gyógyszerpiac alakulása

Gygyszerpiac alakulsaFekete Tibor

III. Konszenzus az Egszsggyrt 2007. november 7.

Mit grt a 2006. vi XCVIII. tv?Megreformlja a gygyszertmogats rendszertHossz tvon kiszmthat viszonyok minden piaci szerepl szmraKiszmthat, biztonsgos magatarts s pnzgyi stabilits a szereplknek

Mirt j a vltozs?Ha nem lenne, a betegeknek sokkal tbbet kellene fizetnikHa nem lenne, a konvergencia program nem teljeslhetneTbb pnz lesz a gygytsraCskken az indokolatlan gygyszerfogyasztsCskkennek az rakSegti a rszorulkat

Megllthatk-e a folyamatok?Az orszg hatrainl?A szerves fejlds ellenre?

Vilg gygyszerpiaca

Eurpai nvekeds

Mi vrhat 2007-ben?Meghatrozak a gazdasgi, strukturlis, politikai, egszsggyi mozgsokVilg nvekeds 5 6 %rett piacokrl a nvekv piacok fel elmozdulsj termkek belpse 25 30j termk szabadalmi vdettsg elvesztseUSA rszarnya cskken (37 %-ra)Eltrbe a kockzat s haszon faktorok rtkelseEurpa 2 3 % nvekeds (+8 s 5 kztt)

Termszetes-e a nvekeds?Igen, mertNvekszik az tlagos letkorj lehetsgek jelennek megTbbet ldozunk erre a clra

Kzli: Varga A.: Npmozgalmi folyamatok

A jv?Kzli: Varga A.: Npmozgalmi folyamatok

Mire lehet szmtani?Vrhat tlagos lettartamRmai birodalomban 22 vKzpkori Anglia 33 vIpari forradalom a nvekeds kezdete, mig 3 h/v nvekeds Ennek hatsa a gygyszerfogyasztsra 18 20 millird Ft nvekeds vente (3,5 4 %)

Magyarorszg npessgnek kormegoszlsa 1870-1995 (tlagos letkor)

Tv eltti becslsMeghatroz voltAz ves tervek ksztsnek idszakban rendelkezsre ll adatok, trendekBizakods a folyamatossg megtartsbanPolitikai akarat hinynak prognosztizlsa

Magyar gygyszerpiac

Diagram1

5556

1263332

1414136

1525537

1827340

2096750

2527259

2897564

3498270

2988475

3909080

3899678

36410078

42811280

tnytnytny

tb tmogats

Beteg

OTC

millird

Gygyszerpiac Magyarorszgon

Gyforgalom

Az rtkests halmozott adatai termeli ron

Magyarorszg

DobozszmFogyaszti rt. [HUF]Termeli rt. [HUF]

Csatorna sszesenPatikaKrhzCsatorna sszesenPatikaKrhzCsatorna sszesenPatikaKrhz

Gyrtk mindsszesen

1993.3282345293015300032670452669911059193581002595851181079960850570459543415441542169026305327

1994.32443919829746636926972829909408270067651540293114425424075665654339695550832455611057109413

1995.306477983281871550246064331145418471769678678490017755062276850483674547130244344813745924005

1996.29573628026953610826200172142461801833119150114637233116871961068840409438873898274318145058200

1997.311600861286347656252532051805702745141539194234792665085103513513831055111452074237620617568175

1998.307992168281132831268593372157957984571831528344943264296396316284479470713747528949825369505209

1999.312007225286505524255017012503790729862148868791763549219381019164317021516374084501727902325198

2000.302343404277025608253177962754741578822384259640513704819383121436219236118484868531729513507044

2001.313664843286865699267991443246345739152781234174384651115647725735739688021873986278338617534097

2002.325364054295866374294976803805080793453252274655885528061375730753884452525987150423147667340294

2003.329550160300402873291472874477916219583829544437516483717820736468412991530820702414556477105770

2004.330037880301791971282459094801344613144078380237707229643754438765435003932469862821662955721823

2005.329835798300052566297832325591927947264759538429168323895181045541382572738270098890772712836820

Gypiac

vrhat

19931998199920002001200220032004200520062007*

Rx llami55126141152182205252289349389428

Rx magn5334155738572758296112

OTC632363740405964707880

19931998199920002001200220032004200520062007*

llami55126141152182205252289349389428

Magn11657792113125131139152174192

tb tmogatsBetegOTCsszes

199355566666100

19981263332191191189.39

1999141413621821814.14

2000152553724424411.93

2001182734029529520.90

2002209675032632610.51

2003252725938338317.48

2004289756442842811.75

2005349827050050116.82

2006terv2988475455457-9.00

vrhat390908056056023.08

tny38996785635630.54

2007terv36410078552542-1.95

vrhat4281128062062024.00

tny0

lakossgi sszterhekvk + otc%OTC%otc rszes

1998653216.75

19997718.463612.5016.51

20009219.48372.7815.16

200111322.83408.1113.56

20021173.545025.0015.34

200313111.975918.0015.40

20041396.11648.4714.95

20051529.35709.3814.00

200617414.477811.4316.48

tb-tm%

1998126

199914111.90

20001527.80

200118219.74

200220914.84

200325220.57

200428914.68

200534920.76

200638911.46

Egy fre jut gygyszerfogyaszts

vFt/fUSD/fsszesrfolyamnpessg

19936,489.6854.086612010,170

199818,925.8887.2219121710,092

199921,704.5086.4721825110,044

200024,295.5383.7824429010,043

200129,449.94106.7029527610,017

200232,551.17144.6732622510,015

200338,254.10183.9138320810,012

200442,757.24237.5442818010,010

200549,960.03234.5550021310,008

200656,266.24294.5956319110,006

2007*60,975.61304.8861020010,004

19931998199920002001200220032004200520062007*

Vnykteles5334155738572758296

OTC6323637404059647078

Dobozonknti tlagr, Ft/doboz

19901991199219931994199519961997199819992000200120022003200420052006*

Hazai53.576.888.6104.3120.2160.6213.2257.1

Import91.8143.7192.4346.3542.8692.9798.6888.9

sszestett60.189.0111.4155.4206.0278.8362.5415.1

50741101381932573434425386517508619701,0991,2751,3511,586

0.48000.48650.25450.39860.33160.33460.28860.21720.21000.15210.14800.12660.13300.16010.05960.1739-1.0000

Klfldi rszarny

19901991199219931994199519961997

rtk %26.329.3384753.455.256.257.5

Doboz %17.2018.2022.0021.1020.3022.2025.5025

Rszarny dobozban

1990199119921993199419951996199719981999200020012002200320042005

hazai0.8280.8190.7800.7890.7620.7780.7460.7190.6850.6450.6250.5980.5660.5160.4980.478

import0.1720.1820.2200.2110.2380.2220.2540.2810.3160.3550.3750.4020.4340.4840.5020.522

Magyarorszg

DobozszmFogyaszti rt. [HUF]Termeli rt. [HUF]dobozr Ft/doboz

Csatorna sszesenPatikaKrhzCsatorna sszesenPatikaKrhzCsatorna sszesenPatikaKrhzCsatorna sszesenPatikaKrhz

Gyrtk mindsszesen

1993.3282345293015300032670452669911059193581002595851181079960850570459543415441542169026305327213193442

1994.32443919829746636926972829909408270067651540293114425424075665654339695550832455611057109413280257535

1995.306477983281871550246064331145418471769678678490017755062276850483674547130244344813745924005374343722

1996.29573628026953610826200172142461801833119150114637233116871961068840409438873898274318145058200482442890

1997.3116008612863476562525320518057027451415391942347926650851035135138310551114520742376206175681755795381,055

1998.3079921682811328312685933721579579845718315283449432642963963162844794707137475289498253695052097016511,215

1999.3120072252865055242550170125037907298621488687917635492193810191643170215163740845017279023251988027501,392

2000.3023434042770256082531779627547415788223842596405137048193831214362192361184848685317295135070449118611,463

2001.3136648432868656992679914432463457391527812341743846511156477257357396880218739862783386175340971,0359701,736

2002.3253640542958663742949768038050807934532522746558855280613757307538844525259871504231476673402941,1691,0991,874

2003.3295501603004028732914728744779162195838295444375164837178207364684129915308207024145564771057701,3591,2752,224

2004.3300378803017919712824590948013446131440783802377072296437544387654350039324698628216629557218231,4551,3512,560

2005.3298357983000525662978323255919279472647595384291683238951810455413825727382700988907727128368201,6951,5862,795

