Development of pharmaceutical prices in the Republic of Macedonia in comparison to selected countries outside the national reference baskets
نویسندگان
چکیده
Background Budgetary constraints with annual growth rates that peaked at 20% fuelled by the upcoming economic crisis demanded a change in the pricing model for pharmaceuticals in the Republic of Macedonia. Several neighbouring countries were faced with similar challenges, so the Republic of Macedonia carefully looked into their policies and thus introduced external reference pricing in 2011, which led to a reduction of prices. The specific was that both the Ministry of Health for the “unique price” (i.e. the maximum price) and the Health Insurance Fund as a basis for reimbursement performed price comparisons. The country basket for the Ministry of Health includes Bulgaria, Croatia, France, Germany, Greece, the Netherlands, Poland, Russia, Serbia, Slovenia, Turkey and the UK whereas the HIF references Bulgaria, Croatia, Serbia and Slovenia.
منابع مشابه
Social Determinants of Equity in Access to Healthcare for Tuberculosis Patients in Republic of Macedonia – Results from a Case-Control Study
Background Health is a complex phenomenon and equity as a basic human right an integral part of constitutions in almost all countries in the world. In Republic of Macedonia (RM), Tuberculosis (TB) is clustered regionally and in certain ethnic groups. The main objective of this study was to analyze Social Determinants of Health (SDH) and equity in access to healthcare services for TB patients in...
متن کاملSelecting reference countries in external reference based pricing: The case study of Iran
Most countries are using some kinds of pharmaceutical policies, like external reference-based pricing, to control the costs of medicines. This policy could be implemented in different ways and there is no systematic method for selecting reference countries. In this study, we tried to identify and classify the factors affecting the selection of reference countries in Iran. Delphi method was empl...
متن کاملPharmaceutical Care in Community Pharmacy in the Republic of Macedonia. a Compared Study with Eu Countries
In recent years in the Republic of Macedonia, the pharmaceutical legislation has undergone permanent modifications in terms of the unification with the European legislation. In essence, the establishment of certain new criteria and the amendment of the whole set of standards uniform in the EU, will undoubtedly help in increasing the quality of pharmaceutical services and will guarantee the pati...
متن کاملNational medicines policies – a review of the evolution and development processes
OBJECTIVES Continuous provision of appropriate medicines of assured quality, in adequate quantities, and at reasonable prices is a concern for all national governments. A national medicines policy (NMP) developed in a collaborative fashion identifies strategies needed to meet these objectives and provides a comprehensive framework to develop all components of a national pharmaceutical sector. T...
متن کاملInvestigation and Comparison of Nursing Informatics Development Factors in Iran and Selected Countries: a Comparative Study
Introduction: Nursing informatics is effective on the optimal use of technology and health promotion. Using the experiences of successful countries in this field, can facilitate the improvement of nursing care quality. The purpose of this study is a comparison of nursing informatics development factors in Iran and leading countries. Method: The present study was conducted in a descriptive-compa...
متن کامل