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スペインのガルシア地方の薬局では、医療費削減のために1番安い薬を処方するために売り切れになって、患者が高血圧やコレステロールの薬を手に入れられない状態が出ている
La restricción del gasto farmacéutico desabastece boticas en Lugo y Ourense
Los laboratorios de medicinas baratas contra la hipertensión y el colesterol están desbordados. Sanidade se niega a pagar fármacos más caros
Cristina Huete / Pepe Seijo Santiago / Lugo23 JUL 2012 - 20:49 CET
Pharmaceutical expenditure restraint undersupplies pharmacies in Lugo and Ourense
The laboratories of cheap medicines for blood pressure and cholesterol are overwhelmed. Sanidade refuses to pay more expensive drugs
Cristina Huete / Seijo Pepe Santiago / Lugo 23 JUL 2012 - 20:49 CET
The laboratories of cheap medicines for blood pressure and cholesterol are overwhelmed. Sanidade refuses to pay more expensive drugs
Cristina Huete / Seijo Pepe Santiago / Lugo 23 JUL 2012 - 20:49 CET
Pharmacies of Lugo and Ourense generic can not sell nine (16 sets of exchange: the same active ingredient but different dosage) because they are not supplied the stores and because the regional government refuses to accept the price difference with the following generic lowest price. Since early July came into force on Royal Decree means that electronic prescriptions dispensed only allows the active ingredients of lower prices, patients are left without them in the 16 cases cited, medications intended primarily to treat hypertension and cholesterol.
The public schools of pharmaceutical accuse the Department of Sanidade of "inflexibility" in the application of this rule and not allowed to sell other generics of the same active ingredient, which left untreated, many patients, in 25% of cases over 60 years. "We could dispense drugs that cost just one cent more than the cheapest, which is what we provide, but the regional government forbids us in the rigorous application of Royal Decree, which the patients go home without their medication if can not fully pay out of pocket "protest on behalf of the collegiate group Galicia Ourense President Vicente Alvarez.
more information"The apothecaries collected to the state"Chaos in the copay for desintonía between Social Security and Sergas
Pharmacists call for dialogue Galician Regional Administration to end a situation calling it "chaotic, irrational and harmful to the sick" but for now, trying to save Sanidade authorizing the shortage by almost daily communications by allowing the colleges to exempt "for a few hours, in exceptional circumstances" the following active ingredient cheaper to not have mandatory drug stores. A patch that "solves nothing: a few hours the product is exhausted."
"For a penny difference, the Xunta prevents the patient takes the medicine"
Lugo's pharmacists are very upset with the Department of Sanidade. They argue that the shortage of generic patients requiring cholesterol and high blood pressure is the same now as last week, when the Regional Minister of Sanidade, Rocio Mosquera, denied the problem on a visit to the old hospital.
"Sanidade lying," retorts an apothecary Lugo. Last week there was no provision in the laboratories of Simvastatin 20, the generic recipe for high cholesterol, or Losartan 50 to 100 milligrams which controls blood pressure. The apothecary displays the delivery notes to show "how the regional government was forced to enable the active ingredient Simvastatin at a price higher."
Lugo socialists share the complaint of the members. The health secretary of the PSOE executive Lugo, Miguel Angel Fernández, estimates that the new repayment formula introduced by the Galician government earlier this month, it will remain a disbursement to the Galicians a million and half euros a week: six million euros in July.
"For a penny difference, Sanidade prevents the sufferer to take the drug. In other communities allow, "said socialist.
The pharmacist recognized that whenever he can dispense the medication to the patient waiting for the recipe to bring you another day. "The first patient is harmed and the problems of access to drugs seriously affect compliance with treatment," warned last week the president of the College of Pharmacists of Lugo, Ana Prieto Sanidade accused of causing "with its inflexibility "shortages.
The University Hospital Lucus Augusti does not suffer this problem. The manager, Francisco Vilanova, says there is no lack of any medicine.
The discomfort of the collegiate grows by the day. Sanidade call for dialogue, "as they do in other communities, let us immediately sell the product price at which we provide." And appeal to the pharmaceutical law (collected in cases of shortages can be dispensed the following generic cheapest) that conflicts with the application of the nomenclature of electronic prescriptions. "It is imperative that the Xunta solve this situation," he claimed, and propose to the Department of Sanidade to become permanent "until these specific authorizations Spanish laboratories generic prices down," a fact they expect to happen in August. "We are open to any dialogue to resolve this situation," says Alvarez. But Sanidade liable for collegiate precisely the lack of agreement.
The technical secretary general of the Department, Antonio Fernández Campa, accuses the pharmaceutical "initially accepted them pay the price difference [in cases of shortage of cheaper generic], but later refused." "They said the numbers were higher than anticipated," he says.
