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スペインの財政赤字削減策の医療費削減で、患者の病気食事?の自己負担は、119'00ユーロから920'00ユーロに
Su dieta por estar enfermo: 500 euros
El copago previsto para los productos dietoterápicos implicaría fuertes desembolsos
Los pacientes con males congénitos quedan exentos
Their diet due to illness: 500 euros
The copayment provided for products involve heavy outlays dietoterápicos
Patients with congenital diseases are exempt
A matter of life or death for Martha and Paula
Kings Corner Sevilla 16 MAY 2012 - 22:31 CET
The copayment provided for products involve heavy outlays dietoterápicos
Patients with congenital diseases are exempt
A matter of life or death for Martha and Paula
Kings Corner Sevilla 16 MAY 2012 - 22:31 CET
Dietoterápicos products can cost the average user around 500 euros a month (a range between 119 and 920 euros) when in force, the copayment that the decree provides for the sustainability of the health system to be adopted on Thursday the House of Representatives. Are the figures that includes an internal document prepared by the Ministry of Health under the regulatory development of the decree, which has had access to this newspaper. The text attempts to specify what the user input to dietoterápicos, patients who consume products with complex metabolic disorders or in need of enteral nutrition. And the numbers would have to pay the sick are so high that the document itself states that we must draw a line. "If you only apply different percentages of contribution to 10%, 40% and 50%, without setting any limits on the products (...) might in some cases a significant outlay for patients," notes the text.
A Health Ministry spokesman said Wednesday that this document is a "first draft" with which "begin to negotiate." "It's not a firm proposal and the ministry is open to all kinds of proposals," added the spokesman. The text shows, in any case, implementing the co-payment on these products as has been stated in the decree would be almost impossible because it involves contributions of hundreds of euros per month for many users, so the ministry and communities will be resolved in the coming months how to set these figures.
Experts suggest setting a user's spending limit
In public health were prescribed last year 3,279,924 dietoterápicos product packaging. The decree approving merely sets for these products the same level of co-payment for drugs: 10% for pensioners, 50% for the population (except users with incomes below $ 22,000, will pay the 40%) and 60% for incomes over € 100,000 annually.
The proposal passed to exempt from the payment to patients with complex metabolic disorders in general rare diseases that need treatment throughout their lives and for which these products are in many cases, the only power source.
The copayment does that apply to patients requiring home enteral nutrition (HEN). These are patients with certain diseases and clinical situations that can not meet their nutritional needs with common foods. In some cases, temporarily consume only source of power and in others, are used to supplement the diet. Among patients who may require enteral nutrition are some cancer patients, patients undergoing digestive surgeries, with neurological disorders or Alzheimer's disease.
Different scale
■ Experts call copay exclude the sick metabolic disorders (phenylketonuria or acidosis). For enteral nutrition products is requested and a reduced contribution limit.
■ A lymphoma patient need to follow a normal protein diet monomer could pay between 148 euros a month (if you must copagar 10% of the product) and 741 (if it contributes 50%).
■ E A cystic fibrosis patient dietoterápicos use formulas based polymer could pay from 29 euros per month to 306.
■ The diet for a child with renal insufficiency compromises their growth can cost between 119 and 597 euros per month, depending on the income of their parents.
Contrary to what happens to the pharmacist copayment, the decree does not set a ceiling of contribution for pensioners who need these foods. In correcting the rule published on Tuesday warned that it would do, but would not necessarily be the same as for drugs. Moreover, according to the decree, pensioners have to pay at the pharmacy on 10% of the drug and, subsequently, within six months, we will refund the money to the limit that corresponds to your income. If the system was applied to the dietoterápicos, pensioners who need these products would have to advance between 29.8 and 184 euros per month, according to the annex on the document drafted by the ministry.
The number skyrockets to the workforce. If, as originally planned, it applies the same scale as for drugs, a user with income below $ 22,000 will need to pay dietoterápicos productos month between 119.2 and 776.14 euros. Those who enter more than 22,000, the treatment costs between 149 and 920 euros monthly, according to the table setting out the proposal prepared by Health.
The catalog of products for home enteral nutrition diet includes 488 different names. Of these, the most widely used (between 60% and 70% of patients, according to sources consulted) CELE is the type described in the document as "monomeric normoproteicas complete formulas." There are three subtypes as used for adults, children or infants. Prices also vary (cheaper for kids and more expensive for adults), but in all cases are high: if the user had to pay 10%, would have to pay between 124.61 and 148.25 euros for Patients had to contribute 40%, between 498.42 and 595 euros, and for patients who will contribute 50%, the fork goes from 623 to 741.27 euros.
The preliminary proposal of the ministry also affects the need to set a retail price for these products common in all communities, a condition that is imposed as necessary to fix after the copayment, as with drugs. Communities now pay very different prices for dietoterápicos, according to the scale given in the text. For example, Andalusia 580,663 containers last year bought cost him 50.3 million euros. If he had bought with the price of Aragon, would have cost five million. And with prices in Madrid, three million less.
A year are consumed more than 3 million packages of special nutrition
The co-payment, although not yet known to what extent, will also affect the prosthesis and non-emergency medical transportation. Thus, citizens have to buy a wheelchair (this does not affect the provision orthoprosthetic hospital, such as a hip replacement) must pay a part. Currently access to special shoes, splints, walkers or external breast prostheses, for example, was varied between regions. In some, such as Andalusia, was free. In others, such as Galicia and Catalonia, patients pay a maximum of 30 euros. As a disabled associations have already rejected because they assume another burden for integration.
