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Suomen Lääketilasto 2015 2015 2015 Keskeisiä lukuja lääkkeiden myynnistä ja lääkekorvauksista vuonna 2015 Milj. € Muutos vuodesta 2014 Lääkkeiden kokonaismyynti 2 958 4,5 % avohoidon reseptilääkkeiden myynti (verollisin vähittäismyyntihinnoin) 2 063 4,3 % avohoidon itsehoitolääkkeiden myynti (verollisin vähittäismyyntihinnoin) 335 -1,3 % sairaalamyynti (tukkuohjehinnoin) 561 9,0 % Lääkkeistä maksetut korvaukset 1 378 5,5 % peruskorvaukset 310 3,9 % erityiskorvaukset 909 6,3 % lisäkorvaukset 158 4,0 % Key figures for medicine sales and their reimbursement in 2015 € million Change from 2014 Total sales of pharmaceuticals 2,958 4.5 % prescription medicines in outpatient care (at pharmacy prices with VAT) 2,063 4.3 % OTC medicines in outpatient care (at pharmacy prices with VAT) 335 -1.3 % sales to hospitals (at wholesale prices) 561 9.0 % Reimbursement of medicine costs 1,378 5.5 % Basic Refunds 310 3.9 % Special Refunds 909 6.3 % Additional Refunds 158 4.0 % SUOMEN LÄÄKETILASTO FINNISH STATISTICS ON MEDICINES 2015 Lääkealan turvallisuus- ja kehittämiskeskus Fimea ja Kansaneläkelaitos Finnish Medicines Agency Fimea and Social Insurance Institution Helsinki 2016 LÄÄKEALAN TURVALLISUUS- KANSANELÄKELAITOS JA KEHITTÄMISKESKUS FIMEA FINNISH MEDICINES AGENCY FIMEA SOCIAL INSURANCE INSTITUTION Lääketurvallisuus ja lääkeinformaatio Tilasto- ja tietovarastoryhmä Pharmacovigilance Statistics and Data Warehousing Section Mannerheimintie 103b Nordenskiöldinkatu 12 P.O. Box 55 P.O. Box 450 FI-00034 Fimea FI-00101 Helsinki 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-L 0786-2180 ISSN 0786-2180 Erweko Oy Helsinki 2016 SISÄLLYS Kuvaluettelo ......................................................................................................................... 7 Esipuhe.............................................................................................................................. 11 Suomen lääketilasto -julkaisun toimittaminen.................................................................... 13 Suomen lääketilaston käsitteet ja aineistot........................................................................ 16 Leena K. Saastamoinen, Annikka Kalliokoski, Jaana Martikainen, Tinna Voipio: Lääkevuosi 2015 ............................................................................................................... 24 1. TIETOJA SUOMESTA JA SUOMEN TERVEYDENHUOLLOSTA ............................... 39 2. LÄÄKEHUOLTO JA -VALVONTA ................................................................................ 45 Lääkevalmisteiden myyntilupamenettely ...................................................................... 48 Rekisteröimättömien lääkevalmisteiden erityisluvat ..................................................... 49 Kliiniset lääketutkimukset ............................................................................................. 50 Lääkemyynnin jakautuminen ........................................................................................ 52 Apteekit ja sairaala-apteekit ......................................................................................... 55 Marja Iso-Mustajärvi Lääkkeiden hankinta sairaalaan, peruslääkevalikoima ja uusien lääkkeiden käyttöönotto .................................................................................................................. 61 3. SAIRAUSVAKUUTUS JA LÄÄKEKORVAUKSET ........................................................ 71 Lääkekorvausjärjestelmä ja lääkkeiden hinnan hyväksyminen .................................... 73 Jaana Kruuti ja Jaana Harsia-Alatalo: Lääkekorvausjärjestelmä ja -korvausmenot vuonna 2015 ........................................... 73 Lauri Pelkonen ja Ulla Kurkijärvi: Lääkkeiden hintalautakunta, korvattavat lääkkeet, tukkuhinnan vahvistaminen ja viitehintajärjestelmä .................................................................................................. 93 Lääkekorvaukset ja -kustannukset vuosina 2000–2015 ............................................. 107 Lääkekorvaukset ja -kustannukset väestöryhmittäin ................................................. 110 Lääkekorvaukset ja -kustannukset lääkeryhmittäin .................................................... 116 Lääkekorvaukset ja -kustannukset erityiskorvattaviin lääkkeisiin oikeuttavissa sairauksissa ................................................................................................................ 132 Rajoitetusti peruskorvattavat lääkkeet ........................................................................ 153 Kliiniset ravintovalmisteet ........................................................................................... 156 Lääkekorvaukset ja -kustannukset lääkäreittäin ......................................................... 157 Lääkevaihto ja viitehintajärjestelmä ............................................................................ 158 4. KULUTUSLUVUT LÄÄKERYHMITTÄIN .................................................................... 163 Kulutustilastoinnissa käytetyt aineistot ja menetelmät ............................................... 170 Käytetyt lyhenteet ja symbolit ..................................................................................... 175 A Ruoansulatuselinten sairauksien ja aineenvaihdunta sairauksien lääkkeet ........... 176 B Veritautien lääkkeet ............................................................................................... 190 C Sydän- ja verisuonisairauksien lääkkeet ............................................................... 196 D Ihotautilääkkeet ..................................................................................................... 212 G Sukupuoli- ja virtsaelinten sairauksien lääkkeet, sukupuoli hormonit .................... 215 H Systeemisesti käytettävät hormonivalmisteet, lukuun ottamatta sukupuoli- hormoneja ja insuliineja ......................................................................................... 223 J Systeemisesti vaikuttavat infektiolääkkeet ............................................................ 226 L Syöpälääkkeet ja immuunivasteen muuntajat ....................................................... 237 M Tuki- ja liikuntaelinten sairauksien lääkkeet .......................................................... 246 N Hermostoon vaikuttavat lääkkeet .......................................................................... 254 P Loisten ja hyönteisten häätöön tarkoitetut valmisteet ........................................... 274 R Hengityselinten sairauksien lääkkeet .................................................................... 276 S Silmä- ja korvatautien lääkkeet ............................................................................. 287 V Muut ...................................................................................................................... 291 Itsehoitolääkkeiden apteekkimyynti ............................................................................ 293 Nikotiinikorvaushoito .................................................................................................. 303 Kuvat .......................................................................................................................... 305 LIITTEET ......................................................................................................................... 329 Liite 1 1.1.2016 voimaan tulleet ATC-luokituksen muutokset ......................................... 330 Liite 2 Valuuttakursseja 31.12.2015 ................................................................................ 331 Liite 3 Rahanarvon muuntokertoimet vuoden 2015 rahaksi 2007–2015......................... 331 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 Leena K. Saastamoinen, Annikka Kalliokoski, Jaana Martikainen, Tinna Voipio: Medicines in 2015.............................................................................................................. 31 1. FACTS ON FINLAND AND THE FINNISH HEALTH CARE SYSTEM ......................... 39 2. DRUG CONTROL AND PHARMACEUTICAL SERVICES .......................................... 45 Marketing authorisation ................................................................................................ 48 Special licences for non-registered medicinal products ............................................... 49 Clinical drug trials ......................................................................................................... 50 Distribution of medicine sales ....................................................................................... 52 Pharmacies and hospital pharmacies .......................................................................... 56 Marja Iso-Mustajärvi Procurement of medicines for hospitals, pharmaceutical formulary and adoption of new medicines into use ............................................................................................ 65 3. NATIONAL HEALTH INSURANCE AND REIMBURSEMENT OF MEDICINE EXPENSES .................................................................................................................
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