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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

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Involvement of patient organizations in reimbursement decisions lithuania l.jpg

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


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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


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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


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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


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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


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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


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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


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Planned changes in reimbursement system


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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


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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


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Patients’ representatives at:

  • Compulsory Health Insurance Council

  • Disease and Reimbursed Medication List Adjustment Committee

  • Working Group for Medication Reimbursement Strategy

14th EFA Conference, Vilnius


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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 nowPresent and future

14th EFA Conference, Vilnius


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Thank you for your attention!

Welcome in Vilnius

14th EFA Conference, Vilnius


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