W komentarzu przedstawiono system refundacji leków, środków spożywczych specjalnego przeznaczenia żywieniowego oraz wyrobów medycznych.

W publikacji omówiono m.in.:

najważniejsze instytucje systemu refundacyjnego t.j. całkowity budżet na refundację, payback, kategorie dostępności refundacyjnych, wskazania refundacyjne, substytucję apteczną, preskrypcję leków off-label;

relacje pomiędzy uczestnikami systemu np.: podczas postępowania kontrolnego prowadzonego przez Narodowy Fundusz Zdrowia wobec aptek, świadczeniodawców oraz lekarzy, czy procedury obejmowania produktu refundacją, w tym etap negocjacji z Komisją Ekonomiczną;

problemy pojawiające się w praktyce np. zakaz reklamy aptek, zakaz dokonywania darowizn, ceny leków w szpitalnictwie, sztywne ceny i marże, stosowanie ustawy o swobodzie działalności gospodarczej;

trendy w interpretacjach przepisów dokonywanych przez ministra właściwego do spraw zdrowia oraz Głównego Inspektora Farmaceutycznego, w orzeczeniach sądów, a także zachowaniach rynkowych.

Autorzy kompleksowo przybliżają Czytelnikowi mechanizmy, które współtworzą system refundacji w polskim systemie ochrony zdrowia. W komentarzu wskazano na interakcje pomiędzy tymi mechanizmami, zdefiniowano walory przyjętych rozwiązań oraz wskazano przyczyny utrudniające ich efektywne funkcjonowanie.

Adresaci:

Książka skierowana jest do pacjentów, farmaceutów i techników farmacji, lekarzy i lekarzy dentystów, przedsiębiorców prowadzących apteki, podmiotów wnioskujących o refundację oraz pozostałych praktyków zajmujących się sprawami finansowania rzeczowych świadczeń opieki zdrowotnej ze środków publicznych.

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