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- Las personas que sufren de hipertensión arterial, diabetes mellitus y depresión pueden recuperar su capacidad productiva con un adecuado diagnóstico y tratamiento, según se detalló en el 1er Simposio de Inversión en Salud.
- El desempeño en salud del Perú se encuentra por debajo del promedio de la región, mientras que en innovación nos ubicamos en la media de la región (36%), de acuerdo a informe elaborado por FIFARMA.
Lima, 1 de marzo del 2023.- Invertir en salud en el Perú es altamente rentable, pues los beneficios de diagnosticar y tratar a tiempo determinadas enfermedades por parte del Ministerio de Salud superan con creces los costos en los que se incurre. Ello permite recuperar la capacidad productiva de las personas, dinamizando la economía, de acuerdo a los estudios presentados en el 1er Simposio de Inversión en Salud, organizado por la Federación Latinoamericana de la Industria Farmacéutica (FIFARMA) y la Asociación Nacional de Laboratorios Farmacéuticos (ALAFARPE).
En el estudio “Salud como inversión”, elaborado por el economista Pablo Lavado, se determinó que la Tasa Interna de Retorno por persona en el caso de la hipertensión arterial es del 59%. Esto quiere decir que la mejora en la productividad del paciente supera lo invertido en su diagnóstico y tratamiento. Más aún, si se mide en términos del aporte total a la economía que representa más de 28 mil millones de soles (3.1% del PBI del 2022). Esta cifra es más significativa si se tiene en cuenta que se trata de una enfermedad crónica con una edad promedio de diagnóstico de 45 años. Para efectos del estudio, se consideró una productividad hasta la jubilación (65 años).
Para la diabetes mellitus, la Tasa Interna de Retorno es del 52%, considerada altamente rentable en términos económicos, con un aporte total a la economía de 16 mil millones de soles. Dicha inversión se convierte no solo en una mejora en la capacidad productiva de cada paciente, sino en el aporte que genera a su economía familiar y calidad de vida. El diagnóstico promedio de esta enfermedad crónica también se da alrededor de los 45 años.
Resulta relevante la Tasa Interna de Retorno por persona para el caso de las enfermedades de salud mental, como la depresión, que alcanza el 95%, constituyendo la patología con más alto retorno para el paciente con relación al costo del diagnóstico y tratamiento brindado por el MINSA. Siendo el aporte total a la economía de más de 612 mil millones de soles. Esto refleja que es altamente beneficioso para el Estado invertir oportunamente en salud mental, al igual que en el resto de las enfermedades. Cabe señalar que la edad promedio de diagnóstico de la depresión es a los 20 años; ello significa que el paciente debidamente tratado tiene una mejora en su productividad por una mayor cantidad de años.
“Un paciente tratado tiene una mejora significativa en su productividad; es decir, genera mayores ingresos para sí mismo, para su familia y aporta a la economía del país. Ello demuestra los efectos positivos que tiene invertir en tratamientos y diagnósticos para los pacientes, el sistema de salud y el aparato productivo del país, por ejemplo, a través de Mecanismos Diferenciados de Adquisición (MDA) que permitan utilizar los recursos públicos con eficacia. Existe una lógica financiera detrás, por lo que debe considerarse a la salud como una inversión”, manifestó Ángela Flores, directora ejecutiva de ALAFARPE.
El estudio “Salud como inversión” se encuentra en proceso de desarrollo por parte de Pablo Lavado, ex viceministro de Prestaciones y Aseguramiento en Salud y miembro del Centro de Investigación, profesor asociado y vicedecano del Departamento de Economía de la Universidad del Pacífico.
Desempeño e innovación en salud en el Perú
Durante el evento, se presentó también un avance de los resultados del Panorama de Innovación en Salud (Health Innovation Outlook-HIO) 2023, realizado por FIFARMA e INNOS de la Universidad del Bosque.
En términos de desempeño en salud, Perú se encuentra por debajo del promedio de la región, ya que su puntuación es del 37%, mientras que la media regional es del 45%. Respecto a la dimensión de innovación, Perú tiene un desempeño general del 37%, similar a la media de la región, que es de 36%. Además, es importante señalar que Perú tiene uno de los niveles de gasto en salud como porcentaje del PBI más bajos de la región, con un desempeño del 19%.
Entre las principales fortalezas de nuestro país figuran: una baja mortalidad por cardiopatía isquémica y prevalencia de hipertensión y, un desempeño arriba de la media en la ratio de transferencias gubernamentales sobre el gasto total en salud. Asimismo, el país es líder regional en el manejo de la obesidad y sobrepeso en varones adultos.
“El Panorama de Innovación en Salud 2023 es uno de los estudios más completos que se ha realizado en América Latina, consistente en el análisis e integración de 56 indicadores, para comparar el desempeño de 11 países de la región en dos dimensiones: salud e innovación”, precisó Yaneth Giha, directora ejecutiva de Fifarma.
En mayo próximo se conocerá el estudio completo para los demás países incluidos, el cual es realizado por expertos académicos y se constituye como una herramienta invaluable para el desarrollo de los ecosistemas de salud en América Latina.
El valor de la innovación en salud
El tercer informe presentado en el Simposio de Inversión en Salud fue elaborado por APOYO Consultoría y constituye la primera parte del Estudio “Análisis del valor de la innovación en salud”, en el que se determinó que las brechas en salud afectan el acceso al tratamiento y diagnóstico oportuno. En el Perú, los años de vida perdidos por enfermedades de alto riesgo, como el cáncer, enfermedad renal y diabetes, es hasta 35% más que en otros países de la región como Colombia y Chile.
Según Miguel Figallo, director de proyectos de APOYO Consultoría, quien está a cargo del estudio, parte de la solución a estas brechas es la adopción oportuna de innovación. “De acuerdo con la OMS, la innovación en salud mejora la eficiencia, eficacia, calidad, sostenibilidad, seguridad y/o asequibilidad de la atención médica. La adopción estratégica de la innovación puede generar mejores tratamientos y menores costos por paciente”, agregó.
En cuanto a dispositivos médicos, el Perú se encuentra rezagado respecto a estándares de referencia internacionales. Desde 1980, en el Perú se han aprobado 22 mil registros sanitarios para dispositivos médicos cuando en EE.UU. son 158 mil y en otros países de la región como Ecuador y Colombia son 99 mil y 45 mil, respectivamente.
Al respecto, el primer petitorio aprobado en Perú sobre dispositivos, que refleja solo el listado esencial, es aún muy lejano a las recomendaciones de la Organización Panamericana de Salud (OPS). Considera esenciales 139 dispositivos médicos, casi un tercio de lo recomendado por la OPS para el primer nivel de atención (337).
Los Mecanismos Diferenciados de Adquisición (MDA)
Finalmente, Ana Amaris, Asesora Técnica de Management Sciences for Health, presentó una revisión de distintos casos aplicados de utilización de los MDA tanto en países desarrollados, como en vías de desarrollo. Asimismo, señaló 10 consideraciones técnicas para desarrollar acuerdos efectivos, útiles para nuestro país dada la incorporación de estos mecanismos en la Ley Nacional de Cáncer.
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04/10/2023
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03/10/2023
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