199325

199424

rrs n+k199523.5

rrs 9625.52199622

rrs 9725.60199723

rrs 9824.94199822

rrs 9923.80199921

rrs 0022.47200020

rrs 0121.35200119

rrs 0220.10200217.91

rrs 0319.52200317.68

rrs 0420.39200417.4

rrs 0519.592005

&L&F&R&D

&L&"Arial,Flkvr"&12KF && T Kft&R&"Arial,Flkvr"&12PHARMORIENT

Gypiac

000

000

000

000

000

000

000

tb tmogats

Beteg

OTC

Millird Ft


Gyfogy

000

000

000

000

000

000

000

000

000

000

tb tmogats

Beteg

OTC

millird Ft


GDP

000

000

000

000

000

000

000

000

000

000

000

tb tmogats 55 126 141 152 182 209 252 289 349 298 390

Beteg 5 33 41 55 73 67 72 75 82 84 90

OTC 6 32 36 37 40 50 59 64 70 75 80


000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

tb tmogats

Beteg

OTC

millird


0

0

0

0

0

0

0

0

0

0

Ft/f

Ft/f

Egy fre jut gygyszerfogyaszts

00

00

00

00

00

00

00

00

00

00

Rx llami

Rx magn

Rfordts vnykteles krben

1993

1998

1999

2000

2001

2002

2003

2004

2005

0

Vnykteles

OTC

Lakossgi gygyszerkiadsok

00

00

00

00

00

00

00

00

00

00

llami

Magn

Gygyszerrfordtsok

0

0

0

0

0

0

0

0

0

0

0

Ft/f

Egy fre jut gygyszerfogyaszts, Ft/f

Egy fre jut forgalom alakulsa

19936,400

199818,845

199921,600

200024,000

200128,900

200232,300

200337,550

200442,080

2005terv42,850

becslt47,100

tny

6400

18845

21600

24000

28900

32300

37550

42080

42850

47100

tny

Gygyszerfogyaszts Ft/f

Gygyszerpiac alakulsa

198919901991199219931994199519961997199819992000200120022003200420052006*

Gypiac1001332012613494285917337971,0051,1471,2841,5531,7162,0132,2532,6322,948

GDP100978582818385879095100105109112115120125131

198919901991199219931994199519961997199819992000200120022003200420052006*

inflci100114.2154.2189.6232.3276353.8437.3517.3591.3650.4714.2779.9821.2859.8918.2951.3973.2

gy.dobozr10014822027638651468688410761,3021,5001,7221,9402,1892,5502,7023,172

haz.gy.dob1001472112472873334425766677117608079671,0801,4181,4331,811

gypiac1925.338.249.566.381.4112.2139.2151.37191218244295326383428500560

tb tm14.217.428.840.251.160.972.882.3102.15126141150182209252289348390

inflci28.9352322.518.828.223.618.314.3109.89.25.34.76.83.62.3

198919901991199219931994199519961997199819992000200120022003200420052006*

GDP-H100978582818385879095100105109112115

GDP-EU15100104105105106109110112115119122.5127129130130

GDP-USA100103102105108111114119124130135140140145148

gy.dobozr

hazai53.57789104120162213257299342382435517638678815

import921441923465436798008891,0261,1371,2691,4091,5091,6151,6741,908

sszes term60891111552062793634159051,1691,2751,4201,586

sszes j50741101381932573434425386517508619701,0991,2751,3511,586

10014822027638651468688410761,3021,5001,7221,9402,1892,5502,7023,172

haz.gy.dob456695111129150199259300320342363435486638645815

1001472112472873334425766677117608079671,0801,4181,4331,811

remelkeds % az elz vhez kpest

198919901991199219931994199519961997199819992000200120022003200420052006*

fogyr352322.518.828.223.618.314.3109.89.25.34.76.83.62.3

gyszer5679474954412114342710967

Fogyaszti rindex

198919901991199219931994199519961997199819992000200120022003200420052006*

USA4.85.44.232.82.52.832.31.62.23.42.81.62.3

AUT2.53.33.34.13.53.12.31.81.20.80.522.31.71.32

BEL3.13.43.22.42.72.41.41.81.50.91.12.72.41.61.51.9

FRA3.63.43.22.42.11.71.72.11.30.70.61.81.81.92.22.2

GER2.82.73.55.14.52.71.81.21.50.60.61.41.91.311.8

CSE1.31056.611.120.7109.18.88.510.72.13.94.71.80.12.6

SLK1.31061.21023.213.59.95.86.16.710.5127.33.38.57.4

BUL6.4338.579.484.39662.1121.61058.418.72.610.37.45.82.3

HUN28.9352322.518.828.223.618.314.3109.89.25.34.76.83.62.3

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

Gypiac

GDP

Gygyszerpiac s GDP alakulsa

100

97

85

82

81

83

85

87

90

95

100

105

109

112

115

120

125

131

GDP

GDP alakulsa 1989=100

100100100

97104103

85105102

82105105

81106108

83109111

85110114

87112119

90115124

95119130

100122.5135

105127140

109129140

112130145

115130148

200420042004

200520052005

2006*2006*2006*

GDP-H

GDP-EU15

GDP-USA

GDP alakulsa 1989=100

Sokat kltnk, vagy keveset?Mihez kpest?Mi a viszonyts?Mi a mrtkegysg?

Albn gygyszertmogats3,58 milli f lakosok szma28,9 v tlagletkorGygyszertmogatsra 17,34 milli eur4,8 euro/f, v gygyszerre45,7 eurof, v egszsggyreA kett arnya nagyon kedvez

Kzfinanszrozott gygyszerkiads

Diagram1

423

345

299

293

288

285

267

262

247

247

244

226

204

202

182

131

87

Kiads PPP USD/f

Gygyszerkiads PPP USD/f

Munka1


OrszgKiads PPP USD/fGDP %GDP PPP USD/fv

Franciaorszg4231.429,9452004

Spanyolorszg3451.325,8752004

Nmetorszg2991.028,8162004

Grgorszg2931.421,5862004

Ausztria2880.932,5192004

rorszg2850.836,4792004

Belgium2670.930,0822003

Olaszorszg2620.928,3522004

Portuglia2471.418,1252004

Szlovkia2471.913,2412003

Svdorszg2440.831,1392004

Magyarorszg2261.415,9482004

Finnorszg2040.729,7782004

Csehorszg2021.216,5852002

Hollandia1820.631,2842002

Dnia1310.532,3042004

Lengyelorszg870.712,4092004

Forrs: OECD Health Data 2006

Munka1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Kiads PPP USD/f


Munka2

Munka3

GDP nagysga

Europa GDP

HelyezsOrszg2005-s GDPUSD

milli USA dollrbanezer fGDP/f

1Nmetorszg2,791,73782,400.033,880

2Egyeslt Kirlysg2,229,47260,600.036,790

3Franciaorszg2,126,71960,900.034,921

4Olaszorszg1,765,53758,100.030,388

5Spanyolorszg1,126,56540,400.027,885

6Oroszorszg763,287104,300.07,318

7Hollandia629,91116,500.038,176

8Svjc382,4387,500.050,992

9Belgium371,69510,400.035,740

10Svdorszg367,5719,000.040,841

11Trkorszg362,46169,660.05,203

12Ausztria305,3388,200.037,236

13Lengyelorszg303,22938,500.07,876

14Norvgia295,6724,600.064,277

15Dnia259,6435,500.047,208

16Grgorszg225,59110,700.021,083

17rorszg200,7704,100.048,968

18Finnorszg196,0535,200.037,703

19Portuglia183,61910,600.017,323

20Csehorszg124,31010,200.012,187

21Magyarorszg109,19510,100.010,811

22Romnia98,56622,300.04,420

23Ukrajna82,87646,700.01,775

24Kazahsztn56,08815,143.03,704

25Szlovkia47,4595,400.08,789

26Horvtorszg38,5104,500.08,558

27Luxemburg36,531470.077,726

28Szlovnia34,0302,000.017,015

29Fehroroszorszg29,56610,300.02,870

30Bulgria24,0587,400.03,251

31Litvnia25,5043,600.07,084

32Szerbia24,0589,400.02,559

33Ciprus16,695771.021,654

34Lettorszg15,8262,300.06,881

35Izland15,823300.052,743

36sztorszg13,1081,300.010,083

37Azerbajdzsn12,5617,911.01,588

38Bosznia s Hercegovina9,3434,500.02,076

39Albnia8,3793,600.02,328

40Grzia6,3954,661.01,372

41Macednia5,7222,100.02,725

42Mlta5,454400.013,635

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

Eurpa15,736,725690,000.022,807

Eurpai Uni13,502,800457,000.029,547

Vilg44,454,8436,100,000.07,288

milli USA dollrban

Eurpa

Europa GDPf

HelyezsOrszg2005-s GDPUSDGygyszer

milli USA dollrbanezer fGDP/feuro/f

1Luxemburg36,531470.077,726

2Norvgia295,6724,600.064,277438

3Izland15,823300.052,743

4Svjc382,4387,500.050,992452

5rorszg200,7704,100.048,968443

6Dnia259,6435,500.047,208

7Svdorszg367,5719,000.040,841469

8Hollandia629,91116,500.038,176314

9Finnorszg196,0535,200.037,703

10Ausztria305,3388,200.037,236453

11Egyeslt Kirlysg2,229,47260,600.036,790429

12Belgium371,69510,400.035,740378

13Franciaorszg2,126,71960,900.034,921475

14Nmetorszg2,791,73782,400.033,880426

15Olaszorszg1,765,53758,100.030,388326

Eurpai Uni13,502,800457,000.029,547

16Spanyolorszg1,126,56540,400.027,885306

Eurpa15,736,725690,000.022,807

17Ciprus16,695771.021,654

18Grgorszg225,59110,700.021,083307

19Portuglia183,61910,600.017,323325

20Szlovnia34,0302,000.017,015233

21Mlta5,454400.013,635

22Csehorszg124,31010,200.012,187145

23Magyarorszg109,19510,100.010,811202

24sztorszg13,1081,300.010,083

25Szlovkia47,4595,400.08,789200

26Horvtorszg38,5104,500.08,558

27Lengyelorszg303,22938,500.07,876101

28Oroszorszg763,287104,300.07,31861

Vilg44,454,8436,100,000.07,288

29Litvnia25,5043,600.07,084

30Lettorszg15,8262,300.06,881

31Trkorszg362,46169,660.05,203

32Romnia98,56622,300.04,42071

33Kazahsztn56,08815,143.03,704

34Bulgria24,0587,400.03,251


36Macednia5,7222,100.02,725

37Szerbia24,0589,400.02,559

38Albnia8,3793,600.02,328


40Ukrajna82,87646,700.01,775

41Azerbajdzsn12,5617,911.01,588

42Grzia6,3954,661.01,372

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

milli USA dollrban

Eurpa

Munka3

GDP nagysga 2.

