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スペインでは、医療費削減のために、2012年7月01日から薬代の自己負担が増える;65歳以下は、収入により薬代の40%,50%、60%を払い、今まで無料だった65歳以上の年金生活者は、薬代の10%を払う、だだし収入により毎月に払う上限は8'00ユーロ、18'00ユーロ,60'00ユーロに、
¿Está usted preparado para el copago?
La dudas crecen en torno al sistema que se instaura el domingo
La mayoría de las comunidades afirma que están preparadas
Las farmacias, inquietas, alertan de que la precipitación de la medida puede colapsarles
María R. Sahuquillo / Jaime Prats Madrid / Valencia28 JUN 2012 - 21:43 CET
Are you prepared for the copay?
The growing doubts about the system that is established on Sunday
Most communities report that they are prepared
Pharmacies, restless, warn that the precipitation of the measure can colapsarles
'Medicamentazo' and promptly copayment
A copayment too complex to introduce in a week
"It seems that the implementation of the measure will be a difficult delivery"
Payment and repayment copayment
Mary R. Sahuquillo / Jaime Prats Madrid / Valencia 28 JUN 2012 - 21:43 CET
The growing doubts about the system that is established on Sunday
Most communities report that they are prepared
Pharmacies, restless, warn that the precipitation of the measure can colapsarles
'Medicamentazo' and promptly copayment
A copayment too complex to introduce in a week
"It seems that the implementation of the measure will be a difficult delivery"
Payment and repayment copayment
Mary R. Sahuquillo / Jaime Prats Madrid / Valencia 28 JUN 2012 - 21:43 CET
Sunday starts the new copayment system pharmacist. A model that provides billing differences for workers based on their income and the retirees will pay a percentage of the drugs they used to get free, with a monthly cap based on income. The reform required to adapt the databases of health centers and hospitals across Spain to recipes that are given to citizens include the percentage to be covered (codified in codes). Also the pharmacy computer systems have had to adjust. But two days before the arrival of the copayment everything is uncertainty. Most of the autonomous state that, although it has had little time, are prepared. Others try to arrive on time, but working against the clock. All admit, yes, errors, although expected to be lower. But the most restless shown are the pharmacists, the executors of the measure. They are the ones who experience the problems tangible policy with which the government estimates a savings of up to 165 million euros. Doubts in the sector and the citizens are innumerable. Some are these.
"Do you apply all autonomy? Basque Country has approved a decree ensuring that its citizens continue to pay the same for drugs, in the case of pensioners, nothing. The rest, although Andalucia has been used as self-apply it. Although effort. Asturias is the case, which has warned of technical difficulties to arrive on time and hopes to solve them today to Sunday.
"Are pharmacies prepared? Many say no. The Spanish pharmacies are using the same computer system for 20 years. Takes time to adapt. Nor can complain, start a draft measure would not do before a test to detect incidents. And these tests have only been done in some pharmacies in Murcia. The Official College of Pharmacists of Barcelona said yesterday directly to apply the new copayment is "unworkable" in your community, which also has a few days ago the rate of one euro per prescription. Isabel Vallejo, vice president of the Spanish Pharmaceutical Business Federation (FEFE), suggests that a "key change". "We have the means, but do not yet have specific computer instructions," he says. The degree of adaptation to the measurement also depends on each pharmacy and the software you use. Antonio Martinez, manager of AHM Systemas adapting to pharmacies Valencia software firm Farmatic (25% market share), says his platform does have the updates for new types of input.
"Does the pensioner must continue to pay 10% of the medication once surpassed its contribution cap? Up to each community. Catalonia is in favor of stop paying once to cover your monthly limit (8, 18 or 60 euros, depending on their income). A spokesman for the autonomy indicates that they are working to get it and expect to arrive on time. If not, will present an alternative model. In Andalusia, which has implemented the electronic card, the computer system has been notified that covered the ceiling and the pensioner does not have to pay more. In contrast, in Valencia is not considered to avoid repayment.
