Evidence map›Paper›PMID 21495202›Full record

ReviewCroatian medical journal2011

Comparing pharmaceutical pricing and reimbursement policies in Croatia to the European Union Member States.

Sabine Vogler, Claudia Habl, Martina Bogut, Luka Voncina

Abstract readComparative StudyReview
In one paragraph

Review in Croatian medical journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Does external reference pricing deliver what it promises? Evidence on its impact at national level.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Pooled it
  2. Variations in external reference pricing implementation: does it matter for public policy?The European journal of health economics : HEPAC : health economics in prevention and care · 2019
    Pooled it
  3. Review
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  6. Stakeholder opinions on value in healthcare.European journal of hospital pharmacy : science and practice · 2019
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  17. Medication use in European primary care patients with lower respiratory tract infection: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sabine VoglerHealth Economics Department, WHO Collaborating Centre for Pharmaceutical Pricing and Reimbursement Policies, Gesundheit Österreich GmbH / Geschäftsbereich ÖBIG-Austrian Health Institute, Stubenring 6, Vienna, Austria. sabine.vogler@goeg.at
Claudia Habl
Martina Bogut
Luka Voncina

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo perform a comparative analysis of the pharmaceutical pricing and reimbursement systems in Croatia and the 27 European Union (EU) Member States.

methodsKnowledge about the pharmaceutical systems in Croatia and the 27 EU Member States was acquired by literature review and primary research with stakeholders.

resultsPharmaceutical prices are controlled at all levels in Croatia, which is also the case in 21 EU Member States. Like many EU countries, Croatia also applies external price referencing, i.e., compares prices with other countries. While the wholesale remuneration by a statutorily regulated linear mark-up is applied in Croatia and in several EU countries, the pharmacy compensation for dispensing reimbursable medicines in the form of a flat rate service fee in Croatia is rare among EU countries, which usually apply a linear or regressive pharmacy mark-up scheme. Like in most EU countries, the Croatian Social Insurance reimburses specific medicines at 100%, whereas patients are charged co-payments for other reimbursable medicines. Criteria for reimbursement include the medicine's importance from the public health perspective, its therapeutic value, and relative effectiveness. In Croatia and in many EU Member States, reimbursement is based on a reference price system.

conclusionThe Croatian pharmaceutical system is similar to those in the EU Member States. Key policies, like external price referencing and reference price systems, which have increasingly been introduced in EU countries are also applied in Croatia and serve the same purpose: to ensure access to medicines while containing public pharmaceutical expenditure.

Indexed as

European UnionInsurance, Health, ReimbursementOrganizational PolicyCroatiaPharmaceutical PreparationsPharmaceutical Preparations

Identifiers

PMID21495202
PMCPMC3081217

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.