Europa GDP



1Nmetorszg2,791,73782,400.033,880

2Egyeslt Kirlysg2,229,47260,600.036,790

3Franciaorszg2,126,71960,900.034,921

4Olaszorszg1,765,53758,100.030,388

5Spanyolorszg1,126,56540,400.027,885

6Oroszorszg763,287104,300.07,318

7Hollandia629,91116,500.038,176

8Svjc382,4387,500.050,992

9Belgium371,69510,400.035,740

10Svdorszg367,5719,000.040,841

11Trkorszg362,46169,660.05,203

12Ausztria305,3388,200.037,236

13Lengyelorszg303,22938,500.07,876

14Norvgia295,6724,600.064,277

15Dnia259,6435,500.047,208

16Grgorszg225,59110,700.021,083

17rorszg200,7704,100.048,968

18Finnorszg196,0535,200.037,703

19Portuglia183,61910,600.017,323

20Csehorszg124,31010,200.012,187

21Magyarorszg109,19510,100.010,811

22Romnia98,56622,300.04,420

23Ukrajna82,87646,700.01,775

24Kazahsztn56,08815,143.03,704

25Szlovkia47,4595,400.08,789

26Horvtorszg38,5104,500.08,558

27Luxemburg36,531470.077,726

28Szlovnia34,0302,000.017,015


30Bulgria24,0587,400.03,251

31Litvnia25,5043,600.07,084

32Szerbia24,0589,400.02,559

33Ciprus16,695771.021,654

34Lettorszg15,8262,300.06,881

35Izland15,823300.052,743

36sztorszg13,1081,300.010,083

37Azerbajdzsn12,5617,911.01,588


39Albnia8,3793,600.02,328

40Grzia6,3954,661.01,372

41Macednia5,7222,100.02,725

42Mlta5,454400.013,635

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

Eurpa15,736,725690,000.022,807

Eurpai Uni13,502,800457,000.029,547

Vilg44,454,8436,100,000.07,288

milli USA dollrban

Eurpa

Europa GDPf



1Luxemburg36,531470.077,726

2Norvgia295,6724,600.064,277438

3Izland15,823300.052,743

4Svjc382,4387,500.050,992452

5rorszg200,7704,100.048,968443

6Dnia259,6435,500.047,208

7Svdorszg367,5719,000.040,841469

8Hollandia629,91116,500.038,176314

9Finnorszg196,0535,200.037,703

10Ausztria305,3388,200.037,236453

11Egyeslt Kirlysg2,229,47260,600.036,790429

12Belgium371,69510,400.035,740378

13Franciaorszg2,126,71960,900.034,921475

14Nmetorszg2,791,73782,400.033,880426

15Olaszorszg1,765,53758,100.030,388326

Eurpai Uni13,502,800457,000.029,547

16Spanyolorszg1,126,56540,400.027,885306

Eurpa15,736,725690,000.022,807

17Ciprus16,695771.021,654

18Grgorszg225,59110,700.021,083307

19Portuglia183,61910,600.017,323325

20Szlovnia34,0302,000.017,015233

21Mlta5,454400.013,635

22Csehorszg124,31010,200.012,187145

23Magyarorszg109,19510,100.010,811202

24sztorszg13,1081,300.010,083

25Szlovkia47,4595,400.08,789200

26Horvtorszg38,5104,500.08,558

27Lengyelorszg303,22938,500.07,876101

28Oroszorszg763,287104,300.07,31861

Vilg44,454,8436,100,000.07,288

29Litvnia25,5043,600.07,084

30Lettorszg15,8262,300.06,881

31Trkorszg362,46169,660.05,203

32Romnia98,56622,300.04,42071

33Kazahsztn56,08815,143.03,704

34Bulgria24,0587,400.03,251


36Macednia5,7222,100.02,725

37Szerbia24,0589,400.02,559

38Albnia8,3793,600.02,328


40Ukrajna82,87646,700.01,775

41Azerbajdzsn12,5617,911.01,588

42Grzia6,3954,661.01,372

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

milli USA dollrban

Eurpa

Munka3

Europa GDP



1Nmetorszg2,791,73782,400.033,880

2Egyeslt Kirlysg2,229,47260,600.036,790

3Franciaorszg2,126,71960,900.034,921

4Olaszorszg1,765,53758,100.030,388

5Spanyolorszg1,126,56540,400.027,885

6Oroszorszg763,287104,300.07,318

7Hollandia629,91116,500.038,176

8Svjc382,4387,500.050,992

9Belgium371,69510,400.035,740

10Svdorszg367,5719,000.040,841

11Trkorszg362,46169,660.05,203

12Ausztria305,3388,200.037,236

13Lengyelorszg303,22938,500.07,876

14Norvgia295,6724,600.064,277

15Dnia259,6435,500.047,208

16Grgorszg225,59110,700.021,083

17rorszg200,7704,100.048,968

18Finnorszg196,0535,200.037,703

19Portuglia183,61910,600.017,323

20Csehorszg124,31010,200.012,187

21Magyarorszg109,19510,100.010,811

22Romnia98,56622,300.04,420

23Ukrajna82,87646,700.01,775

24Kazahsztn56,08815,143.03,704

25Szlovkia47,4595,400.08,789

26Horvtorszg38,5104,500.08,558

27Luxemburg36,531470.077,726

28Szlovnia34,0302,000.017,015


30Bulgria24,0587,400.03,251

31Litvnia25,5043,600.07,084

32Szerbia24,0589,400.02,559

33Ciprus16,695771.021,654

34Lettorszg15,8262,300.06,881

35Izland15,823300.052,743

36sztorszg13,1081,300.010,083

37Azerbajdzsn12,5617,911.01,588


39Albnia8,3793,600.02,328

40Grzia6,3954,661.01,372

41Macednia5,7222,100.02,725

42Mlta5,454400.013,635

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

Eurpa15,736,725690,000.022,807

Eurpai Uni13,502,800457,000.029,547

Vilg44,454,8436,100,000.07,288

milli USA dollrban

Eurpa

Europa GDPf



1Luxemburg36,531470.077,726

2Norvgia295,6724,600.064,277438

3Izland15,823300.052,743

4Svjc382,4387,500.050,992452

5rorszg200,7704,100.048,968443

6Dnia259,6435,500.047,208

7Svdorszg367,5719,000.040,841469

8Hollandia629,91116,500.038,176314

9Finnorszg196,0535,200.037,703

10Ausztria305,3388,200.037,236453

11Egyeslt Kirlysg2,229,47260,600.036,790429

12Belgium371,69510,400.035,740378

13Franciaorszg2,126,71960,900.034,921475

14Nmetorszg2,791,73782,400.033,880426

15Olaszorszg1,765,53758,100.030,388326

Eurpai Uni13,502,800457,000.029,547

16Spanyolorszg1,126,56540,400.027,885306

Eurpa15,736,725690,000.022,807

17Ciprus16,695771.021,654

18Grgorszg225,59110,700.021,083307

19Portuglia183,61910,600.017,323325

20Szlovnia34,0302,000.017,015233

21Mlta5,454400.013,635

22Csehorszg124,31010,200.012,187145

23Magyarorszg109,19510,100.010,811202

24sztorszg13,1081,300.010,083

25Szlovkia47,4595,400.08,789200

26Horvtorszg38,5104,500.08,558

27Lengyelorszg303,22938,500.07,876101

28Oroszorszg763,287104,300.07,31861

Vilg44,454,8436,100,000.07,288

29Litvnia25,5043,600.07,084

30Lettorszg15,8262,300.06,881

31Trkorszg362,46169,660.05,203

32Romnia98,56622,300.04,42071

33Kazahsztn56,08815,143.03,704

34Bulgria24,0587,400.03,251


36Macednia5,7222,100.02,725

37Szerbia24,0589,400.02,559

38Albnia8,3793,600.02,328


40Ukrajna82,87646,700.01,775

41Azerbajdzsn12,5617,911.01,588

42Grzia6,3954,661.01,372

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

milli USA dollrban

Eurpa

Munka3

GDP nagysga 3.

