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Theses

Intérêt de la méthode des marges dégressives pour maîtriser les dépenses de médicaments remboursables en Albanie

Abstract : The problem of high prices of drugs constitutes at the moment one of the main obstacles to the accessibility to drugs for certain categories of Albanian population. These high prices represent a raised cost for the Health Insurance, representing henceforth 65-70% of his total expenditure. Reports and examinations show that the strategy in establishment of prices of reimbursed drugs must be completely modified aiming at the decline of prices and at the reduction of the cost of drugs reimbursed by Health Insurance. The objective of the work is to propose a model of digressive margins and to estimate the improvements in terms of saving for the Health Insurance. Having studied 5 existing methods (WHO) as well as their frequency to use, notably in Europe, the method of digressive margins to regulate margins and prices of drugs is the most appropriate which corresponds to the interest of the population, considering the financial condition of the HI and the socioeconomic data of the country. Methodology: 1) The method of the price analyse developed by the WHO and HAI described in the textbook (manual worker): "The prices of drugs- a new approach to measure (2003). 2) The inquiry with the professionals of health and the consumers was realised. We questioned 55 persons and used the closed and opened questions. The results obtained by the introduction of the system of digressive margins indicated clearly the efficiency of this approach as a means to master the expenses of reimbursed drugs in Albania. Suggestions which can contribute to raise obstacles during introduction of the digressive margins are also proposed.
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  • HAL Id : tel-00812004, version 1

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Florentina Gjeci. Intérêt de la méthode des marges dégressives pour maîtriser les dépenses de médicaments remboursables en Albanie. Santé publique et épidémiologie. Université Pierre et Marie Curie - Paris VI, 2008. Français. ⟨NNT : 2008PA066159⟩. ⟨tel-00812004⟩

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