The present situation and future prospectsfor the pharmacist’s renumeration

in Switzerland: A reorientation toward

new paid professionnal services

Are pharmacists « good value for money », 6.09.2009Dr Michel Buchmann, Switzerland

Are pharmacists « good value for money », 6.09.2009Dr Michel Buchmann, Switzerland

In Switzerland, during the year 2008, we had to negotiate an update of therenumeration contract with the medical insurance companies. However for the first time we had to invest in six additional months of discussion.

This is the sign that the negotiation processes are becoming more difficult.The consequences for the pharmacists are the following:either to give way to pressures each time by surrendering more of their remaining profit margin, or to be creative by proposing new payable services to replace part of the lost profit.

During the next round of discussions it will be difficult to maintain a remunerationprimarily based on the selling of medicines. The future will be oriented towards«  quality, competences and services ».

Dominique Jordan, pharmaSuisse PresidentPharma30, avril 2009

Are pharmacists « good value for money », 6.09.2009Dr Michel Buchmann, Switzerland

« The Swiss Price Control Office Report 2008 », 14 April 2009

Medicines are a permanent political issue.

It is urgently required to change the profit margin system for the payment of the medicines by the insurance companies!

Prescription validation

Individualised medicine manfacturing

Number of involved patients and pharmacists

++++

Home Care

Actual pharmaceutical services in Switzerland.Paid or not paid by Insurance Companies

Generic substitution

PreventionPharmaceutical screening

Pillbox refilling Individualised dispensingUrgencies

+

++++

Postgraduateeducations needs

+Are pharmacists « good value for money », 6.09.2009Dr Michel Buchmann, Switzerland

Prescription validation

Individualised medicine manfacturing

Number of involved patients and pharmacists

++++

Home Care

Future added pharmaceutical services in Switzerland.Paid or not paid by Insurance Companies

Generic substitution

PreventionPharmaceutical screening

Pillbox refilling Individualised dispensingUrgencies

+

++++

Postgraduateeducations needs

+

Quality Circles with GP’s Polymedication Check

Pharmaceutical assistance in nursing homeCompliance consultations

Therapeutic substitutionsMedication review

Patient Care management(HIV, oncology……)

Are pharmacists « good value for money », 6.09.2009Dr Michel Buchmann, Switzerland

Are pharmacists « good value for money », 6.09.2009Dr Michel Buchmann, Switzerland

« I have no reason to doubt that pharmaceutical services have a

significant impact on health outcomes,but it is no longer

acceptable to make such statements without hard data. »

Prof. L. Sansom, Australian Pharmacist, April 1994 !!