スペインの経済省は、薬局の開店と営業時間の自由化を検討、大型スーパー内での開店が可能に、保健省は反対で現状維持
Economía estudia liberalizar las farmacias y darles apertura libre
La reforma prevé abrir la puerta a las grandes cadenas de boticas. Los farmacéuticos seguirían al frente de los establecimientos. Sanidad se opone
María R. Sahuquillo Madrid 30 DIC 2012 - 22:32 CET
Economics studies liberalize pharmacies and opening them free
The reform provides for opening the door to large chain pharmacies. Pharmacists continue to the front of the establishments. Health opposes
Mary R. Sahuquillo Madrid 30 DIC 2012 - 22:32 CET
The Ministry of Economy and Competitiveness studies liberalize pharmacies, so that any person or company to open a. Currently, one can own and hold a pharmacy pharmacy graduates. The initiative, which is contained in a working paper of Luis de Guindos department has had access to COUNTRY, would open the door to the big chains. But yes, the management of the establishment would remain in the hands of a pharmacist. The change would be a blow to the pharmacies, mostly small businesses, and would completely change the current map to place Spain in line with countries such as the Netherlands and the UK, where the sector is liberalized and highly controlled by large companies . Facing the deck approaches Economy, the Ministry of Health says that his bet is to keep the current model.
Economics, however, discusses this possibility for inclusion in the draft bill for professional services, which would come to also regulate other professions like engineer or architect. Sources familiar with the project say it is still at a preliminary stage and there is still no text articles. They maintain that there is no decision. Although, as the document, the working group that prepared the law Economics has had contacts with the ministries involved in the reform.
The initiative would hurt small establishments
This is not the first time you put on the table the liberalization of pharmacies. In 2006, Spain Brussels advised to review its model. The Economy Ministry tried, but the government of José Luis Rodríguez Zapatero parked it. However, the proposal continued beating. Now, the suggestion also comes from the European Commission as one of the tricks to reduce macroeconomic imbalances in Spain earlier this year recommended liberalizing certain sectors heavily regulated professionals. As the pharmacist.
For economy, the reform of all professions covered by the project, not just the pharmaceutical-is necessary "to improve the competitiveness of an industry that accounts for around 30% of university employment." The document that manages the department believes that the current regulation is "excess and obsolete", and reform it would generate more competition and improve the economy.
The Ministry of Health does not see things the same way and defends the current system. "This model, in force in our country for decades, has guaranteed the professionalism of pharmacy service and quality care to the patient service above other interests," said a spokesman. The current organization, says, also ensures that anyone-both rural and urban-to access to medicines and health products. The dense network of pharmacies now allows 99.9% of the population has one close to home.
The pharmaceutical sector is very juicy, a captive market: the drugs can only be dispensed in pharmacies, which are only owned by pharmacists. The volume of business is large: in 2010 (latest year total) were sold in these establishments 1,300 million packs of drugs worth 16,500 million euros. Although a priori the extent not generate savings to the state coffers (80% of drugs are funded by NHS) because the profit margins of pharmacies and drug prices are regulated by the government, the group work of economics that studies the matter considers that the liberalization of sectors as this would have long-term economic benefits.
In Spain were sold, in 2010, 1,300 million packs of drugs
Pharmacists disagree. For this sector, as a revolution. "We have a close, affordable and quality that all governments have maintained that benefits citizens. This is also a health activity, "said Carmen Peña, president of the General Council of Official Colleges of Pharmacists. "In addition, the measure would generate savings, because what are we dispense medicines whose price is regulated. They are not consumer products but merit goods. Now, the city has all our security guarantees because the pharmacist puts public health priorities at lucrative interest, "he adds. Designated as such at present, marked by crises and defaults Administrations. "It is a system that is delocalized when trouble or in times of crisis. And what we are seeing in many pharmacies affected by defaults on the Administration are holding, risking their assets even, and that nevertheless continue dispensing drugs to where they can. "
Peña believes that reform would benefit only the big chains. A view shared by Enrique Granda, President of the Centre of Pharmaceutical Business Federation of Pharmaceutical Spanish (FEFE). These establishments may get better prices from distributors and industry, because the larger volume would buy more bargaining power, thereby expand their profit margins. "The liberalization in the short term would arise new pharmacies, but end up with 50% of the sector in a decade," said Granda. This pharmacist is concerned about the 79,000 direct jobs generated by the activity. He believes that the initiative, which would hurt small establishments would revise the current rules, according to which there is a drugstore for a population of 2,800 inhabitants, compared to one for every 10,300 of the Dutch system.
Compulsory licensing health
The working document on the Economy to draft the draft Law on Professional Services collects compulsory for all healthcare professionals who have direct contact with the user. State regulations and determined way, but four communities, Andalusia, Extremadura, Asturias and the Canary Islands, have enacted legislation that licensing is voluntary for professionals-doctors, nurses, podiatrists, public health. If the initiative goes ahead, these regions should change its rules.
With the change serves an old recommendation of professional associations. Juan Jose Rodriguez Sendin, president of the Medical College, explains: "To register need to present the certificate of qualification, it is the country, which is a control and a filter that ensures patient safety. In addition, the profession provides guidelines of conduct, universal and decided by all professionals. If the doctor is the jumps, the College may discipline you or take you to court, "says Sendín.
Also Maximo Gonzalez Jurado, president of the General Council of Colleges of Nursing, considered as positive. "It's good for the patient that are subject to professional ethics ordinance that mark the Colleges, it is also good for the professional himself. Ensure impartiality, independence and professional secrecy "he says. It also indicates, this prevents prosecute causes behavior problems that can penalize schools.
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