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时间:2018-09-13
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1、WHOPerspectiveonMedicinePrices&PoliciesMeetingofDrugBoardonMedicinePricingFederalMinistryofHealthGovernmentofPakistanDrZafarMirzaRegionalAdviserEssentialMedicines&PharmaceuticalPoliciesDivisionofHealthSystems&ServicesDevelopmentEastMediterraneanRegionalOffic
2、eWorldHealthOrganization14thNovember2008ISLAMABADThePresentationPART1:WHOPerspectiveonaccesstomedicinesPART2:MedicinepricesandaffordabilityinEMR&inPakistanPART3:MedicinePricingPolicyconsiderationsPART4:Conclusions&RecommendationsWHOConstitution“Theenjoymento
3、fthehighestattainablestandardofhealthisoneofthefundamentalrightsofeveryhumanbeingwithoutdistinctionofrace,religion,politicalbelief,economicorsocialcondition.”and“Governmentshavearesponsibilityforthehealthoftheirpeopleswhichcanbefulfilledonlybytheprovisionofa
4、dequatehealthandsocialmeasures.WHOHealthSystemFramework-includesbothpublicandprivatesectorsvWHOMedicinesStrategy:4objectives,7components,44expectedoutcomesPolicyAccessQuality&safetyRationaluseImplementationandmonitoringofnationalmedicinespoliciesTraditionalan
5、dcomplementarymedicineFairfinancingandaffordabilityMedicinessupplysystemsNormsandstandardsRegulationsandqualityassurancesystems(DRA)RationalusebyhealthprofessionalsandconsumersObjectivesComponentsAccesstoMedicinesAccesstoessentialmedicinesisaintegralcomponent
6、of:righttohealthHealthcare1/3rdofpeopleinworlddonothavereliableaccesstoessentialmedicines.Insomedevelopingcountriesupto50%ofthepopulationlackthisaccess.WHOFrameworkDeterminantsofAccesstoMedicines1.Rationalselection4.Reliablehealthandsupplysystems2.Affordablep
7、rices3.SustainablefinancingACCESS1.Rationalselectionanduse4.Reliablehealthandsupplysystems2.Affordableprices3.SustainablefinancingACCESSWHOFrameworkDeterminantsofAccesstoMedicinesMedicinePrices–whyregulationInthepublicsector,typically,governmentsindevelopi
8、ngcountriesspend30-40%oftheirrecurrenthealthbudgetsonbuyingmedicines:LargestcategoryaftersalariesIntheprivatesector,individualsandfamiliesspendaveryhighproportionoftheirhealthbudgetonbuyi
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