From April 1, the government program "Affordable medications" goes under the control of the National Health Service of Ukraine. Patients will receive e-medication. Who, where and under what conditions can get it – read our material.
See also: The electronic medical record started working in Ukraine: what has changed
What is an electronic recipe?
This is the kind of thing that makes it much easier to get free drugs under the "Available Drugs" program. The electronic recipe began to work from April 1, 2019. He simplified the registration and prescription procedures. For the patient, it will all look like an SMS message with a number and a confirmation code.
Who can get an electronic recipe?
Those who signed the declaration with the family doctor and use the government program "Available drugs". So far, the drug reimbursement mechanism that this program works for is spreading to cardiovascular diseases, type II diabetes, and bronchial asthma.
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As explained in the Ministry of Health, priority was given to the treatment of these diseases, since they are the ones that most affect the mortality rate of the population or significantly reduce the patient’s quality of life and are effectively treated on an outpatient basis.
According to the ministry, the death rate from cardiovascular diseases is 65% of the total mortality of the population in Ukraine. According to statistics, type II diabetes suffers one million people. This is 6 times more than type I diabetes (insulin-dependent). More than 210 thousand patients with bronchial asthma were registered. Most of them are children and young people.
Where to get an electronic recipe?
Only at the doctor with whom the declaration is signed. The scheme is approximately as follows:
The patient is recorded and comes to the appointment with his doctor. The doctor holds the reception and writes a prescription. After checking the patient's phone number, the doctor writes a prescription in the electronic health care system. The patient receives on his SMS number with a unique prescription number and a confirmation code for receiving drugs at the pharmacy. The patient comes to the pharmacy, which participates in the program "Available medications", calls the pharmacist the number of the prescription and receives medications.
See also: New available drugs: what changes are waiting for patients from April 1
Why does everything work like this?
To make it easier for patients to use the program. And to make it easier to track how the health care system is funded.
As the spokesman for the e-Health Association, a member of the coordinating council of the Ministry of Health of Ukraine on introducing e-health, Andriy Zayats, explained the 24th channel, the system works: the patient signs a declaration with the doctor. The doctor registers this declaration with the National Health Service. That is, by signing the declaration with the doctor, the patient signs an agreement with the country. A declaration is a contract for the provision of a guaranteed package of medical services. Including medicines that the state guarantees to patients.
You either consume the money that the state allocates for your health or not. The point of entry into the scheme of providing medical services that are guaranteed by the state is the signing of the declaration with the doctor. And a doctor's appointment, an electronic prescription, free medicines, and follow-up visits from specialist doctors are all supposed to be for the state’s money. If you are not a consumer of this package of guaranteed services, then you are not applying for free medicines,
– He explained.
The hare also noted that the electronic prescription for the reimbursement program (availability of drugs) is not so much specific prescription drugs, but a prescription for getting drugs for free. That is – for the money of the state.
"For the past year and a half, this program has worked on paper: the doctor wrote out a prescription for the patient on paper, the patient went to the pharmacy with this piece of paper, where he was given medicines for this piece of paper, and then the pharmacy asked the Ministry for money for these drugs. Because wherever there is paper, accounting can potentially be broken, distorted, and so on, "he added.
What medications does the prescription cover?
The register of drugs, the cost of which is refundable, is on this link. It contains a detailed list of all drugs covered by the program.
Which pharmacy can I come with?
In any pharmacy that has entered into an agreement with NSZU. Now there are 5041 such pharmacies, but the Ministry of Health claims that their number is constantly increasing.
The bonus now is that the receipt of medicines is no longer tied to the area where the electronic prescription was issued.
Do you really have to pay extra anywhere?
For sure. Of course, if you want to choose a more expensive drug or another brand of medicine – you can choose it and pay the difference.
In the pharmacy, everything works according to this scheme:
The pharmacist offers the patient the medicines that they have and which are included in the “Available medicines” program. The patient chooses one of the drugs and names the four-digit confirmation code. The patient receives his medications. If the required drug is not available, the patient can go to another pharmacy and get the medicine there.
If the pharmacy has run out of free or reimbursable drugs, then you can either wait until they appear, go to another pharmacy, or choose another trademark and pay the difference.
What difficulties may arise?
In theory, none. If any arise – you need to contact the NSZU and report them. It is normal for the state to be able to understand how to improve the program.
For example, worrying about the fact that the grandmother, who is afraid of modern gadgets, cannot cope with the electronic recipe is also not worth it. According to Zayats, the main interface of the program for a patient of any age is his doctor.
"Grandma does not need to worry about the introduction of some new programmulina because she will not use it. She calls the doctor to find out how to get to him. The doctor opens the system and says she can come to the appointment tomorrow at 11. If the doctor writes out an electronic prescription for her, and the grandmother receives an sms, then a good doctor immediately rewrites the prescription number on a piece of paper so that the grandmother does not suffer with these messages. With this piece of paper, the grandmother comes to the pharmacy. In the pharmacy, the grandmother's interface is a pharmacist who knows already all such b IRCA ", – said Andrei Zayats.
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