Europa GDP



1Nmetorszg2,791,73782,400.033,880

2Egyeslt Kirlysg2,229,47260,600.036,790

3Franciaorszg2,126,71960,900.034,921

4Olaszorszg1,765,53758,100.030,388

5Spanyolorszg1,126,56540,400.027,885

6Oroszorszg763,287104,300.07,318

7Hollandia629,91116,500.038,176

8Svjc382,4387,500.050,992

9Belgium371,69510,400.035,740

10Svdorszg367,5719,000.040,841

11Trkorszg362,46169,660.05,203

12Ausztria305,3388,200.037,236

13Lengyelorszg303,22938,500.07,876

14Norvgia295,6724,600.064,277

15Dnia259,6435,500.047,208

16Grgorszg225,59110,700.021,083

17rorszg200,7704,100.048,968

18Finnorszg196,0535,200.037,703

19Portuglia183,61910,600.017,323

20Csehorszg124,31010,200.012,187

21Magyarorszg109,19510,100.010,811

22Romnia98,56622,300.04,420

23Ukrajna82,87646,700.01,775

24Kazahsztn56,08815,143.03,704

25Szlovkia47,4595,400.08,789

26Horvtorszg38,5104,500.08,558

27Luxemburg36,531470.077,726

28Szlovnia34,0302,000.017,015


30Bulgria24,0587,400.03,251

31Litvnia25,5043,600.07,084

32Szerbia24,0589,400.02,559

33Ciprus16,695771.021,654

34Lettorszg15,8262,300.06,881

35Izland15,823300.052,743

36sztorszg13,1081,300.010,083

37Azerbajdzsn12,5617,911.01,588


39Albnia8,3793,600.02,328

40Grzia6,3954,661.01,372

41Macednia5,7222,100.02,725

42Mlta5,454400.013,635

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

Eurpa15,736,725690,000.022,807

Eurpai Uni13,502,800457,000.029,547

Vilg44,454,8436,100,000.07,288

milli USA dollrban

Eurpa

Europa GDPf



1Luxemburg36,531470.077,726

2Norvgia295,6724,600.064,277438

3Izland15,823300.052,743

4Svjc382,4387,500.050,992452

5rorszg200,7704,100.048,968443

6Dnia259,6435,500.047,208

7Svdorszg367,5719,000.040,841469

8Hollandia629,91116,500.038,176314

9Finnorszg196,0535,200.037,703

10Ausztria305,3388,200.037,236453

11Egyeslt Kirlysg2,229,47260,600.036,790429

12Belgium371,69510,400.035,740378

13Franciaorszg2,126,71960,900.034,921475

14Nmetorszg2,791,73782,400.033,880426

15Olaszorszg1,765,53758,100.030,388326

Eurpai Uni13,502,800457,000.029,547

16Spanyolorszg1,126,56540,400.027,885306

Eurpa15,736,725690,000.022,807

17Ciprus16,695771.021,654

18Grgorszg225,59110,700.021,083307

19Portuglia183,61910,600.017,323325

20Szlovnia34,0302,000.017,015233

21Mlta5,454400.013,635

22Csehorszg124,31010,200.012,187145

23Magyarorszg109,19510,100.010,811202

24sztorszg13,1081,300.010,083

25Szlovkia47,4595,400.08,789200

26Horvtorszg38,5104,500.08,558

27Lengyelorszg303,22938,500.07,876101

28Oroszorszg763,287104,300.07,31861

Vilg44,454,8436,100,000.07,288

29Litvnia25,5043,600.07,084

30Lettorszg15,8262,300.06,881

31Trkorszg362,46169,660.05,203

32Romnia98,56622,300.04,42071

33Kazahsztn56,08815,143.03,704

34Bulgria24,0587,400.03,251


36Macednia5,7222,100.02,725

37Szerbia24,0589,400.02,559

38Albnia8,3793,600.02,328


40Ukrajna82,87646,700.01,775

41Azerbajdzsn12,5617,911.01,588

42Grzia6,3954,661.01,372

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

milli USA dollrban

Eurpa

Munka3

Europa GDP



1Nmetorszg2,791,73782,400.033,880

2Egyeslt Kirlysg2,229,47260,600.036,790

3Franciaorszg2,126,71960,900.034,921

4Olaszorszg1,765,53758,100.030,388

5Spanyolorszg1,126,56540,400.027,885

6Oroszorszg763,287104,300.07,318

7Hollandia629,91116,500.038,176

8Svjc382,4387,500.050,992

9Belgium371,69510,400.035,740

10Svdorszg367,5719,000.040,841

11Trkorszg362,46169,660.05,203

12Ausztria305,3388,200.037,236

13Lengyelorszg303,22938,500.07,876

14Norvgia295,6724,600.064,277

15Dnia259,6435,500.047,208

16Grgorszg225,59110,700.021,083

17rorszg200,7704,100.048,968

18Finnorszg196,0535,200.037,703

19Portuglia183,61910,600.017,323

20Csehorszg124,31010,200.012,187

21Magyarorszg109,19510,100.010,811

22Romnia98,56622,300.04,420

23Ukrajna82,87646,700.01,775

24Kazahsztn56,08815,143.03,704

25Szlovkia47,4595,400.08,789

26Horvtorszg38,5104,500.08,558

27Luxemburg36,531470.077,726

28Szlovnia34,0302,000.017,015


30Bulgria24,0587,400.03,251

31Litvnia25,5043,600.07,084

32Szerbia24,0589,400.02,559

33Ciprus16,695771.021,654

34Lettorszg15,8262,300.06,881

35Izland15,823300.052,743

36sztorszg13,1081,300.010,083

37Azerbajdzsn12,5617,911.01,588


39Albnia8,3793,600.02,328

40Grzia6,3954,661.01,372

41Macednia5,7222,100.02,725

42Mlta5,454400.013,635

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

Eurpa15,736,725690,000.022,807

Eurpai Uni13,502,800457,000.029,547

Vilg44,454,8436,100,000.07,288

milli USA dollrban

Eurpa

Europa GDPf



1Luxemburg36,531470.077,726

2Norvgia295,6724,600.064,277438

3Izland15,823300.052,743

4Svjc382,4387,500.050,992452

5rorszg200,7704,100.048,968443

6Dnia259,6435,500.047,208

7Svdorszg367,5719,000.040,841469

8Hollandia629,91116,500.038,176314

9Finnorszg196,0535,200.037,703

10Ausztria305,3388,200.037,236453

11Egyeslt Kirlysg2,229,47260,600.036,790429

12Belgium371,69510,400.035,740378

13Franciaorszg2,126,71960,900.034,921475

14Nmetorszg2,791,73782,400.033,880426

15Olaszorszg1,765,53758,100.030,388326

Eurpai Uni13,502,800457,000.029,547

16Spanyolorszg1,126,56540,400.027,885306

Eurpa15,736,725690,000.022,807

17Ciprus16,695771.021,654

18Grgorszg225,59110,700.021,083307

19Portuglia183,61910,600.017,323325

20Szlovnia34,0302,000.017,015233

21Mlta5,454400.013,635

22Csehorszg124,31010,200.012,187145

23Magyarorszg109,19510,100.010,811202

24sztorszg13,1081,300.010,083

25Szlovkia47,4595,400.08,789200

26Horvtorszg38,5104,500.08,558

27Lengyelorszg303,22938,500.07,876101

28Oroszorszg763,287104,300.07,31861

Vilg44,454,8436,100,000.07,288

29Litvnia25,5043,600.07,084

30Lettorszg15,8262,300.06,881

31Trkorszg362,46169,660.05,203

32Romnia98,56622,300.04,42071

33Kazahsztn56,08815,143.03,704

34Bulgria24,0587,400.03,251


36Macednia5,7222,100.02,725

37Szerbia24,0589,400.02,559

38Albnia8,3793,600.02,328


40Ukrajna82,87646,700.01,775

41Azerbajdzsn12,5617,911.01,588

42Grzia6,3954,661.01,372

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

milli USA dollrban

Eurpa

Munka3

A magyar npessg egszsgi llapota rosszabb mint a gazdasgi fejlettsgnk alapjn vrhatForrs: OECD Health at a Glance 2003

Diagram1

80.3

78.6

78.1

79.7

75.3

77.2

78.5

79.4

78.4

78.1

72.4

80.7

77.8

79.9

81.8

76.9

74.9

78.6

78.7

79.5

74.7

77.3

73.9

80.5

80.2

80.4

68.7

78.5

77.2

AUS

Life expectancy, years (years)

GDP per capita, USD PPP

AUS

AUT

BEL

CAN

CZE

DNK

FIN

FRA

DEU

GRC

HUN

ISL

IRL

ITA

JPN

KOR

MEX

NLD

NZL

NOR

POL

PRT

SVK

ESP

SWE

CHE

TUR

GBR

USA

Chart1-1 to 1-4

Japan

Iceland

Spain

Switzerland1

Australia

Sweden

Italy

Canada1

Norway

France

New Zealand1

Netherlands

Austria

United Kingdom

Finland

Germany

Luxembourg1

Greece

Belgium1

OECD

Ireland1

Portugal

United States1

Denmark

Korea1

Czech Republic

Mexico

Poland

Slovak Republic1

Hungary

Turkey

1. 2002

Source: OECD Health Data 2005.

Chart1-1 to 1-4

0

#HIV!

Years

0

#HIV!

Years

68.748.3

72.468

73.970.6

74.767.8

74.957.5

75.370.7

76.952.4

77.272.4

77.269.9

77.364

77.870

77.8168.5166666667

78.170.6

78.169.9

78.269.4

78.469.6

78.569

78.570.8

78.668.7

78.673.5

78.771.3

79.470.3

79.573.6

79.771.3

79.969.8

80.273.1

80.370.9

80.471.6

80.569.8

80.772.9

81.867.8

Years

2003

1960

7166.4

76.568.3

77.869.9

78.970.5

77.472.4

78.572

80.473.4

79.574.9

79.974.5

80.674

80.375.2

80.774.8833333333

81.175.1

80.775.4

81.574.9

81.375.5

81.875.1

80.776.2

81.675.6

80.976.2

81.176.3

82.975.8

81.977

82.177.2

82.976.9

82.477.9

82.877.8

8377.8

83.777.2

82.479

85.378.4

Years

Females

Males

80.3

78.6

78.1

79.7

75.3

77.2

78.5

79.4

78.4

78.1

72.4

80.7

77.8

79.9

81.8

76.9

78.2

74.9

78.6

78.7

79.5

74.7

77.3

73.9

80.5

80.2

80.4

68.7

78.5

77.2

AUS


Health spending per capita, USD PPP

USA

GBR

TUR

CHE

SWE

ESP

SVK

PRT

POL

NOR

NLZ

NLD

MEX

LUX

KOR

JPN

ITA

IRL

ISL

HUN

GRC

DEU

FRA

FIN

DNK

CZE

CAN

BEL

AUT

AUS

80.3

78.6

78.1

79.7

75.3

77.2

78.5

79.4

78.4

78.1

72.4

80.7

77.8

79.9

81.8

76.9

74.9

78.6

78.7

79.5

74.7

77.3

73.9

80.5

80.2

80.4

68.7

78.5

77.2

AUS



USA

GBR

TUR

CHE

SWE

ESP

SVK

PRT

POL

NOR

NZL

NLD

MEX

KOR

JPN

ITA

IRL

ISL

HUN

GRC

DEU

FRA

FIN

DNK

CZE

CAN

BEL

AUT

AUS

A magyar npessg egszsgi llapota rosszabb mint az egszsggyre fordtott kiadsok alapjn vrhatForrs: OECD Health at a Glance 2003

