Odgovornost za financiranje zdravil

Jurij Fürst
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Abstract

This paper presents the regulatory framework for medicine in Slovenia and describes its financing. Financing approaches for medicine, with lower prices than the market, are being introduced at several levels. International comparisons show that the availability of medicine in Slovenia is at the average European level. An area in which we are far behind the most developed countries is the use of biosimilars. Suggestions are made to increase their consumption. This will improve cost management and allow new medicine to be introduced faster. This is especially important in the area of medicine for rare diseases (orphan drugs), where we keep facing highly high costs. Proposals to set up a special fund for orphan drugs mean a nonsystematic solution and diversification of funding to several financially and personnel-limited payers, which would weaken Slovenia's bargaining power against pharmaceutical companies and make the medicine less accessible. The current model of drug development and marketing is becoming increasingly socially unacceptable. That is why ideas about how to improve the way medicine is developed, patented, and funded to the benefit of society are emerging
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资助药品的责任
本文介绍了斯洛文尼亚的医药监管框架,并描述了其融资情况。目前正在几个层面上采用价格低于市场的药品融资办法。国际比较表明,斯洛文尼亚的药品供应处于欧洲平均水平。我们远远落后于最发达国家的一个领域是生物仿制药的使用。建议增加他们的消费。这将改善成本管理,并允许更快地引入新药。这在罕见病医药(孤儿药)领域尤其重要,因为我们在这个领域一直面临着高昂的费用。为孤儿药设立一个特别基金的提议意味着一个非系统的解决方案,以及对几个财政和人力有限的支付者的资金多样化,这将削弱斯洛文尼亚与制药公司的议价能力,并使药物更难以获得。目前的药物开发和销售模式越来越不为社会所接受。这就是为什么关于如何改进药物开发、专利和资助方式以造福社会的想法正在出现的原因
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