10 health questions about the 10 by written by Albena Arnaudova ; edited by Yves Charpak.

By written by Albena Arnaudova ; edited by Yves Charpak.

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The share of pharmaceutical products that are imported has been increasing rapidly, but domestically produced medicines are still of substantial importance to the health care system. Points to remember health resources Salaries of public-sector doctors (most of whom work in hospitals) are twice the average national income. ● Efforts continue to ensure an even geographical distribution of health personnel. ● Strategies for cost-containment are being developed in response to the pressure of increasing drug costs.

4 PHARMACEUTICALS Prescription medicines are available through a well-functioning reimbursement system. There is an obligatory patient co-payment, even for essential-list drugs, and over-the-counter medicines are not reimbursed. The health insurance budget has been strained by rapidly increasing expenditure for pharmaceutical reimbursements. Nationally produced medicines constitute under 10% of the total market. Among pharmacies, 94% are private, and all drug manufacturers and wholesale dealers are private.

By 2002, much had been accomplished on the first project, which strengthened the state’s administrative capability to make health care reimbursements in conformity with EU rules. Since late 2002, the second project has been testing the Czech system’s ability to implement EU social security regulations. It also addresses cross-border health care payments, mutual recognition of health professionals’ licensing, patients’ rights and standards for health and social services. What has the Regional Office been doing in the Czech Republic?

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