Diagram2

80.3

78.6

78.1

79.7

75.3

77.2

78.5

79.4

78.4

78.1

72.4

80.7

77.8

79.9

81.8

76.9

78.2

74.9

78.6

78.7

79.5

74.7

77.3

73.9

80.5

80.2

80.4

68.7

78.5

77.2

AUS



AUS

AUT

BEL

CAN

CZE

DNK

FIN

FRA

DEU

GRC

HUN

ISL

IRL

ITA

JPN

KOR

LUX

MEX

NLD

NLZ

NOR

POL

PRT

SVK

ESP

SWE

CHE

TUR

GBR

USA

Chart1-1 to 1-4

Japan

Iceland

Spain

Switzerland1

Australia

Sweden

Italy

Canada1

Norway

France

New Zealand1

Netherlands

Austria

United Kingdom

Finland

Germany

Luxembourg1

Greece

Belgium1

OECD

Ireland1

Portugal

United States1

Denmark

Korea1

Czech Republic

Mexico

Poland

Slovak Republic1

Hungary

Turkey

1. 2002

Source: OECD Health Data 2005.

Chart1-1 to 1-4

1

#HIV!

Years

1

#HIV!

Years

68.748.3

72.468

73.970.6

74.767.8

74.957.5

75.370.7

76.952.4

77.272.4

77.269.9

77.364

77.870

77.8168.5166666667

78.170.6

78.169.9

78.269.4

78.469.6

78.569

78.570.8

78.668.7

78.673.5

78.771.3

79.470.3

79.573.6

79.771.3

79.969.8

80.273.1

80.370.9

80.471.6

80.569.8

80.772.9

81.867.8

Years

2003

1960

7166.4

76.568.3

77.869.9

78.970.5

77.472.4

78.572

80.473.4

79.574.9

79.974.5

80.674

80.375.2

80.774.8833333333

81.175.1

80.775.4

81.574.9

81.375.5

81.875.1

80.776.2

81.675.6

80.976.2

81.176.3

82.975.8

81.977

82.177.2

82.976.9

82.477.9

82.877.8

8377.8

83.777.2

82.479

85.378.4

Years

Females

Males

80.3

78.6

78.1

79.7

75.3

77.2

78.5

79.4

78.4

78.1

72.4

80.7

77.8

79.9

81.8

76.9

78.2

74.9

78.6

78.7

79.5

74.7

77.3

73.9

80.5

80.2

80.4

68.7

78.5

77.2

AUS



USA

GBR

TUR

CHE

SWE

ESP

SVK

PRT

POL

NOR

NLZ

NLD

MEX

LUX

KOR

JPN

ITA

IRL

ISL

HUN

GRC

DEU

FRA

FIN

DNK

CZE

CAN

BEL

AUT

AUS

80.3

78.6

78.1

79.7

75.3

77.2

78.5

79.4

78.4

78.1

72.4

80.7

77.8

79.9

81.8

76.9

74.9

78.6

78.7

79.5

74.7

77.3

73.9

80.5

80.2

80.4

68.7

78.5

77.2

AUS



USA

GBR

TUR

CHE

SWE

ESP

SVK

PRT

POL

NOR

NZL

NLD

MEX

KOR

JPN

ITA

IRL

ISL

HUN

GRC

DEU

FRA

FIN

DNK

CZE

CAN

BEL

AUT

AUS

010203040506070Dl-AfrikaArgentinaJordniaTunziaTjfldIndonziaKnaEgyiptomMaliLitvniaSzlovniasztoLengyeloHorvtoMagyarorszgCseho.BulgriaNorvgiaHollandiaUSAUK DniaSpanyoloFranciaoOlaszoNmetoGrgo(7 - 20%)

Fejlett orszgok(Kzp-Kelet Eurpa(15 - 30%)Fejld orszgok(24 - 66 %)Forrs: WHO - EDM, 1999A gygyszerkiadsok arnya az sszes egszsggyi kiadshoz arnyban

Gygyszerfogyaszts 1.

