Forum:
PATIENTS AND THEIR ROLE IN MARKET ACCESS:
WHERE IS THE PLACE AND WHAT IS THE ROLE OF
PATIENTS IN REIMBURSEMENT SYSTEMS?
- Romania Speaker:
Paul Radu, MD, PhD, ISPOR Romania
Market Access Manager
Roche Romania
Presentation Content
Market access and reimbursement systems
Role of patients
Romanian situation
Conclusions
Medical/clinical developers
Product marketing teams
Health care providers
Patients
Payers
Regulatory bodies etc.
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10
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12
15
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Budget financing
- budget controller
Budget financing
Ministry of Health
HTA Unit
Covers some preventive
services and preventive part
National Programs
Establish reimbursement lists
Drug Delivery
National Health
Insurance House
Patients
Population
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R e i mbursement lists
M i nistry of Health
N a t ional Health Programs
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11
12
25
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28
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30
15
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Conclusions
There are too few visible initiatives to increase patient
education and information regarding health/health
care
In Romania patients are seldom involved in the
consultations regarding the reimbursement process
Most of discussions regarding reimbursement are on
the level of payment/co-payment and there is little
room for other aspects (effectiveness, efficiency, ethics
etc.)
Patients are not seen as key stakeholders in the
decision-making processes
Patients become important (are used? ) when there
are reimbursement decisions with quick political
impact!
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