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Hellenic Innovation Forum, Matti Arvela
1. Greek citizens express concerns over Health
Care services and Access to Innovative
Medicines
HEALTH SURVEY RESULTS:
Matti Arvela
Board Member of PhRMA InnovationForum,
Executive Director and General Managerof Amgen Hellas and Cyprus.
2. Methodology
AGENCY: alco
NTC NUMBER 12
USER: PhaRMA INNOVATION FORUM
ΤΥPE:
QUANTITATIVE
(TELEPHONE INTERVIEWS
AT RESPONDENTS HOUSES)
SAMPLE:
1000 PEOPLE, MEN AND WOMEN,
18+ YEARS OLD,
ALL OVER GREECE
SAMPLE SELECTION: STRATIFIED, RANDOM
FIELDWORK: 3 – 8 MARCH, 2017
THE SURVEY WAS CONDUCTED UNDER THE RULES OF ESOMAR’S CODE OF ETHICS
AND SEDEAS CODE OF PROFESSIONAL PRACTICE
3. Do you think that the level of health care in recent years in Greece has improved significantly,
has improved slightly, has stagnated, has declined a little or has declined significantly?
6 out of 10 believe that the level of health care services in
recent years have declined significantly
4. Health expenditure per capita lower by 50% vs. OECD average
Public GR spending is ~ 50% below OECD average OECD average : 2,759 $ per Capita / Greece: 1,360 $ per Capita
5. Healthcare stands out as #1 priority to increase funding in
Based on our country's current economic situation, how important do you consider the State to
increase funding in each of the areas that I will read to you? Please use a grade from 1 to 5 where 1
means no significant and 5 very important
6. 8 out of 10 believe that their pharmaceutical needs are not
covered
DK/DA
4%
NO
81%
YES
15%
Do you think that the state is adequately covering the pharmaceutical needs of citizens today?
8. Which of the following comes to your mind when you hear about the existence of new innovative drugs?
(FIRST REFERENCE) 8 What else besides this? (SECOND REFERENCE)
New, innovative medicines have a positive impact in
health and quality of life aspects
9. For many patients and their families, medicines have
significantly increased chances of survival
Percent Decline in Cancer Mortality Rates Since 1991
1991 to 2011 - All Cancers2
Source: Health Advancesanalysis;
1PhRMA 2016 PrescriptionMedicines:Costs in Context;
2WHO Mortality Database(accessedFebruary 2016).
EU5
Australia
South KoreaJapanCanada
Mexico
-21%
-8%-21% -22%
-17%
-15%
USA
-24%
10. The State is considering adopting measures that will delay or block the arrival of new innovative medicines in Greece.
Which of the phrases I will read you think best reflects your opinion on this particular issue?
6 out of 10 believe that delaying access to innovation is a public
health danger or downgrades Greeks to B class citizens
11. Health care spend and coverage has a direct effect on life
expectancy
*Greek citizens currently live on average 5.5 years longer than those in Eastern Europe.
*
12. 6 out of 10 believe that Pharma companies play an important role
in defending public health
DK/DA
5% NOT AT ALL
13%
LITTLE
17%
ENOUGH
34%
VERY
31%
How important do you consider the role of pharmaceutical companies in defending public health?
13. Over the last decade innovative medicines contributed 73% of the
improvement in life expectancy
Source: Lichtenberg, F. R., 2014. Health Policy and Technology 3, pp. 36-58. Figure adapted from: EFPIA, 2015.
Available at: www.efpia.eu/uploads/HG_-_Health__Wealth_22092015.pptx
14. Innovative medicines produce savings in HC system by reducing
spending on hospitalization and other health services
15. Innovative medicines also increase productivity by
allowing people to work despite their illness
Conventional therapy in study refers to conventional DMARDs = disease-modifiying anti-rheumatic drugs.
Note: Presenteeism is the act of attending work while sick.
Source:, 2Halpern 2009 Impact of Adalimumab on work participation in RA Ann Rheum Dis.
When comparing worker productivity for European, Australian, and Canadian patients with
rheumatoid arthritis (RA), researchers found that patients were able to work longer and
earn more money when treated with a novel biologic rather than conventional therapy*
over the study period of 2 years.
16. Who do you think pays for pharmaceutical coverage of uninsured and refugees in Greece?
Half of the citizens have misconception that state covers
uninsured patients and refugees
18. In summary Greek citizens do express their concerns regarding
Health Care services and access to innovative medicines
6/10
citizens believe that HC services are significantly
declining
8/10
citizens believe that their pharmaceuticals needs are not
covered
6/10
citizens believe that delaying access to innovation is
dangerous and weakens Greek citizens
19. But situation is not getting any better
• Delays in introduction of new medicines
• Unsustainable business environment – rebates and clawbacks can go as high as
50% - 60%