The money must follow the patients, the treatments must be targeted to the patients depending on research and their effect assessed.

“The greatest concern now has to do with the cost of medicines. We are not talking prevention here, we are only talking the cost of care, but we do not assess the impact and efficiency of medicines. Companies need predictability to continue to invest, we must make sure drugs get to the patients,” said Christian Rodseth , managing director of Janssen, a Johnson & Johnson company.

Another proposed solution is dropping subsidies for cheap drugs and redistributing them to more expensive ones, said Robert Popescu, chairman of the Association of Pharmaceutical Distributors and Retailers in Romania (ADRFR).

“We must find a way to redistribute the money and provide as wide as possible patient access to drugs.”

At the same time, the Health Ministry promises to build a single platform next year to organize all disease registries.

“We will thus know how many patients need investigations and what providers can provide them, what their capacities are and how the issue can be addressed. The Health Ministry has been trying to gather the existing expertise at the moment to create an institution to handle computerization of the Romanian people’s healthcare because this is the future,” said Cristian Grasu, state secretary with the Health Ministry.

“We have a list of more than 100 disease registries we are getting ready to implement and input into this computer platform.”

The service pyramid is based on hospitalization and not on outpatient care and the ministry plans to reverse it. When tariffs for day hospitalization are close to the inpatient treatment tariffs, we expect management decisions to be logical and lead to more cases being moved from inpatient to outpatient care, he added.

The ZF Pharma Summit 2018 was organized in partnership with Janssen, a Johnson & Johnson pharmaceutical company, law firm NNDKP and ADEM, Affidea, Bondoc&Asociatii, PWC, Pharma Pharm, IQVIA, Farmacia Richter, Roche, Respiro, ADRFR, APMGR, Dent Estet, Medicover, MSL Logistic, RASCI, Setrio, Terapia.

(English version by Loredana Fratila-Cristescu)