Bernardi Alessandra, Pegoraro Renzo
Fondazione Lanza, Padova, Italy.
Health Care Anal. 2003 Dec;11(4):279-86. doi: 10.1023/B:HCAN.0000010056.05684.22.
In 2001 the Italian Government defined Essential Assistance Levels (LEA), which can be considered as an important step forward in the health care system. The Italian health care system would provide payment of essential and uniform aid services in order to safeguard many values such as human dignity, personal health, equal assistance and good health practices. The Ministry of Health has worked to rationalize the National Formulary and to define evaluation methods for drugs in order to choose what to reimburse without penalizing the rights of the individual and society. This paper describes how this job of rationalization was done and tries to illustrate the choices made in Italy by the use of two meaningful examples (statins and rivastigmine).
2001年，意大利政府确定了基本援助水平（LEA），这可被视为医疗保健系统向前迈出的重要一步。意大利医疗保健系统将提供基本且统一的援助服务费用，以维护诸多价值，如人类尊严、个人健康、平等援助和良好的健康习惯。卫生部致力于使国家药品目录合理化，并确定药品评估方法，以便在不损害个人和社会权利的情况下选择报销的药品。本文描述了这种合理化工作是如何开展的，并试图通过两个有意义的例子（他汀类药物和卡巴拉汀）来说明意大利所做出的选择。
