PATIENT ENVOLVEMENT IN REIMBURSMENT OF DRUGS IN SLOVAKIA
Author(s)
Tomek D1, Tomekova K2
1Slovak Medical University, Bratislava, Slovak Republic, 2Slovak Society for Pharmacoeconomics, Bratislava, Slovak Republic
Presentation Documents
OBJECTIVES To define the possible ways of participation of patients in the decision-making processes in Slovakia. To analyze the current status of patients in the reimbursement process in Slovakia and to define barriers to the participation. METHODS To identify the relevant literature, a survey was carried out using a search engine to the literature in PubMed 2000-2013. The survey was carried out using the following key words: "Patient participation", "Patient choice", in combination with the terms "Priority Setting", "Innovation" or "Pharmaceutical Innovation". Materials with those keywords were found, as well as through a Web browser. We performed analysis of the Slovak legislation, which regulates the status of patients in the reimbursement process and the comparison of this with other legislative standards, governing the status of citizens in public processes. There has also been evaluated legislative consultation process, which took place during the years 2010 and 2011. RESULTS Actually the patients can (as the whole public) only view all documents relevant to reimbursement, since they are not a “registered” participant of the process. They are 3 possibilities to comment the process according to relevant legislation: send a writing comment to the MoH, draw up a petition, file a complaint. In the period 2010 – 2011, before the legislation change, the MoH received 318 comments, from that 140 were from public. CONCLUSIONS The whole process is totally transparent and visible via internet site of MoH. The status of patients (e.g. patient representatives) in the process declined since the last change of legislation from 1.12.2011. Due to the introduction of WTP threshold for ICER/QALY is also the introduction of innovative drugs more restrictive as before, what makes the possibilities of patient participation in reimbursement process even more important
Conference/Value in Health Info
2014-11, ISPOR Europe 2014, Amsterdam, The Netherlands
Value in Health, Vol. 17, No. 7 (November 2014)
Code
PHP78
Topic
Health Policy & Regulatory
Topic Subcategory
Health Disparities & Equity
Disease
Multiple Diseases