Europa GDP



1Nmetorszg2,791,73782,400.033,880

2Egyeslt Kirlysg2,229,47260,600.036,790

3Franciaorszg2,126,71960,900.034,921

4Olaszorszg1,765,53758,100.030,388

5Spanyolorszg1,126,56540,400.027,885

6Oroszorszg763,287104,300.07,318

7Hollandia629,91116,500.038,176

8Svjc382,4387,500.050,992

9Belgium371,69510,400.035,740

10Svdorszg367,5719,000.040,841

11Trkorszg362,46169,660.05,203

12Ausztria305,3388,200.037,236

13Lengyelorszg303,22938,500.07,876

14Norvgia295,6724,600.064,277

15Dnia259,6435,500.047,208

16Grgorszg225,59110,700.021,083

17rorszg200,7704,100.048,968

18Finnorszg196,0535,200.037,703

19Portuglia183,61910,600.017,323

20Csehorszg124,31010,200.012,187

21Magyarorszg109,19510,100.010,811

22Romnia98,56622,300.04,420

23Ukrajna82,87646,700.01,775

24Kazahsztn56,08815,143.03,704

25Szlovkia47,4595,400.08,789

26Horvtorszg38,5104,500.08,558

27Luxemburg36,531470.077,726

28Szlovnia34,0302,000.017,015


30Bulgria24,0587,400.03,251

31Litvnia25,5043,600.07,084

32Szerbia24,0589,400.02,559

33Ciprus16,695771.021,654

34Lettorszg15,8262,300.06,881

35Izland15,823300.052,743

36sztorszg13,1081,300.010,083

37Azerbajdzsn12,5617,911.01,588


39Albnia8,3793,600.02,328

40Grzia6,3954,661.01,372

41Macednia5,7222,100.02,725

42Mlta5,454400.013,635

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

Eurpa15,736,725690,000.022,807

Eurpai Uni13,502,800457,000.029,547

Vilg44,454,8436,100,000.07,288

milli USA dollrban

Eurpa

Europa GDPf



1Luxemburg36,531470.077,726

2Norvgia295,6724,600.064,277438

3Izland15,823300.052,743

4Svjc382,4387,500.050,992452

5rorszg200,7704,100.048,968443

6Dnia259,6435,500.047,208

7Svdorszg367,5719,000.040,841469

8Hollandia629,91116,500.038,176314

9Finnorszg196,0535,200.037,703

10Ausztria305,3388,200.037,236453

11Egyeslt Kirlysg2,229,47260,600.036,790429

12Belgium371,69510,400.035,740378

13Franciaorszg2,126,71960,900.034,921475

14Nmetorszg2,791,73782,400.033,880426

15Olaszorszg1,765,53758,100.030,388326

Eurpai Uni13,502,800457,000.029,547

16Spanyolorszg1,126,56540,400.027,885306

Eurpa15,736,725690,000.022,807

17Ciprus16,695771.021,654

18Grgorszg225,59110,700.021,083307

19Portuglia183,61910,600.017,323325

20Szlovnia34,0302,000.017,015233

21Mlta5,454400.013,635

22Csehorszg124,31010,200.012,187145

23Magyarorszg109,19510,100.010,811202

24sztorszg13,1081,300.010,083

25Szlovkia47,4595,400.08,789200

26Horvtorszg38,5104,500.08,558

27Lengyelorszg303,22938,500.07,876101

28Oroszorszg763,287104,300.07,31861

Vilg44,454,8436,100,000.07,288

29Litvnia25,5043,600.07,084

30Lettorszg15,8262,300.06,881

31Trkorszg362,46169,660.05,203

32Romnia98,56622,300.04,42071

33Kazahsztn56,08815,143.03,704

34Bulgria24,0587,400.03,251


36Macednia5,7222,100.02,725

37Szerbia24,0589,400.02,559

38Albnia8,3793,600.02,328


40Ukrajna82,87646,700.01,775

41Azerbajdzsn12,5617,911.01,588

42Grzia6,3954,661.01,372

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

milli USA dollrban

Eurpa

Munka3


Europa GDP



1Nmetorszg2,791,73782,400.033,880

2Egyeslt Kirlysg2,229,47260,600.036,790

3Franciaorszg2,126,71960,900.034,921

4Olaszorszg1,765,53758,100.030,388

5Spanyolorszg1,126,56540,400.027,885

6Oroszorszg763,287104,300.07,318

7Hollandia629,91116,500.038,176

8Svjc382,4387,500.050,992

9Belgium371,69510,400.035,740

10Svdorszg367,5719,000.040,841

11Trkorszg362,46169,660.05,203

12Ausztria305,3388,200.037,236

13Lengyelorszg303,22938,500.07,876

14Norvgia295,6724,600.064,277

15Dnia259,6435,500.047,208

16Grgorszg225,59110,700.021,083

17rorszg200,7704,100.048,968

18Finnorszg196,0535,200.037,703

19Portuglia183,61910,600.017,323

20Csehorszg124,31010,200.012,187

21Magyarorszg109,19510,100.010,811

22Romnia98,56622,300.04,420

23Ukrajna82,87646,700.01,775

24Kazahsztn56,08815,143.03,704

25Szlovkia47,4595,400.08,789

26Horvtorszg38,5104,500.08,558

27Luxemburg36,531470.077,726

28Szlovnia34,0302,000.017,015


30Bulgria24,0587,400.03,251

31Litvnia25,5043,600.07,084

32Szerbia24,0589,400.02,559

33Ciprus16,695771.021,654

34Lettorszg15,8262,300.06,881

35Izland15,823300.052,743

36sztorszg13,1081,300.010,083

37Azerbajdzsn12,5617,911.01,588


39Albnia8,3793,600.02,328

40Grzia6,3954,661.01,372

41Macednia5,7222,100.02,725

42Mlta5,454400.013,635

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

Eurpa15,736,725690,000.022,807

Eurpai Uni13,502,800457,000.029,547

Vilg44,454,8436,100,000.07,288

milli USA dollrban

Eurpa

Europa GDPf



1Luxemburg36,531470.077,726

2Norvgia295,6724,600.064,277438

3Izland15,823300.052,743

4Svjc382,4387,500.050,992452

5rorszg200,7704,100.048,968443

6Dnia259,6435,500.047,208

7Svdorszg367,5719,000.040,841469

8Hollandia629,91116,500.038,176314

9Finnorszg196,0535,200.037,703

10Ausztria305,3388,200.037,236453

11Egyeslt Kirlysg2,229,47260,600.036,790429

12Belgium371,69510,400.035,740378

13Franciaorszg2,126,71960,900.034,921475

14Nmetorszg2,791,73782,400.033,880426

15Olaszorszg1,765,53758,100.030,388326

Eurpai Uni13,502,800457,000.029,547

16Spanyolorszg1,126,56540,400.027,885306

Eurpa15,736,725690,000.022,807

17Ciprus16,695771.021,654

18Grgorszg225,59110,700.021,083307

19Portuglia183,61910,600.017,323325

20Szlovnia34,0302,000.017,015233

21Mlta5,454400.013,635

22Csehorszg124,31010,200.012,187145

23Magyarorszg109,19510,100.010,811202

24sztorszg13,1081,300.010,083

25Szlovkia47,4595,400.08,789200

26Horvtorszg38,5104,500.08,558

27Lengyelorszg303,22938,500.07,876101

28Oroszorszg763,287104,300.07,31861

Vilg44,454,8436,100,000.07,288

29Litvnia25,5043,600.07,084

30Lettorszg15,8262,300.06,881

31Trkorszg362,46169,660.05,203

32Romnia98,56622,300.04,42071

33Kazahsztn56,08815,143.03,704

34Bulgria24,0587,400.03,251


36Macednia5,7222,100.02,725

37Szerbia24,0589,400.02,559

38Albnia8,3793,600.02,328


40Ukrajna82,87646,700.01,775

41Azerbajdzsn12,5617,911.01,588

42Grzia6,3954,661.01,372

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

milli USA dollrban

Eurpa

Munka3

Europa GDP



1Nmetorszg2,791,73782,400.033,880

2Egyeslt Kirlysg2,229,47260,600.036,790

3Franciaorszg2,126,71960,900.034,921

4Olaszorszg1,765,53758,100.030,388

5Spanyolorszg1,126,56540,400.027,885

6Oroszorszg763,287104,300.07,318

7Hollandia629,91116,500.038,176

8Svjc382,4387,500.050,992

9Belgium371,69510,400.035,740

10Svdorszg367,5719,000.040,841

11Trkorszg362,46169,660.05,203

12Ausztria305,3388,200.037,236

13Lengyelorszg303,22938,500.07,876

14Norvgia295,6724,600.064,277

15Dnia259,6435,500.047,208

16Grgorszg225,59110,700.021,083

17rorszg200,7704,100.048,968

18Finnorszg196,0535,200.037,703

19Portuglia183,61910,600.017,323

20Csehorszg124,31010,200.012,187

21Magyarorszg109,19510,100.010,811

22Romnia98,56622,300.04,420

23Ukrajna82,87646,700.01,775

24Kazahsztn56,08815,143.03,704

25Szlovkia47,4595,400.08,789

26Horvtorszg38,5104,500.08,558

27Luxemburg36,531470.077,726

28Szlovnia34,0302,000.017,015


30Bulgria24,0587,400.03,251

31Litvnia25,5043,600.07,084

32Szerbia24,0589,400.02,559

33Ciprus16,695771.021,654

34Lettorszg15,8262,300.06,881

35Izland15,823300.052,743

36sztorszg13,1081,300.010,083

37Azerbajdzsn12,5617,911.01,588


39Albnia8,3793,600.02,328

40Grzia6,3954,661.01,372

41Macednia5,7222,100.02,725

42Mlta5,454400.013,635

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

Eurpa15,736,725690,000.022,807

Eurpai Uni13,502,800457,000.029,547

Vilg44,454,8436,100,000.07,288

milli USA dollrban

Eurpa

Europa GDPf



1Luxemburg36,531470.077,726

2Norvgia295,6724,600.064,277438

3Izland15,823300.052,743

4Svjc382,4387,500.050,992452

5rorszg200,7704,100.048,968443

6Dnia259,6435,500.047,208

7Svdorszg367,5719,000.040,841469

8Hollandia629,91116,500.038,176314

9Finnorszg196,0535,200.037,703

10Ausztria305,3388,200.037,236453

11Egyeslt Kirlysg2,229,47260,600.036,790429

12Belgium371,69510,400.035,740378

13Franciaorszg2,126,71960,900.034,921475

14Nmetorszg2,791,73782,400.033,880426

15Olaszorszg1,765,53758,100.030,388326

Eurpai Uni13,502,800457,000.029,547

16Spanyolorszg1,126,56540,400.027,885306

Eurpa15,736,725690,000.022,807

17Ciprus16,695771.021,654

18Grgorszg225,59110,700.021,083307

19Portuglia183,61910,600.017,323325

20Szlovnia34,0302,000.017,015233

21Mlta5,454400.013,635

22Csehorszg124,31010,200.012,187145

23Magyarorszg109,19510,100.010,811202

24sztorszg13,1081,300.010,083

25Szlovkia47,4595,400.08,789200

26Horvtorszg38,5104,500.08,558

27Lengyelorszg303,22938,500.07,876101

28Oroszorszg763,287104,300.07,31861

Vilg44,454,8436,100,000.07,288

29Litvnia25,5043,600.07,084

30Lettorszg15,8262,300.06,881

31Trkorszg362,46169,660.05,203

32Romnia98,56622,300.04,42071

33Kazahsztn56,08815,143.03,704

34Bulgria24,0587,400.03,251


36Macednia5,7222,100.02,725

37Szerbia24,0589,400.02,559

38Albnia8,3793,600.02,328


40Ukrajna82,87646,700.01,775

41Azerbajdzsn12,5617,911.01,588

42Grzia6,3954,661.01,372

43rmnyorszg3,7823,326.01,137

44Moldova2,9174,500.0648

milli USA dollrban

Eurpa

Munka3

A kiadsok korltozsa, vagy a rfordts nvelse?Forrs: OECD Health Data 2006 (Adatok: 2004)

Diagram1

610215.3

50898

407711.6

39669.7

333110.2

31659.9

315910.5

31249.6

304410.1

30419.2

300510.9

28818.9

28769.2

28259.1

25967.1

25468.3

23928.4

22498

22357.5

216210

20948.1

20838.4

181310

13617.3

13238.3

11495.6

8056.5

7775.9

6626.5

5807.7

Egy fre jut e. kiads, USD PPP

E. kiads a GDP %-ban

Adat 2004

Total expendit. on health - /capita, US$ PPPTotal expendit. on health - % gross domestic product