"What will happen in the event that the consultation is to address? Doctors and patients are asking for visits in which the physician has not had time to look at the code input. The communities have no clear answer yet to the case. Some, such as Murcia, say the doctors have access to databases in ambulances. Most, however, believes that when in doubt, apply to the patient the minimum contribution code: 40% in assets and 10% to pensioners, as agreed by the territorial council in cases where there is data.
"What if the prescription is dated before July 1? There is no equity between regions. Murcia, for example, accept prescriptions for 10 days before the entry into force of the new copayment. At that time the patient will pay the old price. Valencia, however, accept the old requirements, but apply the 10% co-payment to pensioners, although the assets will be charged the minimum.
"Will there be problems for withdrawing drugs in a community with a prescription for another? Is likely. Patient input will be encoded in the recipe (or health cards if they are smart), so that at present it at the pharmacy, the pharmacist reads the percentage you pay through automated optical systems. But the codes are different in each region. For example, Castilla y Leon and Euskadi, despite being neighboring communities, they use different codes, so that the pharmacist can not interpret the information on the type of contribution, and supports the Minister of Health of Castilla and Leon, Antonio Saenz Agudo. In this case, you should collect the minimum. And if it exceeds what is needed, the patient should complain to the health services in your area.
"Do you apply all autonomy? Basque Country has approved a decree ensuring that its citizens continue to pay the same for drugs, in the case of pensioners, nothing. The rest, although Andalucia has been used as self-apply it. Although effort. Asturias is the case, which has warned of technical difficulties to arrive on time and hopes to solve them today to Sunday.
"Are pharmacies prepared? Many say no. The Spanish pharmacies are using the same computer system for 20 years. Takes time to adapt. Nor can complain, start a draft measure would not do before a test to detect incidents. And these tests have only been done in some pharmacies in Murcia. The Official College of Pharmacists of Barcelona said yesterday directly to apply the new copayment is "unworkable" in your community, which also has a few days ago the rate of one euro per prescription. Isabel Vallejo, vice president of the Spanish Pharmaceutical Business Federation (FEFE), suggests that a "key change". "We have the means, but do not yet have specific computer instructions," he says. The degree of adaptation to the measurement also depends on each pharmacy and the software you use. Antonio Martinez, manager of AHM Systemas adapting to pharmacies Valencia software firm Farmatic (25% market share), says his platform does have the updates for new types of input.
"Does the pensioner must continue to pay 10% of the medication once surpassed its contribution cap? Up to each community. Catalonia is in favor of stop paying once to cover your monthly limit (8, 18 or 60 euros, depending on their income). A spokesman for the autonomy indicates that they are working to get it and expect to arrive on time. If not, will present an alternative model. In Andalusia, which has implemented the electronic card, the computer system has been notified that covered the ceiling and the pensioner does not have to pay more. In contrast, in Valencia is not considered to avoid repayment.
"What will happen in the event that the consultation is to address? Doctors and patients are asking for visits in which the physician has not had time to look at the code input. The communities have no clear answer yet to the case. Some, such as Murcia, say the doctors have access to databases in ambulances. Most, however, believes that when in doubt, apply to the patient the minimum contribution code: 40% in assets and 10% to pensioners, as agreed by the territorial council in cases where there is data.
"What if the prescription is dated before July 1? There is no equity between regions. Murcia, for example, accept prescriptions for 10 days before the entry into force of the new copayment. At that time the patient will pay the old price. Valencia, however, accept the old requirements, but apply the 10% co-payment to pensioners, although the assets will be charged the minimum.
"Will there be problems for withdrawing drugs in a community with a prescription for another? Is likely. Patient input will be encoded in the recipe (or health cards if they are smart), so that at present it at the pharmacy, the pharmacist reads the percentage you pay through automated optical systems. But the codes are different in each region. For example, Castilla y Leon and Euskadi, despite being neighboring communities, they use different codes, so that the pharmacist can not interpret the information on the type of contribution, and supports the Minister of Health of Castilla and Leon, Antonio Saenz Agudo. In this case, you should collect the minimum. And if it exceeds what is needed, the patient should complain to the health services in your area.
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