European Perspectives in Health April 9, 2013 Bucharest
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1 April 9, 2013 Bucharest
2 General overview Date and time: April 9, 2013 from 9:00 to 13:30 Venue: Howard Johnson Hotel, Bucharest Type of event: Moderated debate, on panels Purpose: Promoting the recommendations on best practices in healthcare made by AmCham EU (presented also in their recent report); Putting into discussion issues that affect the pharma industry: access to treatments, pricing policy at European level, the necessity of increasing incomes of the health system, impact of European Directives in health.
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4 Moderator Val Vilcu Romanian Journalist and Professor of Journalism Background in Medicine(Physician) and Sociology Key opinion leader
5 Program 9:00-9:40 Opening Session: Health at a glance Violeta Ciurel - President of Healthcare Committee, American Chamber of Commerce in Romania (AmCham RO) Dr. Adrian Pana - Secretary of State, Ministry of Health Susan Garro - Economic Counselor for the U.S. Embassy in Bucharest Almin Adzovic - President of Local American Working Group (LAWG PhRMA), GM Merck, Sharp & Dohme Romania NATIONAL HEALTHCARE STRATEGY PACKAGE OF HEALTH SERVICES AMCHAM RECOMMENDATIONS ON HEALTHCARE PROMOTING PUBLIC ACCESS TO NEW MEDICINES
6 Program 9:40-10:45 1st Debate Session: Healthcare Financing and Future Priorities Stuart Hurst - Chair Health Committee, American Chamber of Commerce to the European Union (AmCham EU) Dr. Cristian Vladescu - Director General of the National School of Public Health and Health Management Radu Comșa - Policy analyst, Director Mind Research & Rating Gregory Reeder - Vice President LAWG PhRMA, GM Pfizer Romania INCOME OF THE HEALTHCARE SYSTEM VERSUS EXPENDITURE SOLUTIONS TO FINANCE THE HEALTH SYSTEM REAL COSTS FOR HOSPITAL CONSUMPTION COMPARISONS WITH THE EUROPEAN AVERAGE
7 Program 11:00-11:50 2nd Debate Session: Health is Wealth Access & Availability Cristian Bușoi - Member of the European Parliament Dermot Glynn - President of Europe Economics Cezar Irimia - President of the Romanian Federation of Cancer Patients Association Almin Adzovic - President of LAWG PhRMA, GM MSD Romania PARALEL TRADE WITH MEDICINES EUROPEAN PRICING REFERENCE SYSTEM PATIENTS VOICE AND NEEDS UPDATING THE LIST WITH REIMBURSED MEDICINES
8 Program 11:50-12:40 3rd Debate Session: European Perspective & Impact on Healthcare Dr. Calin Alexandru - Director of Medical Assistance Directorate, Ministry of Health Cristian Bușoi - Member of the European Parliament Dr. Marius Tanasa - Vice-President of the National Agency of Medicines and Medical Devices (ANMDM) Calin Galaseanu - Romanian Association of International Medicine Manufacturers Representative (ARPIM) LATE PAYMENTS DIRECTIVE PHARMA INDUSTRY PROTOCOL ON MOH DEBTS TRANSPARENCY DIRECTIVE PRICING & REIMBURSEMENT CLINICAL STUDIES DIRECTIVE CROSS-BORDER HEALTHCARE
9 Program 12:40-13:15 Conclusions & Questions Violeta Ciurel - AmCham RO Dr. Călin Alexandru - Ministry of Health Almin Adzovic - LAWG PhRMA, GM MSD Romania Stuart Hurst - AmCham EU
10 Guests representatives of: Ministry of Health Ministry of Labour National Health Insurance House National Medicine Agency National School of Public Health World Health Organization Parliamentary Committees Institute for Public Policy Cegedim US, UK, Irish Embassies Patients Associations ARPIM Pharmaceutical companies Private health services providers College of Pharmacists National Society of Family Medicine Journalists OVER 70 PEOPLE
11 Messages The Ministry of Health has two major objectives for this year: the national healthcare strategy and development of a fair package of health services. We want to structure a health package adjusted to the Romanian state capacity and agreed with all parties involved: civil society, patients organizations, pharmaceutical industry and insurers. Dr. Adrian Pana - Secretary of State, Ministry of Health
12 Messages The current practice of external price referencing for medicines may reflect in delayed entry on the Romanian market of certain products in order to avoid referencing of prices in other countries. Cristian Bușoi - Member of the European Parliament
13 Messages Price referencing for drugs in the European Union should be made between countries with similar economic power. At present, countries with lower purchasing power, like Romania, are disadvantaged. Stuart Hurst - Chair Health Committee, AmCham EU
14 Messages Romania has the European support necessary to make adjustments in the health system. Health care policy should firstly be concerned with the patients welfare. Dermot Glynn - President of Europe Economics
15 Messages Romania needs to review the process of reforming in healthcare financing and start from the real situation of our country. Romania spends 10-15% of the consolidated budget on hospital consumption, while this budget represents only 35% of the DGP. From these indicators, which are well below the European average, we must begin the transformation. Dr. Cristian Vladescu - Director General of the National School of Public Health and Health Management
16 Messages We get sick as individuals, however we must understand that the drama of patients with cancer affects the social body as a whole. I was astounded to hear that the Ministry of Health has found alternatives to European treatment schemes, instead of progressing to update the list with reimbursed medicines. Cezar Irimia - President of the Romanian Federation of Cancer Patients Association
17 Messages Romania must reduce bureaucracy in order to facilitate the conduct of more complex clinical trials, unlike the current situation when the predominant studies refer to efficacy and safety. Dr. Marius Tanasa Vice-President of the National Agency of Medicines and Medical Devices
18 Messages The implementation of cross-border healthcare has positive elements but also risks. Therefore, we must find a formula that would balance the benefits and risks, but also investments in infrastructure are crucial to fill this gap that separates us from other countries of the European Union. Dr. Calin Alexandru - Ministry of Health
19 Messages The importance of a continuous dialogue between the authorities and the private sector to identify the best solutions was highlighted by representatives of organizing parties: Violeta Ciurel (AmCham Romania), Susan Garro (US Embassy), Almin Adzovic (President of LAWG) and Gregory Reeder (Vice-President of LAWG).
20 Coverage & Mass-Media present at the debate: TV News TVR 1 Digi 24 TV Sanatatea TV Radio Radio Romania Actualitati Online Hotnews Agerpres Euractiv Bursa Pagina Medicala Pharma Business Solutions Presa Online RoMedic KOL Medical Media MCP Press Print Forbes Business review Jurnalul
21 Media appearances: All types of targeted publications were covered: general, health/medical, business; There was a total of 29 appearances; The event was also promoted on AmCham webpage, LAWG webpage and the US Embassy facebook page.
22 Overall appearances - split by type of media: General Medical Business TV Radio 0 Appearances
23 Media appearances ( ): European Perspectives in Health Bursa: Debate on the prospects for the Romanian health system alignment to European standards Jurnalul: President of FABCR, Cezar Irimia, warns: MoH Oncology Consultants Commission have found alternative cancer treatments Pagina medicala: Problems and challenges that the Romanian health system is facing, in AmCham debate Sanatatea TV: Romanian patient access to treatments and quality health care is a national and European priority Pharma Business: Conducting clinical trials in Romania down 25%
24 Thank you! Iulia Perca
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