Parizvino, Morocco ine angangoita makumi mana mafekitori emishonga, makumi mashanu ezvitoro uye anopfuura mapfumbamwe emishonga. Vatori vechikamu mumatanho ayo ekutengesa zvinodhaka anosanganisira mafekitori emishonga, zvitoro zvekutengesa, zvipatara, zvipatara nemakiriniki. Pakati pavo, 20% yemishonga inotengeswa zvakananga kuburikidza nenzira dzekutengesa dzakananga, ndiko kuti, mafekitori emishonga uye mafamesi, zvipatara nemakiriniki zvinopedzisa zviitiko. Uye zvakare, makumi masere muzana emishonga inotengeswa kuburikidza nepakati pevashandi makumi mashanu.
Muna 2013, indasitiri yemishonga yeMoroccan yakashandisa zviuru gumi nekunanga uye vangangoita makumi mana zvisina kunanga, iine huwandu hwehuwandu hweAED 11 bhiriyoni uye kunwa kwemabhodhoro emamiriyoni mazana mana. Pakati pavo, 70% yekushandisa inogadzirwa nemafekitori emuno emishonga, uye iyo yasara 30% inonyanya kutengwa kubva kuEurope, kunyanya France.
1. Hunhu hwemhando
Iyo Moroccan mishonga indasitiri inotora yepasi rose standard mhando sisitimu. Iyo Pharmacy uye Chemishonga Dhipatimendi reMinistry of Health yeMorocco inoona nezve indasitiri yemishonga. Motorola inonyanya kutora Maitiro Akanaka Ekugadzira (GMP) akaumbwa neWorld Health Organisation, European Medicines Agency uye US Food and Drug Administration. Naizvozvo, iyo World Health Organisation inonyora indasitiri yemishonga yeMoroccan senzvimbo yeEuropean.
Uye zvakare, kunyangwe kana madhiragi achipinda mumusika weMoroccan mune sampuli kana mipiro, ivo vachiri kuda kuwana mvumo yekutengesa (AMM) kubva kubazi rehurumende manejimendi. Maitiro aya akaomarara uye anotora nguva.
2. Mari yemutengo system
Moroccan drug pricing system yakaumbwa muma1960, uye Ministry of Health inotara mitengo yemishonga. Iyo Moroccan Ministry of Health inosarudza mutengo wemishonga yakadaro inogadzirwa neyemishonga fekitori ichinongedzera kune akafanana madhiragi muMorocco nedzimwe nyika. Panguva iyoyo, mutemo waiti chiyero chekuparadzirwa kwemutengo wekupedzisira wemishonga (kusabatanidzirwa VAT) waive unotevera: 60% yemafekitori emishonga, 10% yevatengesi, uye 30% yemishonga. Pamusoro pezvo, mutengo wemishonga yakajairika inogadzirwa kekutanga iri 30% yakaderera pane iya yemishonga yavo, uye mitengo yemishonga yakadaro inogadzirwa nemamwe makambani emishonga ichaderedzwa zvakateedzana.
Nekudaro, kushomeka kwekujekesa muhurongwa hwemitengo kwakakonzera kuwedzera kwemitengo yemishonga muMorocco. Mushure megore ra2010, hurumende yakachinja zvishoma nezvishoma nzira yemitengo yezvinodhaka kuwedzera pachena uye kudzikisa mitengo yemishonga. Kubva 2011, hurumende yakadzikisa mitengo yemishonga pachiyero chikuru kanokwana kana, inosanganisira zvinodarika zviuru zviviri zvemishonga. Pakati pavo, mutengo wakatemwa munaJune 2014 waisanganisira 1,578 zvinodhaka. Mutengo wakatemwa wakakonzera kudonha kwekutanga mukutengeswa kwemishonga yakatengeswa kuburikidza nevemishonga mumakore gumi nemashanu, ne2.7% kusvika kuAED 8.7 bhiriyoni.
Mitemo pamusoro pekudyara nekumisikidzwa kwemafekitori
Iyo Moroccan "Mishonga neMishonga Mutemo" (Mutemo Nha. 17-04) inotaura kuti kumisikidzwa kwemakambani emishonga muMorocco kunoda kubvumidzwa nebazi rezvehutano neNational Council of Pharmacists, uye nemvumo yebazi rehurumende.
Hurumende yeMoroccan haina marongero akasarudzika evashambadzi vekunze kuti vagadzire mafekitori emishonga muMorocco, asi vanogona kunakidzwa nesarudzo dzakasarudzika. Iwo "Mutemo Wekudyara" (Mutemo Nha. 18-95) wakaziviswa muna 1995 unotaura mitemo yakasiyana siyana yemitero yekusimudzira nekusimudzira mari. Zvinoenderana nezvakapihwa neInvestment Promotion Fund yakagadzwa nemutemo, kumabasa ekudyara ane mari inodarika mamirioni mazana maviri emadhora uye kugadzira mabasa mazana maviri nemakumi mashanu, nyika ichapa rubatsiro uye nemitemo yakasarudzika yekutenga ivhu, kuvaka kwezvivakwa, uye kudzidziswa kwevashandi. Kusvikira ku20%, 5% uye 20%. Muna Zvita 2014, Hurumende yeMoroccan Inoshamwaridzana Inosimudza Komiti yakazivisa kuti yaizodzora yakasarudzika chikumbaridzo kubva pamamirioni mazana maviri emadhora kusvika kumamirioni zana emadhigiramu.
Sekureva kweongororo yeChina-Africa Trade Research Center, kunyangwe 30% yemusika wemishonga weMoroccan unofanirwa kuvimba nekutenga zvinhu kunze, iyo indasitiri yemishonga yemhando yepamusoro yakanyorwa neWorld Health Organisation sedunhu reEuropean rinonyanya kugarwa neEuropean. Makambani eChina anoda kuvhura mushonga weMoroccan uye musika wemidziyo yezvokurapa vanofanirwa kudzora akawanda maficha senge yekushambadzira system uye mhando system.
