Giermaziak Wojciech
Pol Merkur Lekarski. 2014 Apr;36(214):270-3.
According to 12 may 2011 Reimbursement Act, the new regulations were introduced related to changes in so far in force rules on refunds of official prices and margins for drugs, foodstuffs of special purpose and medical products. After year of functioning of this regulation, in evaluation of the government, law gave measurable financial effects for public payer, sometimes through drastic actions, connected the of reduction of existing profits of manufacturers sector and importers drugs, as well wholesale and retail, both in treatment open and closed. Parallel to research and analysis of effects introduction in life act refund, conducted by government, to target current regulation possible negative phenomena can to be after-effects to regulation, systematically there are conducted analogous study to reputable companies specialized in evaluation and updating market Polish pharmaceutical, such as IMS Health Polska, Pharma Expert, Kamsoft, WHO and European a law firm. In their opinion to reimbursement act is the most serious regulation control system to introduced into Polish order legal, and first time for many years on such a large scale. Thoroughly changed policy of drugs State have important influence for all participants Polish pharmaceutical market, both those directly related to the drug trade, as the functioning doctors and health condition and financial Polish patient. Change in the way prices of drugs is determined as flexible to price formation mechanism, combining drugs similar profile pharmacological in so group limits and dependence of the level of refunds from application drug accordingly characteristics medicinal product, adaptation solutions to new law refund to the existing law about health services, gave measurable financial effect for the public payer. Rationalization expenses to NFZ, as main premise introduction refund act, created to broader than so far possibility to use new molecules of drugs, and the latest medical technology, even if in the revised or new drug programs. Important implications for even Polish image in Europe, especially from the point of view of cohesion policy and application to directive transparency EU have introduction refund act in context to introduction clear, transparent and verifiable procedures used with creating drug pricing mechanisms, foodstuffs of special purpose and medical product.
根据2011年5月12日的报销法案,出台了新规定,涉及到目前生效的药品、特殊用途食品和医疗产品官方价格及差价退款规则的变化。在该规定实施一年后,经政府评估,该法律给公共支付方带来了可衡量的财务影响,有时通过严厉措施,减少了制药行业制造商和药品进口商(包括批发和零售)在公开和封闭治疗中的现有利润。在政府对报销法案实施效果进行研究和分析的同时,为了找出当前规定可能产生的负面现象,系统地对波兰知名的专业评估和更新药品市场的公司进行了类似研究,如益普索健康波兰公司、制药专家公司、Kamsoft公司、世界卫生组织和一家欧洲律师事务所。他们认为,报销法案是引入波兰法律秩序的最严格的监管控制系统,并且多年来首次如此大规模地实施。国家药品政策的彻底改变对波兰药品市场的所有参与者都产生了重要影响,包括那些与药品贸易直接相关的参与者,以及医生的执业情况、波兰患者的健康状况和财务状况。药品定价方式的改变使得价格形成机制更加灵活,将药理特性相似的药品归为一组,并根据药品的相应特性确定退款水平,使报销新法案的解决方案与现行医疗服务法律相适应,给公共支付方带来了可衡量的财务影响。作为报销法案出台的主要前提,国家卫生基金费用的合理化创造了比以往更广泛的可能性,即使用新药分子和最新医疗技术,即使是在修订或新的药品计划中。报销法案的出台在建立药品、特殊用途食品和医疗产品定价机制时引入了清晰、透明和可核查的程序,这对波兰在欧洲的形象也具有重要意义,特别是从凝聚力政策和欧盟透明度指令适用的角度来看。