{"id":25808,"date":"2021-02-01T17:24:38","date_gmt":"2021-02-01T16:24:38","guid":{"rendered":"https:\/\/faus-moliner.com\/nuevas-ideas-en-materia-de-visados-de-inspeccion\/"},"modified":"2021-03-10T12:01:06","modified_gmt":"2021-03-10T11:01:06","slug":"nuevas-ideas-en-materia-de-visados-de-inspeccion","status":"publish","type":"post","link":"https:\/\/faus-moliner.com\/en\/nuevas-ideas-en-materia-de-visados-de-inspeccion\/","title":{"rendered":"New ideas on inspection visas"},"content":{"rendered":"\n<p><strong>Background<\/strong><\/p>\n\n\n\n<p>The Ministry of Health, in order to ensure rational use of reimbursed medicines, may establish specific conditions for the prescription, dispensing and financing of these products. Among such specific conditions, there are the ones commonly referred as \u201cinspection visas\u201d.<\/p>\n\n\n\n<p>Last year, the High Court of Madrid ruled on inspection visas in its judgments of 1 of April and 15 of June. In both judgements, the Court acknowledges that inspection visas may create inconveniences for healthcare professionals and patients but that, on the other hand, such visas are a legal and \u201cvalued\u201d tool to ensure the rational use of medicines. The position paper of SEMERGEN questions such reputation among primary care physicians. As per such paper, the visa system \u201climits primary care physicians, constitutes a barrier to prescription and access to treatment by patients, and generates inequalities between regions\u201d. For this reason, SEMERGEN advocates for a new visa system.<\/p>\n\n\n\n<p><strong>SEMERGEN\u2019s position paper<\/strong><\/p>\n\n\n\n<p>According to SEMERGEN, the new visa system should, in the first place, find a balance between freedom of prescription, security of patients, and efficiency of the National Health System. SEMERGEN also advocates for an <em>ex post<\/em> control of prescription rather than the <em>ex ante <\/em>one currently applicable. According to the Society of Primary Care Physicians, the current system (<em>ex ante <\/em>control of prescriptions) questions the trust of the system in physicians who, in SEMERGEN\u2019s view, \u201cwill always choose the therapeutic option which is best for the patient\u201d. As an alternative, SEMERGEN proposes a control of prescription system based on <em>ex post <\/em>audits aimed to verify compliance with \u201cexplicit and published criteria on security and cost-effectiveness\u201d. Finally, SEMERGEN points out that the current visa system \u201cincreases the number of contacts between the patients and the NHS which results in an increase of workload and relevant direct and indirect costs\u201d. SEMERGEN\u2019s paper advocates for reducing all such \u201cbureaucratic hurdles\u201d which in its view,&nbsp; constitute barriers to access to treatments by patients.<\/p>\n\n\n\n<p><strong>Our position<\/strong><\/p>\n\n\n\n<p>We agree with SEMERGEN that the current inspection visa system has room for improvement. In our opinion, any reform of the system should balance the interests of the patients, first and foremost, with those of healthcare professionals, the National Health System and the industry. Further, we think it is a good idea, as SEMERGEN does, to analyze costs from a global approach, that is considering both direct and indirect costs of visas. With respect the control of prescription (<em>ex ante <\/em>or <em>ex post<\/em>) we believe this is a very sensitive topic which needs to be addressed taking into account the balance of interests mentioned above. Finally, we think that any reform should seek to create a clear regulatory framework, without confusions, and which allows stakeholders to operate with legal certainty.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background The Ministry of Health, in order to ensure rational use of reimbursed medicines, may establish specific conditions for the prescription, dispensing and financing of these products. Among such specific conditions, there are the ones commonly referred as \u201cinspection visas\u201d. Last year, the High Court of Madrid ruled on inspection visas in its judgments of&#8230; <\/p>\n<div class=\"clear\"><\/div>\n<p><a href=\"https:\/\/faus-moliner.com\/en\/nuevas-ideas-en-materia-de-visados-de-inspeccion\/\" class=\"excerpt-read-more\">Read More<\/a><\/p>\n","protected":false},"author":19,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[72,86],"tags":[],"coauthors":[],"class_list":["post-25808","post","type-post","status-publish","format-standard","hentry","category-capsulas-en","category-pharmaceutical-and-life-sciences-law"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>New ideas on inspection visas - Faus Moliner<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/faus-moliner.com\/en\/nuevas-ideas-en-materia-de-visados-de-inspeccion\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"New ideas on inspection visas - Faus Moliner\" \/>\n<meta property=\"og:description\" content=\"Background The Ministry of Health, in order to ensure rational use of reimbursed medicines, may establish specific conditions for the prescription, dispensing and financing of these products. Among such specific conditions, there are the ones commonly referred as \u201cinspection visas\u201d. Last year, the High Court of Madrid ruled on inspection visas in its judgments of... 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