20032004

Australia28762876United States610215.3

Austria29583124Luxembourg50898

Belgium30443044Switzerland407711.6

Canada29983165Norway39669.7

Czech Republic12961361Iceland333110.2

Denmark27432881Canada31659.9

Finland21042235France315910.5

France30483159Austria31249.6

Germany30053005Belgium304410.1

Greece21412162Netherlands30419.2

Hungary12591323Germany300510.9

Iceland31593331Denmark28818.9

Ireland24552596Australia28769.2

Italy22612392Sweden28259.1

Japan22492249Ireland25967.1

Korea10681149United Kingdom25468.3

Luxembourg46115089Italy23928.4

Mexico608662Japan22498

Netherlands29093041Finland22357.5

New Zealand19022083Greece216210

Norway37693966Spain20948.1

Poland748805New Zealand20838.4

Portugal17171813Portugal181310

Slovak Republic777777Czech Republic13617.3

Spain19522094Hungary13238.3

Sweden27452825Korea11495.6

Switzerland38474077Poland8056.5

Turkey512580Slovak Republic7775.9

United Kingdom23472546Mexico6626.5

United States57116102Turkey5807.7

Copyright OECD HEALTH DATA 2006, June 2006

ABRA

Based on chart 3.4

2004 Total exp. on health Total exp. on health

Egy fre jut e. kiads, USD PPPE. kiads a GDP %-ban

United States610215.3

Luxembourg50898

Switzerland407711.6

Norway39669.7

Iceland333110.2

Canada31659.9

France315910.5

Austria31249.6

Belgium304410.1

Netherlands30419.2

Germany300510.9

Denmark28818.9

Australia28769.2

Sweden28259.1

Ireland25967.1

United Kingdom25468.3

Italy23928.4

Japan22498

Finland22357.5

Greece216210

Spain20948.1

New Zealand20838.4

Portugal181310

Czech Republic13617.3

Hungary13238.3

Korea11495.6

Poland8056.5

Slovak Republic7775.9

Mexico6626.5

Turkey5807.7

ABRA

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

Egy fre jut e. kiads, USD PPP

E. kiads a GDP %-ban

Sheet1

Egy fre jut e. kzkiads USD PPPE. kzkiads a GDP %-ban

Norway28458

Luxembourg26185.3

United States23646.6

Iceland23578.3

Germany22128.6

Sweden21487.9

Denmark21427.3

France20807.4

Canada20486.7

Switzerland19956.5


Belgium17906.5

Ireland17795.5

Australia17086.2

Japan16966.4

Italy16396.4

Austria15515.4

Finland14705.5

New Zealand14476.6

Portugal12016.5

Spain11765.4


Greece9605

Hungary7575.5


Korea5192.7

Poland4744.4

Turkey (2000)2814.2

Mexico2492.8

Netherlands

chart 1

Based on chart 3.4

2000 Total exp. on health Total exp. on health

Total health expenditure in US$ PPPTotal health expenditure as % of GDP

United States463113

Switzerland322210.7

Germany274810.6

Luxembourg (1999)26136

Iceland26088.9

Canada25359.1

Denmark24208.3

Norway23627.8

France23499.5

Belgium22698.7

Netherlands22468.1

Australia22118.3

Austria21628

Italy20328.1

Japan20127.8

Ireland19536.7

Average1879.17.86


Sweden (1998)17487.9

Finland16646.6

New Zealand16238

Spain15567.7

Portugal14418.2

Greece13998.3


Korea8935.9

Hungary8416.8


Poland (1999)5586.2

Mexico4905.4

Turkey (1998)3034.8

Copyright OECD HEALTH DATA 2002 4th ed.

chart 1

463113

322210.7

274810.6

26136

26088.9

25359.1

24208.3

23627.8

23499.5

22698.7

22468.1

22118.3

21628

20328.1

20127.8

19536.7

1879.17.86

17637.3

17487.9

16646.6

16238

15567.7

14418.2

13998.3

10317.2

8935.9

8416.8

6905.9

5586.2

4905.4

3034.8

Total health expenditure in US$ PPP

Total health expenditure as % of GDP

Kzkiads alakulsa

A direkt beavatkozsMinden kormny prblkozik a kltsgvets vdelmben a beavatkozssal, amit lehetElksztsselPuccsszer beavatkozssalValdi reformokkaltletszer beavatkozsokkalIndulatosanPolitikai vagy szakmai alapon

Szlovk plda

Diagram2

56

68

72.5

85

96

113

123

119

136

153

Euro/f

Egy betegre jut gygyszerfogyaszts Euro/f

EU gygyszerkiads





Nmetorszg2991.028,8162004

Grgorszg2931.421,5862004

Ausztria2880.932,5192004

rorszg2850.836,4792004

Belgium2670.930,0822003

Olaszorszg2620.928,3522004

Portuglia2471.418,1252004

Szlovkia2471.913,2412003

Svdorszg2440.831,1392004


Finnorszg2040.729,7782004

Csehorszg2021.216,5852002

Hollandia1820.631,2842002

Dnia1310.532,3042004



EU gygyszerkiads

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Kiads PPP USD/f


Szovk adat

Egy betegre jut gygyszerfogyaszts

Euro/fEuro/f

199756199756

199868199868

199972.5199972.5

200085200085

200196200196

20021132002113

20031232003123

20041192004129

20051362005136

20061532006153

Szovk adat

0

0

0

0

0

0

0

0

0

0

Euro/f


Munka3

0

0

0

0

0

0

0

0

0

0

Euro/f

Gygyszerfogyaszts Euro/f

0

0

0

0

0

0

0

0

0

0

Euro/f

Gygyszerfogyaszts felttelezve Euro/f

Szlovk plda

Diagram3

56

68

72.5

85

96

113

123

119

136

153

Euro/f


EU gygyszerkiads





Nmetorszg2991.028,8162004

Grgorszg2931.421,5862004

Ausztria2880.932,5192004

rorszg2850.836,4792004

Belgium2670.930,0822003

Olaszorszg2620.928,3522004

Portuglia2471.418,1252004

Szlovkia2471.913,2412003

Svdorszg2440.831,1392004


Finnorszg2040.729,7782004

Csehorszg2021.216,5852002

Hollandia1820.631,2842002

Dnia1310.532,3042004



EU gygyszerkiads

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Kiads PPP USD/f


Szovk adat


Euro/fEuro/f

199756199756

199868199868

199972.5199972.5

200085200085

200196200196

20021132002113

20031232003123

20041192004129

20051362005136

20061532006153

Szovk adat

0

0

0

0

0

0

0

0

0

0

Euro/f


Munka3

0

0

0

0

0

0

0

0

0

0

Euro/f


0

0

0

0

0

0

0

0

0

0

Euro/f


Szlovk plda

Diagram5

56

68

72.5

85

96

113

123

129

136

153

Euro/f


EU gygyszerkiads





Nmetorszg2991.028,8162004

Grgorszg2931.421,5862004

Ausztria2880.932,5192004

rorszg2850.836,4792004

Belgium2670.930,0822003

Olaszorszg2620.928,3522004

Portuglia2471.418,1252004

Szlovkia2471.913,2412003

Svdorszg2440.831,1392004


Finnorszg2040.729,7782004

Csehorszg2021.216,5852002

Hollandia1820.631,2842002

Dnia1310.532,3042004



EU gygyszerkiads

Kiads PPP USD/f


Szovk adat


Euro/fEuro/f

199756199756

199868199868

199972.5199972.5

200085200085

200196200196

20021132002113

20031232003123

20041192004129

20051362005136

20061532006153

Szovk adat

Euro/f


Munka3

Euro/f


Euro/f


Jvkp?NincsHa van, lthatatlan,Ha lthat, akkor homlyos

Hov akarunk eljutni?Hov kvnunk felzrkzni?Milyen irnyba indulunk?Nagy a tehetetlensg, egy id utn elkerlhetetlen a Titanic effektus, azaz a jghegyhez tkzs

Mit rdemes vizsglni?Tmogats alakulstKzponti szakmai programokatKzponti trekvseketEgyes szereplkre gyakorolt hatst

Kzponti programokGenerikus programLiberalizci Patika alapts Patikn kvli gygyszerrusts j kereskedelmi csatornk

A tv hatsaZavarKiszmthatatlansgTrendek tmeneti megtrseKassza rvid tv vdelmeFinanszrozt leszmtva mindenkit negatvan rint

Trvny + krlmnyekTb tmogats cskkentseOrvosok knyszertse az olcsbb ksztmnyekreDrga ksztmnyek tmogatsnak megszntetseGygyszerrcskkensBetegterhek nvekedseTb kassza terheinek cskkense

Tmogats alakulsaPatika tmogatsGygyszer-tmogatsi rendszer

Alapvet trekvs a TB kassza vdelmeTmogats visszafogsaTmogatottbl nem tmogatottbaVnyktelesbl az OTC-be irnytaniAlloptibl homeoptiba irnytaniGygyszerfogyasztst cskkenteni

TB tmogats

Cskkent ttelekrcskkents hatsa:18 M FtHelyettests hatsa:13 M FtTmogatsi kulcs cskkents hatsa:50 M FtVolumen cskkens hatsa: 9 M Ft

Az rvnyes szably 2007-ben

kasszaOEPGyrtk- 2982980328313153373132435031337

Hats a piacraReceptszm cskkens 5 10 %Kivltott doboz cskkens 10 20 %Forgalom cskkens - 15 % + 2 %

Havi forgalmak alakulsa

Magyar piac alakulsa

A tv hatsa a szereplkre

A finanszrozsi elleg adatai 2002 - 2006.

Pzforgalom diagram

26976.4363.533.3

31597.61271.799.9

28495.41111.264.3

33117.9749.370.8

30065.91821.666.2

34036.61066.770

312371169.266.7

28967.71471.265.3

SzeptemberSzeptemberSzeptember

OktberOktberOktber

NovemberNovemberNovember

DecemberDecemberDecember

gygyszertmogats (Milli Ft)

klnkeret (Milli Ft)

vnykezelsi dj (Milli Ft)

A gygyszertmogats jogcmcsoport kiadsainak pnzforgalmi alakulsa2006

Diagram1

8117

12637

8619

13047

9419

8024

8330

11118

6927

6220

3512

20738

7428

11535

8211

5118

395

7223

612

3480

Kzforgalm gygyszertrak szma (2006.09.26.-n) db

Elltsi tmogatsban rszestett gygyszertrak szma db

Elltsi tmogatsban rszesl kzforgalm gygyszertrak megyenknt2006.

Diagram5

6412206.896588

9264147.877902

9925466.853835

10406451.10042

9736762.959872

&A

&P. oldal

Finanszrozsi ellegben rszestett gygyszertrak szma (db)

Kiutalt elleg sszege (Milli Ft)

Gygyszertrak szma

Milli Ft

Diagram2

3581

83126

4786

46130

4694

4080

3083

54111

3669

2662

1835

86207

2774

64115

4282

851

2439

5772

3861

166348

Finanszrozsi ellegben rszestett gygyszertrak szma db


Gygyszertrak szma

Finanszrozsi ellegben rszestett gygyszertrak megynknti megoszlsa2006.

Diagram4

27373.223666.6666666667

32969.223666.6666666667

29670.923666.6666666667

3393823666.6666666667

31953.723666.6666666667

35173.323666.6666666667

32472.923666.6666666667

30504.223666.6666666667

Szeptember23666.6666666667

Oktber23666.6666666667

November23666.6666666667

December23666.6666666667

Tnyleges teljests

Idarnyos elirnyzat

Milli Ft

Gygyszertmogatsi jogcmcsoport kiadsai2006

Diagram3

2215914743

206401478616

300337308233

220465958

106412918

430195

17700

12100

2003

2004

2005

2006

Hnap

Darab

Finanszrozsi ellegben rszestett gygyszertrak szma havonknt2003-2006.