Campa attributed the shortage of nine medications to a possible lack of foresight of the stores, "a misunderstanding about the products they had to buy and they did, getting supplies, in return, other higher-priced". The senior Sanidade recognizes that in Galicia can not apply the same solution as in other Spanish communities. "Here the electronic prescription handles this and the rest of Spain does not differ if the price is 0.98 euros or 0.99". That is, the difference is devolved administrations. Do not share this analysis of the management of generic drugs (Aeseg). The CEO, Angel Luis de la Rope, says the shortage has been forced by the Royal Decree "that has boosted prices below retail", which some companies took that down to take over the market, "but not have enough structure to manufacture and supply. " From Clockwork believes the solution is because pharmacies "dispense the active ingredient of the next lowest price that is not distributed."
The public schools of pharmaceutical accuse the Department of Sanidade of "inflexibility" in the application of this rule and not allowed to sell other generics of the same active ingredient, which left untreated, many patients, in 25% of cases over 60 years. "We could dispense drugs that cost just one cent more than the cheapest, which is what we provide, but the regional government forbids us in the rigorous application of Royal Decree, which the patients go home without their medication if can not fully pay out of pocket "protest on behalf of the collegiate group Galicia Ourense President Vicente Alvarez.
more information"The apothecaries collected to the state"Chaos in the copay for desintonía between Social Security and Sergas
Pharmacists call for dialogue Galician Regional Administration to end a situation calling it "chaotic, irrational and harmful to the sick" but for now, trying to save Sanidade authorizing the shortage by almost daily communications by allowing the colleges to exempt "for a few hours, in exceptional circumstances" the following active ingredient cheaper to not have mandatory drug stores. A patch that "solves nothing: a few hours the product is exhausted."
"For a penny difference, the Xunta prevents the patient takes the medicine"
Lugo's pharmacists are very upset with the Department of Sanidade. They argue that the shortage of generic patients requiring cholesterol and high blood pressure is the same now as last week, when the Regional Minister of Sanidade, Rocio Mosquera, denied the problem on a visit to the old hospital.
"Sanidade lying," retorts an apothecary Lugo. Last week there was no provision in the laboratories of Simvastatin 20, the generic recipe for high cholesterol, or Losartan 50 to 100 milligrams which controls blood pressure. The apothecary displays the delivery notes to show "how the regional government was forced to enable the active ingredient Simvastatin at a price higher."
Lugo socialists share the complaint of the members. The health secretary of the PSOE executive Lugo, Miguel Angel Fernández, estimates that the new repayment formula introduced by the Galician government earlier this month, it will remain a disbursement to the Galicians a million and half euros a week: six million euros in July.
"For a penny difference, Sanidade prevents the sufferer to take the drug. In other communities allow, "said socialist.
The pharmacist recognized that whenever he can dispense the medication to the patient waiting for the recipe to bring you another day. "The first patient is harmed and the problems of access to drugs seriously affect compliance with treatment," warned last week the president of the College of Pharmacists of Lugo, Ana Prieto Sanidade accused of causing "with its inflexibility "shortages.
The University Hospital Lucus Augusti does not suffer this problem. The manager, Francisco Vilanova, says there is no lack of any medicine.
The discomfort of the collegiate grows by the day. Sanidade call for dialogue, "as they do in other communities, let us immediately sell the product price at which we provide." And appeal to the pharmaceutical law (collected in cases of shortages can be dispensed the following generic cheapest) that conflicts with the application of the nomenclature of electronic prescriptions. "It is imperative that the Xunta solve this situation," he claimed, and propose to the Department of Sanidade to become permanent "until these specific authorizations Spanish laboratories generic prices down," a fact they expect to happen in August. "We are open to any dialogue to resolve this situation," says Alvarez. But Sanidade liable for collegiate precisely the lack of agreement.
The technical secretary general of the Department, Antonio Fernández Campa, accuses the pharmaceutical "initially accepted them pay the price difference [in cases of shortage of cheaper generic], but later refused." "They said the numbers were higher than anticipated," he says.
Campa attributed the shortage of nine medications to a possible lack of foresight of the stores, "a misunderstanding about the products they had to buy and they did, getting supplies, in return, other higher-priced". The senior Sanidade recognizes that in Galicia can not apply the same solution as in other Spanish communities. "Here the electronic prescription handles this and the rest of Spain does not differ if the price is 0.98 euros or 0.99". That is, the difference is devolved administrations. Do not share this analysis of the management of generic drugs (Aeseg). The CEO, Angel Luis de la Rope, says the shortage has been forced by the Royal Decree "that has boosted prices below retail", which some companies took that down to take over the market, "but not have enough structure to manufacture and supply. " From Clockwork believes the solution is because pharmacies "dispense the active ingredient of the next lowest price that is not distributed."
ルーゴとオウレンセの医薬品支出拘束undersupplies薬局
血圧とコレステロールのために安価な医薬品の研究室は、圧倒されています。 Sanidadeは、より高価な薬を支払うことを拒否
クリスティーナウェーチ/成城ペペサンティアゴ/ルーゴ23 JUL 2012 - 午後08時49分CET
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