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Suomen Lääketilasto 2019 SUOMEN LÄÄKETILASTO S LT FINNISH STATISTICS ON MEDICINES FSM 2019 Keskeisiä lukuja lääkkeiden myynnistä ja lääkekorvauksista vuonna 2019 Milj. € Muutos vuodesta 2018, % Lääkkeiden kokonaismyynti 3 460 5,2 avohoidon reseptilääkkeiden myynti (verollisin vähittäismyyntihinnoin) 2 284 4,4 avohoidon itsehoitolääkkeiden myynti (verollisin vähittäismyyntihinnoin) 357 0,8 sairaalamyynti (tukkuohjehinnoin) 818 9,9 Lääkkeistä maksetut korvaukset 1 551 6,2 peruskorvaukset 316 3,0 erityiskorvaukset 1 029 5,2 lisäkorvaukset 205 17,7 Key figures for medicine sales and their reimburssement in 2019 € million Change from 2018, % Total sales of pharmaceuticals 3,460 5.2 prescription medicines in outpatient care (at pharmacy prices with VAT) 2,284 4.4 OTC medicines in outpatient care (at pharmacy prices with VAT) 357 0.8 sales to hospitals (at wholesale prices) 818 9.9 Reimbursement of medicine costs 1,551 6.2 Basic Refunds 316 3.0 Special Refunds 1,029 5.2 Additional Refunds 205 17.7 Lähde: Fimean lääkemyyntirekisteri, Kelan sairausvakuutuskorvausten tilastointitiedosto. Source: Finnish Medicines Agency, Drug Sales Register; Register of Statistical Information on National Health Insurance General Benefit Payments. SUOMEN LÄÄKETILASTO FINNISH STATISTICS ON MEDICINES 2019 Lääkealan turvallisuus- ja kehittämiskeskus Fimea ja Kansaneläkelaitos Finnish Medicines Agency Fimea and Social Insurance Institution Helsinki 2020 LÄÄKEALAN TURVALLISUUS- KANSANELÄKELAITOS JA KEHITTÄMISKESKUS FIMEA FINNISH MEDICINES AGENCY FIMEA SOCIAL INSURANCE INSTITUTION Lääketurvallisuus Analytiikka- ja tilastoryhmä Pharmacovigilance Section for Analytics and Statistics Mannerheimintie 166 Nordenskiöldinkatu 12 P.O. Box 55 P.O. Box 450 FI-00034 Fimea FI-00056 Kela Finland Finland [email protected] [email protected] Puh. 029 522 3341 Puh. 020 634 11 Tel. +358 29 522 3341 Tel. +358 20 634 11 ISSN 2490-0109 Sisällys Kuvaluettelo ......................................................................................................................... 7 Esipuhe.............................................................................................................................. 11 Suomen lääketilasto -julkaisun toimittaminen.................................................................... 13 Suomen lääketilaston käsitteet ja aineistot........................................................................ 16 Kulutustilastoinnissa käytetyt aineistot ja menetelmät....................................................... 24 Käytetyt lyhenteet ja symbolit ............................................................................................ 30 Leena K. Saastamoinen, Tinna Voipio ja Päivi Rastas Lääkevuosi 2019 .............................................................................................................. 31 1. TIETOJA SUOMESTA JA SUOMEN TERVEYDENHUOLLOSTA ............................... 48 2. LÄÄKEHUOLTO JA -VALVONTA ................................................................................ 55 Lääkevalmisteiden erityisluvat ...................................................................................... 57 Kliiniset lääketutkimukset ............................................................................................. 58 Lääkemyynnin jakautuminen ........................................................................................ 60 Apteekit ja sairaala-apteekit ......................................................................................... 63 3. SAIRAUSVAKUUTUS JA LÄÄKEKORVAUKSET ........................................................ 67 Lääkekorvausjärjestelmä ja lääkkeiden hinnan hyväksyminen .................................... 69 Jaana Kruuti, Jaana Harsia-Alatalo ja Miia Niskanen Lääkekorvausjärjestelmä vuonna 2019 ........................................................................ 69 Kaarina Koskela ja Ulla Kurkijärvi Lääkkeiden hintalautakunta, korvattavat lääkkeet, tukkuhinnan vahvistaminen ja viitehintajärjestelmä ...................................................................................................... 78 Lääkekorvaukset ja -kustannukset vuosina 2000–2019 ............................................... 92 Lääkekorvaukset ja -kustannukset erityiskorvattaviin lääkkeisiin oikeuttavissa sairauksissa .................................................................................................................. 96 Rajoitetusti peruskorvattavat lääkkeet ........................................................................ 119 Kliiniset ravintovalmisteet ........................................................................................... 124 Lääkekorvaukset ja -kustannukset lääkäreittäin ......................................................... 