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O sector das farmácias em análise: contexto político-económico e o futuro do sistema de remuneração
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Durante a última década, o sector farmacêutico foi sujeito a diversas alterações legislativas e governamentais que resultaram numa instabilidade acentuada no circuito do medicamento. Assim, num clima de austeridade económica e incerteza política, este trabalho surge com a finalidade de avaliar as diversas medidas com impacto directo na política do medicamento, a actual situação económica e financeira do sector e as possíveis alterações de paradigma da remuneração das farmácias, com base em exemplos internacionais implementados.
A nível económico, conclui-se que o sector das farmácias se encontra em graves dificuldades, verificando-se uma rendibilidade negativa das mesmas, sendo que, as receitas não são suficientes para cobrir os seus custos fixos de funcionamento. Inevitavelmente, a revisão do sistema de remuneração das farmácias é essencial com o intuito de dissociar a remuneração do preço dos medicamentos.
Assim, considerando os vários exemplos internacionais, o futuro da remuneração deverá ser direccionado para o utente, através de diversos serviços farmacêuticos cujos resultados clínicos promovam a custo-efectividade da terapêutica, impulsionando os ganhos em saúde e económicos. Naturalmente, a alteração do paradigma da remuneração encontra-se intimamente ligada à valorização do papel do farmacêutico e dos seus conhecimentos na área do medicamento, com a respectiva integração no Serviço Nacional de Saúde.
During the last decade, the pharmaceutical sector has been subject to numerous governmental and legislative changes that resulted in market instability in the circuit of the drugs. Thus, in a climate of economic austerity and political uncertainty, this essay comes up with the purpose of evaluating the various procedures that have a direct impact in the policy of medicine, the current economic and financial situation of the sector and the possible changes in the paradigm of the remuneration of pharmacies based on implemented international examples. Economically, it is possible to conclude that the pharmacy sector is in serious difficulties, verifying a negative profitability and that revenues are not sufficient to cover the fixed costs of operation. Inevitably, the review of the remuneration system of the pharmacies is essential in order to decouple the compensation of the price of medicines. Therefore, considering the different international examples, the future of remuneration should be directed to the patient through various pharmaceutical services whose clinical outcomes promote cost-effectiveness of therapy, boosting health gains and economic. As expected, changing the paradigm of remuneration is closely linked to the appreciation of the role of the pharmacist and their knowledge in the field of medicine, with their integration into the National Health Service.
During the last decade, the pharmaceutical sector has been subject to numerous governmental and legislative changes that resulted in market instability in the circuit of the drugs. Thus, in a climate of economic austerity and political uncertainty, this essay comes up with the purpose of evaluating the various procedures that have a direct impact in the policy of medicine, the current economic and financial situation of the sector and the possible changes in the paradigm of the remuneration of pharmacies based on implemented international examples. Economically, it is possible to conclude that the pharmacy sector is in serious difficulties, verifying a negative profitability and that revenues are not sufficient to cover the fixed costs of operation. Inevitably, the review of the remuneration system of the pharmacies is essential in order to decouple the compensation of the price of medicines. Therefore, considering the different international examples, the future of remuneration should be directed to the patient through various pharmaceutical services whose clinical outcomes promote cost-effectiveness of therapy, boosting health gains and economic. As expected, changing the paradigm of remuneration is closely linked to the appreciation of the role of the pharmacist and their knowledge in the field of medicine, with their integration into the National Health Service.
Descrição
Trabalho Final de Mestrado Integrado, Ciências Farmacêuticas, Universidade de Lisboa, Faculdade de Farmácia, 2013
Palavras-chave
Farmácia comunitária Economia Troika Remuneração Serviços farmacêuticos Valorização Mestrado Integrado - 2013