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Dispensing Doctors in Switzerland

Dispensing Doctors in Switzerland. Dr. rer . publ . HSG Sven Bradke Geschäftsführer der Ärzte mit Patientenapotheke (APA) Chief Executive Dispensing Doctors '  Association Switzerland www.patientenapotheke.ch. Medication turnover 2010 (in million CHF, prices ex factory).

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Dispensing Doctors in Switzerland

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  1. Dispensing Doctors in Switzerland Dr. rer. publ. HSG Sven Bradke Geschäftsführer der Ärzte mit Patientenapotheke (APA) Chief Executive DispensingDoctors' AssociationSwitzerland www.patientenapotheke.ch

  2. Medication turnover 2010 (in million CHF, prices ex factory) Source: www.interpharma.ch

  3. Distribution channels 2010 Pharmacies 1,742 (1,658 in 2000) Dispensing doctors 7,156 Hospitals 554 Chemist‘s 600 Source: www.interpharma.ch

  4. Cantonswithdispensingdoctors(mainly rural cantons) 25 146 65 306 621 664 40 49 276 197 35 481 206 APA survey 2009

  5. Cantons with mixed system 1,071/2,811* 336/1,790 85/285 27/130 1st figure = Dispensing doctors in 2009 2nd figure= General practitioners in 2011 *System with dispensing doctors since 1 May 2012

  6. Cantons with prescription(mainly French/Italian-speaking cantons) 25/826 12/363 5/91 0/629 0/321 12/417 0/1,409 0/618 2/1,555 1st figure = Dispensing doctors in 2009 2nd figure= General practitioners in 2011

  7. Number of dispensing doctors • 2009: 4,686 : 14,288 • Incl. Zurich: 6,426 : 14,288

  8. Relevant legal documents • Krankenversicherungsgesetz (KVG) • Heilmittelgesetz (HMG) • Betäubungsmittelgesetz (BetmG) • Medizinalberufegesetz (MedBG) • Kantonale Gesundheitsgesetze • Bundesgerichtsentscheid 2011 • Vorschriften der Kantonsapotheker (Richtlinien)

  9. Pharmacists‘ claims • Doctors are no experts in medications • Double verification / quality management • Additional income for doctors

  10. „…pharmacists are experts in clinical pharmacy and in the area of medication. The study of medicine, however, provides physicians with the basics for medical diagnosis. They are no qualified experts when it comes to medication.“ D. Jordan, pharmajournal 16/8 2009

  11. Future of dispensig doctors? • Permanent disputebetweencantonsandfederalauthorities • Disputes between German-speakingand French/Italian-speakingparts • Pharmacistsremaintough! => diversificationtelemedicine/vaccinations! • Medicationmarginsmayleadtowrongincentives => Change ofthesystemnecessairy • The disputesgo on!

  12. Medication costs 2010(in CHF per inhabitant) Source: santésuisse Mixed system Prescription Dispensing doctos

  13. Advantages ofdispensingdoctors? • Convenientforpatients! • Importantforthesupplyofmedication! • Relevant fortheeffectivenessofmedicaltreatments! • Advantageousforhealthcarecosts! convenientandcheaper!

  14. Ärzte mit Patientenapotheke (APA) Dispensing Doctors' Association Switzerland www.patientenapotheke.ch

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