125 4. KULUTUSLUVUT LÄÄKERYHMITTÄIN .................................................................... 128 A Ruoansulatuselinten sairauksien ja aineenvaihdunta sairauksien lääkkeet ........... 135 B Veritautien lääkkeet ............................................................................................... 150 C Sydän- ja verisuonisairauksien lääkkeet ............................................................... 158 D Ihotautilääkkeet ..................................................................................................... 174 G Sukupuoli- ja virtsaelinten sairauksien lääkkeet, sukupuoli hormonit .................... 177 H Systeemisesti käytettävät hormonivalmisteet, lukuun ottamatta sukupuolihormo- neja ja insuliineja ................................................................................................... 186 J Systeemisesti vaikuttavat infektiolääkkeet ............................................................ 189 L Syöpälääkkeet ja immuunivasteen muuntajat ....................................................... 201 M Tuki- ja liikuntaelinten sairauksien lääkkeet .......................................................... 213 N Hermostoon vaikuttavat lääkkeet .......................................................................... 220 P Loisten ja hyönteisten häätöön tarkoitetut valmisteet ........................................... 241 R Hengityselinten sairauksien lääkkeet .................................................................... 243 S Silmä- ja korvatautien lääkkeet ............................................................................. 254 V Muut ...................................................................................................................... 258 Itsehoitolääkkeiden apteekkimyynti ............................................................................ 260 Nikotiinikorvaushoito .................................................................................................. 270 Kuvat .......................................................................................................................... 274 LIITTEET ......................................................................................................................... 300 Liite 1: 1.1.2020 voimaan tulleet ATC-luokituksen muutokset ......................................... 301 Liite 2: 1.1.2020 voimaan tulleet määriteltyjen vuorokausiannosten (DDD) muutokset ... 302 Liite 3: Rahanarvon muuntokertoimet vuoden 2019 rahaksi 2000–2019......................... 303 Contents List of figures ....................................................................................................................... 9 Foreword ........................................................................................................................... 12 Publication of the finnish statistics on medicines............................................................... 13 Glossary and material used to compile the finnish statistics on medicines ....................... 20 Materials and methods used in the drug consumption statistics ....................................... 27 Abbreviations and symbols................................................................................................ 30 Leena K. Saastamoinen, Tinna Voipio and Päivi Rastas Medicines in 2019 ............................................................................................................. 39 1. FACTS ON FINLAND AND THE FINNISH HEALTH CARE SYSTEM ......................... 48 2. DRUG CONTROL AND PHARMACEUTICAL SERVICES .......................................... 55 Special licences for medicinal products............................................................................. 57 Clinical drug trials .............................................................................................................. 58 Distribution of medicine sales ............................................................................................ 60 Pharmacies and hospital pharmacies................................................................................ 64 3. NATIONAL HEALTH INSURANCE AND REIMBURSEMENT OF MEDICINE EXPENSES ......................................................................................... 67 Medicine reimbursement system and approval of medicine prices .............................. 73 Jaana Kruuti, Jaana Harsia-Alatalo and Miia Niskanen Medicine reimbursement system and medicine reimbursement expenditure in 2019 .. 73 Kaarina Koskela and Ulla Kurkijärvi Pharmaceuticals Pricing Board, reimbursable medicines, confirming wholesale prices and the reference price system ........................................................................ 83 Medicine costs and their reimbursement in 2000–2019 ..............................................
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