Thursday, September 19, 2013

Against facts ... no arguments - iOnline

built up a confidence around the prescribing, dispensing and consumption of generic medicines, which benefits the individual and the health system

At the end of last week it was reported that the Portuguese have spent at least 50 million in drugs since the beginning of the year up to May, compared with the year 2012. The National Health Service will also, in the same period, saved € 62.5 million in reimbursements. In percentage reduction values ??correspond to 16.1% of the invoice for the patients and 12.1% for the NHS. The average price of all drugs also fell, but not in the same order of magnitude. Ie, for the observed reduction in spending contributed largely to increase the share of generic drugs prescribed by doctors and dispensed in pharmacies, which are cheaper than the branded ones. With the new legislation establishing a prescription for International Nonproprietary Name or generic name, were sold over 34,000 packs of generics in the first half, and struck up a market share of 27.6%, the highest value of always. Are facts. Facts.
However, the Medical Society decided to publish a daily newspaper paid advertising that accuses the patients are being misled in pharmacies, presenting as evidence a single example that would have been replaced in a pharmacy prescription drugs for more expensive drugs. A curiosity, however, is the fact that one of the drugs prescribed, in the example reproduced by the Medical Association, is not available in the market, the claim of the exception c), expected to promote continuity of treatment with the same drug laboratory, or appears to be justified.
But it is a case. One among the more than 40 million prescriptions processed from the beginning of the year. And all cases should indeed be reported. Incidentally, Infarmed came however confirm it has received since January 1 precisely 17 complaints, and yet only one of them led to a misdemeanor, after being tried on charges. Given the extent of the actual volume of complaints against the layoffs occurring every day, even if you say that it confused the tree with the forest …


We – doctors, pharmacists and citizens – traveled a long and fruitful way towards control of public expenditure on medicines. Built up a confidence around the prescription, dispensing and consumption of generic medicines, which benefits the individual and the health system. There will need to monitor the process in order to identify cases that will always, where the law is not enforced. Involve specific situations waiver more expensive drugs, and the use of exceptions under the law in cases where that law does not apply. But the Ministry of Health, with the creation of the Pharmacy and Therapeutics Committees in the various health regions, created the mechanisms necessary for such monitoring.
Whether for a defaulting if alter laws …


Yesterday it emerged that the Government is prepared to recognize pharmacies that contribute most to increasing the market share of generic drugs by assigning an additional fee. This measurement is not innovative in the field of medicine, since it is already implemented in several European countries, but it is not innovative in Portugal, in the health sector, since the new compensation model of the Family Health Units there additional remuneration for professionals, based on their performance against the objectives set.
As a team of health professionals and citizens have everything to gain when there is trust, respect and a common goal. Otherwise, we all lose. Particularly those who are sick.


Pharmaceuticals. Write to Thursday

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