Diagram6

31000393921992

3800049535125.7488830219

5070061572124.2999899061

6770269977113.6506853765

7200084246120.3909856096

85383100876119.7398096052

102580135474134.2975534319

122932139461102.9430001329

135000150750108.0947361628

147000179465119.048092869

153000209033116.4756359179

216972.3251818120.4680600671

239904.9288950114.7455702134

284000348869120.7368056757

298000396000113.5096554867

Eredeti kltsgvetsi elirnyzat (Milli Ft)

Gygyszer-tmogatsi kiadsok (Milli Ft)

Kiadsok az elz vi szzalkban

Milli Ft

Szzalk

A gygyszerek trsadalombiztostsi tmogatsra fordtott kiadsok1992-2006.

A finanszrozsi ellegben rszestett gygyszertrak szma havonknt2003-2006.

Pzforgalom diagram

26976.4363.533.3

31597.61271.799.9

28495.41111.264.3

33117.9749.370.8

30065.91821.666.2

34036.61066.770

312371169.266.7

28967.71471.265.3

SzeptemberSzeptemberSzeptember

OktberOktberOktber

NovemberNovemberNovember

DecemberDecemberDecember

gygyszertmogats (Milli Ft)

klnkeret (Milli Ft)

vnykezelsi dj (Milli Ft)

A gygyszertmogats jogcmcsoport kiadsainak pnzforgalmi alakulsa2006

Diagram1

8117

12637

8619

13047

9419

8024

8330

11118

6927

6220

3512

20738

7428

11535

8211

5118

395

7223

612

3480


Elltsi tmogatsban rszestett gygyszertrak szma db

Elltsi tmogatsban rszesl kzforgalm gygyszertrak megyenknt2006.

Diagram5

6412206.896588

9264147.877902

9925466.853835

10406451.10042

9736762.959872

&A

&P. oldal

Finanszrozsi ellegben rszestett gygyszertrak szma (db)

Kiutalt elleg sszege (Milli Ft)

Gygyszertrak szma

Milli Ft

Finanszrozsi elleg adatai2002 - 2006.

Diagram2

3581

83126

4786

46130

4694

4080

3083

54111

3669

2662

1835

86207

2774

64115

4282

851

2439

5772

3861

166348

Finanszrozsi ellegben rszestett gygyszertrak szma db


Gygyszertrak szma

Finanszrozsi ellegben rszestett gygyszertrak megynknti megoszlsa2006.

Diagram4

27373.223666.6666666667

32969.223666.6666666667

29670.923666.6666666667

3393823666.6666666667

31953.723666.6666666667

35173.323666.6666666667

32472.923666.6666666667

30504.223666.6666666667

Szeptember23666.6666666667

Oktber23666.6666666667

November23666.6666666667

December23666.6666666667

Tnyleges teljests

Idarnyos elirnyzat

Milli Ft

Gygyszertmogatsi jogcmcsoport kiadsai2006

Diagram3

2215914743

206401478616

300337308233

220465958

106412918

430195

17700

12100

2003

2004

2005

2006

Hnap

Darab

Diagram6

31000393921992

3800049535125.7488830219

5070061572124.2999899061

6770269977113.6506853765

7200084246120.3909856096

85383100876119.7398096052

102580135474134.2975534319

122932139461102.9430001329

135000150750108.0947361628

147000179465119.048092869

153000209033116.4756359179

216972.3251818120.4680600671

239904.9288950114.7455702134

284000348869120.7368056757

298000396000113.5096554867

Eredeti kltsgvetsi elirnyzat (Milli Ft)

Gygyszer-tmogatsi kiadsok (Milli Ft)

Kiadsok az elz vi szzalkban

Milli Ft

Szzalk

A gygyszerek trsadalombiztostsi tmogatsra fordtott kiadsok1992-2006.

Diagram1

0.4320987654

0.6587301587

0.5465116279

0.3538461538

0.4893617021

0.5

0.3614457831

0.4864864865

0.5217391304

0.4193548387

0.5142857143

0.4154589372

0.3648648649

0.5565217391

0.512195122

0.1568627451

0.6153846154

0.7916666667

0.6229508197

0.4770114943

0.4850448654

Finanszrozsi ellegben rszestett patikk arnya

2006

MegyeFinanszrozsi ellegben rszestett gygyszertrak szma (Db)Finanszrozsi elleg sszege (Ft)Kzforgalm gygyszertrak szma (2006.09.26.-n) (Db)Finanszrozsi ellegben rszestett gygyszertrak arnya az sszes kzforgalm gygyszretr szzalkban

Baranya35276,815,4888143

Bcs-Kiskun83570,551,02312666

Bks47302,889,9448655

Borsod-Abaj-Zempln46250,684,05013035

Csongrd46242,117,2509449

Fejr40277,205,3328050

Gyr30226,687,8348336

Hajd-Bihar54347,959,22511149

Heves36234,630,9346952

Komrom26173,337,9156242

Ngrd18126,464,8773551

Pest86568,194,22120742

Somogy27158,735,8267436

Szabolcs64415,306,83211556

Jsz-Nagykun-Szolnok42298,896,5188251

Tolna847,834,7915116

Vas24240,699,7133962

Veszprm57419,837,2577279

Zala38263,357,8526162

Budapest1661,320,752,99034848

sszesen:9736,762,959,8722,00649

Baranya43%

Bcs-Kiskun66%

Bks55%

Borsod-Abaj-Zempln35%

Csongrd49%

Fejr50%

Gyr36%

Hajd-Bihar49%

Heves52%

Komrom42%

Ngrd51%

Pest42%

Somogy36%

Szabolcs56%

Jsz-Nagykun-Szolnok51%

Tolna16%

Vas62%

Veszprm79%

Zala62%

Budapest48%

sszesen:49%

2006

Finanszrozsi ellegben rszestett patikk arnya

Munka2

Munka3

Patika mkdtets vltozsaA tbb patika, a nagyobb verseny jobb minsg szolgltatst, esetenknt mrskld rakat eredmnyez? Knyelmesebben lehet hozzjutni gygyszerekhez? Biztonsgosabb lesz az ellts a kisteleplseken is?

Mi trtnt eddig?172 j elrusthelyMOL 42Shell 43Dm 1Egyb helyen 86

70 j patikaElltatlan terleteken?

j gygyszertr nylt

Hats a patikkraSzolidaritsi ad teher 1 1,5 % 3 4 M FtKszletvesztesgek 1 3 M Ftrrstmeg cskkens 14% 12 13 M Ftsszestett vesztesg 16 20 M Ft

Hats a nagykereskedkreExtra ad 2,5 %Kszletvesztesg minden rcskkents utnFajlagos kltsgek jelents nvekedseFizetsi kszsg romlsa

Hats a gyrtkraExtra ad 12 % Kb. 36 M FtSvos befizets a forgalom nvekedse esetnFizetsi kszsg romlsaEredmnyessg romlsaNyeresg jelents rsznek elvesztseBeruhzsok cskkentse, elmaradsaK + F rfordtsok cskkentseMunkaer feleslegess vlsaTovbbkpzsi aktivits cskkentse

GYRTI BEFIZETSEK, MdFt-BAN

2003

7,0

2004

9,0

2005

20,0

2006

22,5

2007

?

sszesen

58,5 + ?

Hats az orvosokraKompetencia korltozsa, felelssg thrtsaFenyegetettsg melletti munkaJutalmazs esetn rvidtv elnyk elfogadsaFelkszltsgk, naprakszsgk cskkense

Hats a betegekreBizalmatlansg az orvos s gygyszer irntNagyobb anyagi terhekTmogats cskkenseRagaszkods a megszokott gygyszerhez Elrheti az 50 M Ft nagysgot

Nemcsak nlunk hitvita

A kanadai egszsggyi rendszer szba sem jhet az amerikaiak szmra. Mg akkor sem, ha az jl mkdik is Kanadban. Itt kt nagyon klnbz orszgrl van sz. Amerikt az letre, a szabadsgra s a boldogsg keressre alaptottk, Kanada viszont a bkre, a rendre s a j kormnyzsra plt. Ezek nagyon klnbz rtkek. Victor R. Fuchs, Stanford University

Klfldi tapasztalatokHollandia (20 ves folyamatos, kvetkezetes vltoztatsok)Nmetorszg (vlasztsi ciklusokon tvel, politikai konszenzuson alapul reformok)Ausztria (inkbb evolci, mint revoluci)

Mi a vlasz a magyar gygyszerellts alapvet stratgiai problmira?Fenntarthat finanszrozsEredmnyessg s hatkonysgOrvosok, gygyszerszek helyzete s jvend plyakpeA lakossg egszsgi llapota

Javaslatok az eurpai tapasztalatok alapjnMinden szereplt be kell vonni az elksztsbe konszenzus szksges!El kell fogadtatni s garantlni kell az alapelveket a szolidaritst, az elesettek, rszorultak vdelmt!Flexibilits, tolerancia s trelem a szksges vltoztatsokhoz idfaktor!!!Transzparencia!j megoldsok felkutatsa, nem ragaszkodni a sikertelen tletekhez!

Idre van szksgA clmodell rszletesebb kidolgozshoz;Az intzkedsek szlesebb kr elfogadtatshoz;A szablyok kimunklshoz s elfogadshoz; A szereplk valdi rdekeltsgnek megteremtshez s sszehangolshoz;A vgrehajts felttelrendszernek kiptshez.

Ksznm megtisztel figyelmketFekete Tibor

gyógyszerpiac alakulása

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