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I farmaci ospedalieri tra Europa, Stato, Regioni e Cittadini

Author

Listed:
  • Davide Integlia

    () (I-Com - Istituto per la competitività, Direttore Area Innovazione)

  • Fabio Pammolli

    () (Politecnico di Milano and CERM Foundation - Competitività, Regole, Mercati)

Abstract

Dopo il rilascio dell'Autorizzazione all'Immissione in Commercio, un farmaco "H", prima di divenire concretamente disponibile in ospedale, deve completare una trafila che può differire da Regione a Regione, e addirittura, all'interno di una stessa Regione, da ASL ad ASL o da ospedale ad ospedale. Tra l'autorizzazione nazionale e la possibilità per il medico ospedaliero di utilizzare il farmaco si possono frapporre commissioni territoriali o locali di vario livello che presiedono ad altrettanti prontuari, con potere di filtro o addirittura di blocco per l'area di loro competenza. Nei casi più "fortunati" documentati nel Quaderno, uno stesso farmaco diviene effettivamente utilizzabile nei DRG a date diverse a seconda della Regione, della ASL, della struttura ospedaliera. In altri casi, le commissioni locali possono arrivare a bloccare del tutto l'approdo di un farmaco nei DRG, così differenziando strutturalmente il Prontuario Farmaceutico Nazionale dai prontuari in uso sul territorio. L'approvazione dell'EMEA e/o dell'AIFA assicurano che i farmaci autorizzati all'immissione in commercio abbiano efficacia terapeutica.

Suggested Citation

  • Davide Integlia & Fabio Pammolli, 2009. "I farmaci ospedalieri tra Europa, Stato, Regioni e Cittadini," Working Papers CERM 01-2009, Competitività, Regole, Mercati (CERM).
  • Handle: RePEc:ern:wpaper:01-2009
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    File Function: First version, 2009
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    More about this item

    Keywords

    regioni; farmaci ospedalieri; federalismo;

    JEL classification:

    • D40 - Microeconomics - - Market Structure, Pricing, and Design - - - General
    • D60 - Microeconomics - - Welfare Economics - - - General
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • H50 - Public Economics - - National Government Expenditures and Related Policies - - - General
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H70 - Public Economics - - State and Local Government; Intergovernmental Relations - - - General
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • H77 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Intergovernmental Relations; Federalism
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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