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Yet, most orphan drugs are reimbursed, which implies that other factors are taken into account at the time of reimbursement. To increase accountability of decision-makers, there is a need for more transparency in the factors that play a role in reimbursement decisions of orphan drugs. Therefore, the aim of this study is to use a combination of qualitative research methods to examine which official and non-official factors influence reimbursement decisions for orphan drugs in Belgium. Six semi-structured interviews with past or present members of the Drug Reimbursement Committee (DRC) were performed with a view to obtaining an overview of the potential factors influencing reimbursement.

Toutefois, 72160; des patients ayant utilis233; la dose de 200 mg estimaient que le m233;dicament avait am233;lior233; leur 233;rection (contre 26160; sous placebo), soit davantage que dans le groupe 224; 100 mg (61160;) et 224; 50 mg (52160;). L'effet du comprim233; 224; 200 mg 233;tait 233;galement plus prolong233; dans le temps, puisqu'il persistait encore plus de 6 heures apr232;s la prise, alors que l'effet d233;clinait nettement apr232;s 4 heures 224; 100 mg et 45 minutes 224; 50 mg. Je me souviens d‚une douce pr233;sence f233;minine d‚une grande beaut233. Une nurse de 20?ans, Catherine, que j‚appelais Kaki.]