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Day care
Day care comprises medical and paramedical services delivered to patients that are formally admitted for diagnosis, treatment or other types of…
De-listing (Delisting)
Exclusion of a medicine from a medicine list (e.g. positive list), often resulting in exclusion from reimbursement. In German: Delisting /…
Deductible
Initial expense up to a fixed amount which must be paid out-of pocket for a service or over a defined period of time by an insured person; then all…
Defined daily dose (DDD)
A unit of measurement to specify the assumed average maintenance dose per day for a medicines used for its main indication in the adult. A DDD will…
Delivery chain
A delivery chain is the system of organisations, people, technology, activities, information and resources involved in moving a product or service…
Demand
Schedule of quantities of a product (good/service) that potential buyer are willing and able to purchase at a given price during a certain period and…
Demand-side Measures
Policies that are directed at stakeholders who prescribe (doctors), dispense (pharmacies) or ask for medicines (patients). In German:…
Diagnosis related groups (DRG)
A classification system of hospital cases used to pay hospital services, regardless of the cost to the hospital to provide services. The system is…
Differential pricing
Cross-country approach of setting the price of medicine in accordance with the ability-to-pay, and/or the economic situation of the involved…
Direct payments
Payments for goods and services which are not covered by a third party payer (including self-medication).
Disability-adjusted life years (DALYs)
A measure of the burden of disease on a defined population and the effectiveness of the intervention. DALYs are advocates as an alternative to QALY…
Discount
A price reduction granted to specified purchasers under specific conditions prior to purchase.
Disease
A failure of the adaptive mechanisms of an organism to counteract adequately, normally or appropriately to stimuli and stresses to which the organism…
Disease-specific reimbursement
Eligibility for reimbursement is linked to the underlying disease which shall be treated.
Disinvestment
Disinvestment relates to the process of withdrawing health resources, either partially or completely, from existing healthcare practices (including…
Dispensing
To supply a clinically appropriate medicine to a patient or care giver, usually against a written prescription, for self-administration or…
Dispensing doctors
Physicians who have been granted the right to dispense medicines to their patients. In German: Hausapothekenführende/r / selbstdispensierende/r…
Dispensing fee
Normally a fixed fee that pharmacies are allowed to charge per prescribed item instead of or in addition to a percentage mark-up. The fee more…
Distance selling
Dispensing of pharmaceuticals via internet or posting services. In German: Versandhandel Ausgabe von Arzneimitteln über das Internet oder…
Distribution
The division and movement of medicines from the premises of the manufacturer of such products, or another central point, to the end user thereof, or…
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