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Involvement of patient organizations in reimbursement decisions: Lithuania. Lina Bužermanienė President Lithuanian Council of Asthma Clubs With the help of Eglė Kvedaraitė, Lithuanian Association of Asthma Clubs. Reimbursement in Lithuania. Elligibility for reimbursement Certain diseases

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involvement of patient organizations in reimbursement decisions lithuania

Involvement of patient organizations in reimbursement decisions: Lithuania

Lina Bužermanienė

President

Lithuanian Council of Asthma Clubs

With the help of Eglė Kvedaraitė, Lithuanian Association of Asthma Clubs

reimbursement in lithuania
Reimbursement in Lithuania

Elligibility for reimbursement

  • Certain diseases
  • Certain social groups

3 lists

  • List of medications for certain diseases
  • List of medications (for certain social groups)
  • List of medical devices

14th EFA Conference, Vilnius

asthma medication in the list 100 percent reimbursement
Asthma medication in the list (100 percent reimbursement)
  • Beclomethasonum
  • Budesonidum
  • Budesonidum et Formoterolum
  • Fenoterolum
  • Fluticasonum
  • Flunisolidum
  • Formoterolum
  • Ipratropii bromidum
  • Ipratropii bromidum et Fenoterolum
  • Ipratropii bromidum et Salbutamolum
  • Natrii cromoglicas
  • Natrii cromoglicas et Fenoterolum
  • Natrii montelucastum (kids only)
  • Natrii nedocromilas
  • Prednisolonum
  • Salbutamolum
  • Salmeterolum
  • Salmeterolum et Fluticasonum
  • Theophyllinum

14th EFA Conference, Vilnius

allergic rhinitis medication in the list children only 80 percent
Allergic rhinitis medication in the list (children only,80 percent)
  • Beclomethasonum
  • Budesonidum
  • Cetirizinum
  • Ebastinum – for kids over 12 years old
  • Fluticasonum – drops for kids over 16
  • Natrii cromoglicas
  • Mometasonum furoatum
  • Natrii nedocromilas
  • Loratadinum

14th EFA Conference, Vilnius

copd medication in the list 80 percent reimbursement
COPD medication in the list (80 percent reimbursement)
  • Beclomethasonum
  • Budesonidum et Formoterolum
  • Flunisolidum
  • Fluticasonum
  • Formoterolum
  • Ipratropii bromidum
  • Ipratropii bromidum et Fenoterolum
  • Ipratropii bromidum et Salbutamolum
  • Salbutamolum
  • Salmeterolum
  • Salmeterolum et Fluticasonum (50 mcg
  • Salmeterolums and 500 mcg flutikasonum)
  • Formoterolum
  • Tiotropii bromidum

14th EFA Conference, Vilnius

dermatitis medication in the list
Dermatitis medication in the list

Severe atopic dermatitis (80 percent)

  • Ac.fucidinicum et Hydrocortizonum for kids
  • Fluticasonum
  • Methylprednisolonum
  • Mometasonum furoatum

Moderate atopic dermatitis(80 percent)

  • Pimecrolimus

Prescribed by doctor allergologist, dermatologist,clinical immunologist when corticosteroid treatment is not suitable due to side effects or 3 months treatment by corticosteroids is not effective.

Allergic contact dermatitis (50 percent)

  • Fluticasonum
  • Methylprednisolonum
  • Mometasonum furoatum
  • Prednisolonum tab. and inj.

14th EFA Conference, Vilnius

medical devices 100 percent reimb
Medical devices (100 percent reimb.)
  • Spacers for inhaling of asthma medication –for kids up to 7 years old with asthma diagnosis 1 metal spacer or 2 plastic spacers (1 plastic spacer every 3 years).

Can be prescribed only by childrens pulmonologist.

14th EFA Conference, Vilnius

problems
Problems

Only 1 third of population is elligible for reimbursement

Part of those who are elligible – have no money to pay the rest of price

14th EFA Conference, Vilnius

council of representatives of patients organizations of lithuania
Council of Representatives of Patients’ Organizations of Lithuania
  • 26 patients organizations joined an umbrella; 2 asthma patients organizations are members
  • www.pacientutaryba.lt/

14th EFA Conference, Vilnius

patients representatives at
Patients’ representatives at:
  • Compulsory Health Insurance Council
  • Disease and Reimbursed Medication List Adjustment Committee
  • Working Group for Medication Reimbursement Strategy

14th EFA Conference, Vilnius

result for now present and future
Very little effect, patients opinions very rare taken into account

Reform that is executed in the healthcare sector is still not patient-centered

No transparency, no trust in health care system

Present: more formal way of involving

Our wish / future: to be treated as partners and valuable source

Result for now Present and future

14th EFA Conference, Vilnius

slide13
Thank you for your attention!

Welcome in Vilnius

14th EFA Conference, Vilnius

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