staff and that this will 500 million euros.
In contrast, memory supports the new guarantee fund to treat patients displaced neighboring communities will require a budget increase, but does not say how much.
In his statement, the ministry said there was "no alternative" to this royal decree, states that the measures do not involve administrative burden and charge against the regional decontrol. "The absence of common rules on insurance throughout the country, the uneven growth in the performance of the catalog, the inadequacy of some of them to the socioeconomic reality and the very lack of rigor and emphasis on efficiency of the system have led to the national health system to a situation of serious economic hardship without precedent, "he says.
"The gender impact of this Royal Decree law is void, as there exist inequalities of departure in relation to equality of opportunity and treatment between women and men are not expected any change in this situation," he concludes.
スペインの財政赤字削減による医療費削減で、72億6700万0000ユーロのうち、22%の15億5000万0000ユーロの削減·節約は、前の社会党政府の医療費削減政策
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