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- W2599309870 abstract "Bulgaria is experiencing rapid growth in expenditure on medicines but without obvious improvements in health outcomes. Many current policy settings appear designed to limit the National Health Insurance Fund’s outlays rather than ensure financial protection for patients, and medicines make up three quarters of all out-of-pocket costs in health. Existing mechanisms for selecting and pricing medicines are not promoting value for money. Current pricing policies do not encourage competition in the off-patent market and prices for some medicines compare unfavorably with those in wealthier countries. The application of Health Technology Assessment for selecting medicines for the Preferred Drug List together with restricting the use of non-cost-effective medicines, promoting generic uptake, and encouraging greater competition in the off-patent medicines market could improve value for money. Developing clinical treatment guidelines that consider cost-effectiveness, and promoting rational prescribing and dispensing could also improve efficiency and create fiscal space to improve affordable access for patients." @default.
- W2599309870 created "2017-04-07" @default.
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- W2599309870 date "2017-01-01" @default.
- W2599309870 modified "2023-09-26" @default.
- W2599309870 title "Pharmaceutical Policy in Bulgaria" @default.
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- W2599309870 doi "https://doi.org/10.1007/978-3-319-51673-8_8" @default.
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