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スペイン保健相は、医療費削減のために弱症状の効果の薄い456品の薬を健康保険の対象から除外し、患者の自己負担とし,
4億4000万0000ユーロの節約
Sanidad sacará 456 fármacos de uso común de la financiación pública
La propuesta del Gobierno a las autonomías pretende ahorrar más de 440 millones
La lista incluye fármacos contra las migrañas, gripe, corticoides o vasodilatadores
Health will bring 456 drugs commonly used in public funding
The Government's proposal to autonomy aims to save over 440 million
The list includes drugs for migraines, flu, corticosteroids, vasodilators
The list of drugs that are excluded
200,000 active card use to avoid paying retiree drug
The copayment is delayed in three autonomous
Mary R. Sahuquillo Madrid 26 JUN 2012 - 22:35 CET
The Government's proposal to autonomy aims to save over 440 million
The list includes drugs for migraines, flu, corticosteroids, vasodilators
The list of drugs that are excluded
200,000 active card use to avoid paying retiree drug
The copayment is delayed in three autonomous
Mary R. Sahuquillo Madrid 26 JUN 2012 - 22:35 CET
The Ministry of Health will propose Wednesday to narrow the regions in the Inter-Territorial Council of Health excluded from public funding 456 drugs indicated for "minor symptoms". The list of products subject to exclusion, which Health has already sent to regional leaders, including active ingredients such as acetylcysteine, used as a mucolytic drug-and base-like Fluimucil, acyclovir, used to combat herpes loperamide ( Fortasec marketed as, among others), used to tackle diarrhea, or cough treatments, such as those containing dextromethorphan-typical as Bisolvon syrups. The government estimates that the measure provided for in Royal Decree on Urgent National Health System approved in April, will yield a savings of over 440 million euros. These drugs, now funded by the NHS, will be paid in full by the patient.
The Inter-Territorial Council of Health, which meets the Minister Ana Mato counselors of Health of autonomy, is marked by controversy. It is the first date following the adoption of the law restricting health care for illegal immigrants, and reforming the drug copayment system, which as of Sunday will be a function of income-and by that pensioners will go pay for the first time for drugs. A new formula that oppose autonomy as Andalusia or the Basque Country and for others, like Asturias and Catalonia, are serious technical complications.
Health does not include any study of the impact on patients
Thus, this Wednesday will be at least an uncomfortable meeting. Also for the citizen's pocket. The proposal has been forwarded to Health Communities, prepared by the Directorate General of Basic Portfolio Services and Pharmacy and containing proposals of 12 autonomous regions, mentioned nine treatment groups: from those indicated for constipation and varicose veins to prescribed for colds. Health, has examined the consequences of the reform and ensures that these drugs are excluded "to maintain the affordability of new therapies, listed in serious diseases." Talk of a possible "moderate or substantial prejudice" to companies in their sales, but does not incorporate any impact study in patients.
However, the ministry leaves a door open for further development collect exceptions to this exclusion, which could benefit, for example, chronic patients who take these medications as part of their treatment. "From a therapeutic point of view there are some serious specific diseases in which some of the drugs are very useful to exclude, so it was decided that the resolution of exclusion collect such exceptions" they say. Health also assumes that the withdrawal of funding for these drugs, which does not mean they can not be prescribed, may be a shift to other products requirements. Something that they say can not be controlled rather than the "good prescribing practice" for what will "actively monitor".
This shift in the prescription of Health is speaking, as the family doctor Cristina House, which will occur with drugs such as antacids (such Almax), which would be within the treatment of excess gastric secretion and therefore that would leave the funded list. A measure that can trigger the consumption of other products such as omeprazole, "with more side effects," warning of the House.
Some of the drugs proposed to exclude Health have discussed substantially more effective as oral treatments of varicose veins or peripheral vasodilators. Others, however, involve the removal key treatments for certain diseases. This is the case of some drugs for viral infections of the skin, such as imiquimod or podofidotoxina, used for genital warts, a sexually transmitted disease caused by human papilloma virus. House is also problematic exclusion of laxatives. "They are necessary for some people following cancer treatment or opioid" he says.
Some products listed are key in treating certain diseases
But undoubtedly, the major group affected by the measure drug is indicated for the treatment of colds or cough. Would no longer finance almost everyone from mucolytics to codeine, the basis for many syrups. What some experts may have two effects: the displacement of these complex drug prescriptions or the patient, not benefit from public funding, more indiscriminately go to the pharmacy to buy their own syrup and self-medicate.
