Egyptian Healthcare System Overview
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Questions and Answers

What important aspect will guide price negotiations for procurement and reimbursement in the HTA process?

  • Market trends analysis
  • HTA recommendations from the value dossier appraisal (correct)
  • Initial submission review
  • Public opinion surveys
  • Which entity will be responsible for cost-effectiveness assessments once UHIA becomes the single payer?

  • MOHP
  • UHIA
  • UPA (correct)
  • The scientific committee
  • What is one of the anticipated challenges for the HTA process in Egypt?

  • Excessive transparency within the process
  • Abundant trained HTA professionals
  • Limited staff capacity for HTA within UPA (correct)
  • Public knowledge of the HTA process
  • What type of committee will assess the recommendations based on evidence evaluations from UPA?

    <p>Scientific committee</p> Signup and view all the answers

    Which of the following roles will UHIA undertake in the HTA process?

    <p>Budget impact analysis</p> Signup and view all the answers

    Why is transparency considered crucial in the HTA process?

    <p>To foster community buy-in</p> Signup and view all the answers

    What is one factor contributing to the limited supply of trained HTA professionals in Egypt?

    <p>Fewer postgraduate courses related to HTA practice</p> Signup and view all the answers

    What will the UPA update to the company based on the scientific committee’s recommendation?

    <p>The approval status of the submission</p> Signup and view all the answers

    What is necessary to ensure the sustainability of HTA processes?

    <p>Dependence on public investment</p> Signup and view all the answers

    What is currently causing inefficiencies in the HTA process in Egypt?

    <p>Mismatch in stakeholder expectations</p> Signup and view all the answers

    Which phase is Egypt currently in regarding HTA reform?

    <p>Agenda Setting/Policy Formulation stage</p> Signup and view all the answers

    What is vital for HTA reports after they are reviewed and finalized?

    <p>They should become evidence-based and public</p> Signup and view all the answers

    What is one of the key conditions for stakeholders to support the HTA process?

    <p>Transparency in processes and decision-making</p> Signup and view all the answers

    What is suggested for the HTA policy formulation to effectively adapt over time?

    <p>Simplicity in initial processes with adaptability</p> Signup and view all the answers

    Why is engagement from the wider HTA community important in Egypt's reform process?

    <p>To ensure buy-in and validity of HTA processes</p> Signup and view all the answers

    How can Egypt overcome limited internal capacity for HTA institutionalization?

    <p>By collaborating with stakeholders and academic experts</p> Signup and view all the answers

    What percentage of total health expenditure in Egypt is represented by pharmaceutical expenditure?

    <p>32%</p> Signup and view all the answers

    What is the purpose of the Egyptian Authority for Unified Procurement, Medical Supply and the Management of Medical Technology (UPA)?

    <p>To facilitate universal health coverage through strategic procurement.</p> Signup and view all the answers

    Which new regulatory body was established in Egypt in 2019 to oversee pharmaceutical and cosmetic products?

    <p>Egyptian Drug Authority</p> Signup and view all the answers

    How does external price referencing (ERP) affect pharmaceutical prices in Egypt?

    <p>It results in higher prices compared to other healthcare services.</p> Signup and view all the answers

    What is one of the main roles of the UPA in relation to health technologies?

    <p>To ensure cost-effective procurement and negotiate prices.</p> Signup and view all the answers

    Which type of products is currently evaluated by the draft HTA process being developed by the UPA?

    <p>First to market pharmaceuticals with significant budget impact.</p> Signup and view all the answers

    Which of the following statements about the healthcare system in Egypt is true?

    <p>Pharmaceuticals represent a larger share of household expenditures compared to other healthcare services.</p> Signup and view all the answers

    What initiative is Egypt pursuing to move beyond ERP in its pharmaceutical pricing strategy?

    <p>Introducing value assessment mechanisms like HTA processes.</p> Signup and view all the answers

    What is the main goal of the Universal Health Insurance (UHI) system in Egypt?