Citizens also use the medical transport to go to dialysis, chemotherapy treatment or to return home after hospital discharge have to pay a portion of the benefit. So far this coverage is free. The move raises many questions to experts asking the Government to clarify what happens, for example, people in need of such transportation to move between islands or between islands and the mainland or Ceuta and Melilla.
But one of the fundamental core of health reform is, without doubt, the pharmacist copayment which the government plans to save a few hundred million euros and will be determined on the basis of income. With retirees will reform for the first time, to pay a portion of the drugs.
With information of Mary R. Sahuquillo.
A Health Ministry spokesman said Wednesday that this document is a "first draft" with which "begin to negotiate." "It's not a firm proposal and the ministry is open to all kinds of proposals," added the spokesman. The text shows, in any case, implementing the co-payment on these products as has been stated in the decree would be almost impossible because it involves contributions of hundreds of euros per month for many users, so the ministry and communities will be resolved in the coming months how to set these figures.
Experts suggest setting a user's spending limit
In public health were prescribed last year 3,279,924 dietoterápicos product packaging. The decree approving merely sets for these products the same level of co-payment for drugs: 10% for pensioners, 50% for the population (except users with incomes below $ 22,000, will pay the 40%) and 60% for incomes over € 100,000 annually.
The proposal passed to exempt from the payment to patients with complex metabolic disorders in general rare diseases that need treatment throughout their lives and for which these products are in many cases, the only power source.
The copayment does that apply to patients requiring home enteral nutrition (HEN). These are patients with certain diseases and clinical situations that can not meet their nutritional needs with common foods. In some cases, temporarily consume only source of power and in others, are used to supplement the diet. Among patients who may require enteral nutrition are some cancer patients, patients undergoing digestive surgeries, with neurological disorders or Alzheimer's disease.
Different scale
■ Experts call copay exclude the sick metabolic disorders (phenylketonuria or acidosis). For enteral nutrition products is requested and a reduced contribution limit.
■ A lymphoma patient need to follow a normal protein diet monomer could pay between 148 euros a month (if you must copagar 10% of the product) and 741 (if it contributes 50%).
■ E A cystic fibrosis patient dietoterápicos use formulas based polymer could pay from 29 euros per month to 306.
■ The diet for a child with renal insufficiency compromises their growth can cost between 119 and 597 euros per month, depending on the income of their parents.
Contrary to what happens to the pharmacist copayment, the decree does not set a ceiling of contribution for pensioners who need these foods. In correcting the rule published on Tuesday warned that it would do, but would not necessarily be the same as for drugs. Moreover, according to the decree, pensioners have to pay at the pharmacy on 10% of the drug and, subsequently, within six months, we will refund the money to the limit that corresponds to your income. If the system was applied to the dietoterápicos, pensioners who need these products would have to advance between 29.8 and 184 euros per month, according to the annex on the document drafted by the ministry.
The number skyrockets to the workforce. If, as originally planned, it applies the same scale as for drugs, a user with income below $ 22,000 will need to pay dietoterápicos productos month between 119.2 and 776.14 euros. Those who enter more than 22,000, the treatment costs between 149 and 920 euros monthly, according to the table setting out the proposal prepared by Health.
The catalog of products for home enteral nutrition diet includes 488 different names. Of these, the most widely used (between 60% and 70% of patients, according to sources consulted) CELE is the type described in the document as "monomeric normoproteicas complete formulas." There are three subtypes as used for adults, children or infants. Prices also vary (cheaper for kids and more expensive for adults), but in all cases are high: if the user had to pay 10%, would have to pay between 124.61 and 148.25 euros for Patients had to contribute 40%, between 498.42 and 595 euros, and for patients who will contribute 50%, the fork goes from 623 to 741.27 euros.
The preliminary proposal of the ministry also affects the need to set a retail price for these products common in all communities, a condition that is imposed as necessary to fix after the copayment, as with drugs. Communities now pay very different prices for dietoterápicos, according to the scale given in the text. For example, Andalusia 580,663 containers last year bought cost him 50.3 million euros. If he had bought with the price of Aragon, would have cost five million. And with prices in Madrid, three million less.
A year are consumed more than 3 million packages of special nutrition
The co-payment, although not yet known to what extent, will also affect the prosthesis and non-emergency medical transportation. Thus, citizens have to buy a wheelchair (this does not affect the provision orthoprosthetic hospital, such as a hip replacement) must pay a part. Currently access to special shoes, splints, walkers or external breast prostheses, for example, was varied between regions. In some, such as Andalusia, was free. In others, such as Galicia and Catalonia, patients pay a maximum of 30 euros. As a disabled associations have already rejected because they assume another burden for integration.
Citizens also use the medical transport to go to dialysis, chemotherapy treatment or to return home after hospital discharge have to pay a portion of the benefit. So far this coverage is free. The move raises many questions to experts asking the Government to clarify what happens, for example, people in need of such transportation to move between islands or between islands and the mainland or Ceuta and Melilla.
But one of the fundamental core of health reform is, without doubt, the pharmacist copayment which the government plans to save a few hundred million euros and will be determined on the basis of income. With retirees will reform for the first time, to pay a portion of the drugs.
With information of Mary R. Sahuquillo.
スペインの財政赤字削減策の医療費削減で、患者の病気食事?の自己負担は、119'00ユーロから920'00ユーロに
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