The president of the Medical College (WTO), Juan Jose Rodriguez Sendin, believes the gazetteer we have to cut somewhere. Some of the drugs that health plans to withdraw from the list of funded rarely used or have a therapeutic value obsolete. As listed under the category of "treatment of cognitive impairment associated with age," which contains products such as piracetam, folium ginkgo extract or vasodilators such as vincamine, or andidiarreicos as Ergot alkaloids. The WTO, which groups all the doctors of Spain, also consider the list that has developed Health. "We shall look very closely and carefully we may propose other," he says. Trust also in the further development of the exclusionary rule collect the financing of certain drugs for rare cases.
The territorial council also plans to adopt a draft order by establishing a common billing factor for dietoterápicos, consuming products with metabolic disorders or patients requiring enteral nutrition. Now every community the bill to a different price. Health believes that setting a common price will save 22 million euros, reports Kings Corner.
The Inter-Territorial Council of Health, which meets the Minister Ana Mato counselors of Health of autonomy, is marked by controversy. It is the first date following the adoption of the law restricting health care for illegal immigrants, and reforming the drug copayment system, which as of Sunday will be a function of income-and by that pensioners will go pay for the first time for drugs. A new formula that oppose autonomy as Andalusia or the Basque Country and for others, like Asturias and Catalonia, are serious technical complications.
Health does not include any study of the impact on patients
Thus, this Wednesday will be at least an uncomfortable meeting. Also for the citizen's pocket. The proposal has been forwarded to Health Communities, prepared by the Directorate General of Basic Portfolio Services and Pharmacy and containing proposals of 12 autonomous regions, mentioned nine treatment groups: from those indicated for constipation and varicose veins to prescribed for colds. Health, has examined the consequences of the reform and ensures that these drugs are excluded "to maintain the affordability of new therapies, listed in serious diseases." Talk of a possible "moderate or substantial prejudice" to companies in their sales, but does not incorporate any impact study in patients.
However, the ministry leaves a door open for further development collect exceptions to this exclusion, which could benefit, for example, chronic patients who take these medications as part of their treatment. "From a therapeutic point of view there are some serious specific diseases in which some of the drugs are very useful to exclude, so it was decided that the resolution of exclusion collect such exceptions" they say. Health also assumes that the withdrawal of funding for these drugs, which does not mean they can not be prescribed, may be a shift to other products requirements. Something that they say can not be controlled rather than the "good prescribing practice" for what will "actively monitor".
This shift in the prescription of Health is speaking, as the family doctor Cristina House, which will occur with drugs such as antacids (such Almax), which would be within the treatment of excess gastric secretion and therefore that would leave the funded list. A measure that can trigger the consumption of other products such as omeprazole, "with more side effects," warning of the House.
Some of the drugs proposed to exclude Health have discussed substantially more effective as oral treatments of varicose veins or peripheral vasodilators. Others, however, involve the removal key treatments for certain diseases. This is the case of some drugs for viral infections of the skin, such as imiquimod or podofidotoxina, used for genital warts, a sexually transmitted disease caused by human papilloma virus. House is also problematic exclusion of laxatives. "They are necessary for some people following cancer treatment or opioid" he says.
Some products listed are key in treating certain diseases
But undoubtedly, the major group affected by the measure drug is indicated for the treatment of colds or cough. Would no longer finance almost everyone from mucolytics to codeine, the basis for many syrups. What some experts may have two effects: the displacement of these complex drug prescriptions or the patient, not benefit from public funding, more indiscriminately go to the pharmacy to buy their own syrup and self-medicate.
The president of the Medical College (WTO), Juan Jose Rodriguez Sendin, believes the gazetteer we have to cut somewhere. Some of the drugs that health plans to withdraw from the list of funded rarely used or have a therapeutic value obsolete. As listed under the category of "treatment of cognitive impairment associated with age," which contains products such as piracetam, folium ginkgo extract or vasodilators such as vincamine, or andidiarreicos as Ergot alkaloids. The WTO, which groups all the doctors of Spain, also consider the list that has developed Health. "We shall look very closely and carefully we may propose other," he says. Trust also in the further development of the exclusionary rule collect the financing of certain drugs for rare cases.
The territorial council also plans to adopt a draft order by establishing a common billing factor for dietoterápicos, consuming products with metabolic disorders or patients requiring enteral nutrition. Now every community the bill to a different price. Health believes that setting a common price will save 22 million euros, reports Kings Corner.
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