    <p>To ensure equitable access to healthcare services</p> Signup and view all the answers

    Which organization primarily funds and provides subsidized healthcare services in the public sector of Egypt?

    <p>Ministry of Health and Population (MOHP)</p> Signup and view all the answers

    What does the Universal Health Insurance Law of 2018 establish?

    <p>The creation of the Universal Health Insurance Agency (UHIA)</p> Signup and view all the answers

    What is a key characteristic of the healthcare system in Egypt?

    <p>It features a complex and fragmented structure.</p> Signup and view all the answers

    What role will the General Authority Health Care (GAHC) fulfill in the new structure of Egypt's healthcare system?

    <p>To provide primary, secondary, and tertiary healthcare services</p> Signup and view all the answers

    How is the Universal Health Insurance scheme intended to be funded?

    <p>Through citizen-paid premiums, government subsidization, and taxes</p> Signup and view all the answers

    What is the intended role of the Universal Health Insurance Agency (UHIA)?

    <p>To purchase services and manage the UHI fund</p> Signup and view all the answers

    What phase is the implementation of the Universal Health Insurance system scheduled to be completed by?

    <p>2032</p> Signup and view all the answers

    Study Notes

    Egyptian Healthcare System

    • Egypt aims for universal health coverage by 2030, but the system is complex, with both public and private sectors.
    • The Ministry of Health and Population (MOHP) manages public health services.
    • A separate health insurance organization (HIO) provides compulsory insurance to most formal sector workers.
    • The Universal Health Insurance (UHI) program, established in 2018, seeks to restructure healthcare.
    • Aims are to equitably provide healthcare to everyone and reduce out-of-pocket expenses.
    • Funding will come from citizen premiums, government subsidies, and taxes.
    • The program is expected to be fully implemented in six phases by 2032.

    UHI System Structure

    • UHI aims to separate the payer-provider system away from the dominance of public providers.
    • The UHI Law of 2018 (Law No. 2/2018) created the UHI Agency (UHIA), the General Authority of Health Care (GAHC), and the General Authority for Healthcare Accreditation and Regulation (GAHAR).
    • The UHIA will purchase services, manage funds, and purchase private insurance services.
    • The GAHC will provide primary, secondary and tertiary care as a public service.
    • The GAHAR is the regulatory body overseeing medical and clinical quality.

    Pharmaceutical Costs

    • Pharmaceutical costs in Egypt represent a significant portion of health budgets (32% of total health expenditure and 43% of household expenditures)—higher than other similar Middle Eastern countries.
    • External price referencing (ERP) is linked to these high pharmaceutical prices compared to non-pharmaceutical items.
    • Egypt is a leader in the region in trying to move toward value-based assessment methods, away from ERP.

    Egyptian Authority for Unified Procurement (UPA)

    • UPA, established in 2019, plays a key role in managing medical supplies, equipment, and pharmaceuticals.
    • Focuses on promoting cost-effective medical technology procurement.
    • Evaluates products that are new to the market and have a major impact on healthcare budgets.
    • A draft HTA process is being developed that prioritizes medicines and innovative products.
    • Cooperation between the UHIA and UPA will be essential in HTA process to guide price negotiations.

    HTA Process Challenges

    • HTA (health technology assessment) processes are not fully established in Egypt, with some noted challenges.
    • Lack of complete process, transparency and clarity for all stakeholders.
    • Limited staff with expertise in HTA poses a barrier to implementation.
    • Funding challenges restrict the HTA program expansion.
    • Possible conflicts may arise in expectations across stakeholders.

    HTA Process Next Steps

    • The process will include evaluation, pricing, and committee recommendations, with a focus on transparency and stakeholder engagement.
    • The process aims to be inclusive of patient and public input to ensure wider buy-in.
    • Egypt is a leading reference country in the region for developing and implementing HTA processes.

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    Description

    Explore the complexities of Egypt's healthcare system aimed at achieving universal health coverage by 2030. This quiz covers the roles of key organizations, the structure of the Universal Health Insurance program, and its funding mechanisms. Understand how these changes are expected to impact healthcare accessibility and financing.

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