Disease landscape

Diabetes Mellitus

In the Visegrad Group (V4) countries, moderate to severe limitations in access to both the diagnosis and treatment of diabetes were identified. At the same time, clear differences between countries are observed—the score for Poland is 44 points, while Slovakia and the Czech Republic score 65–68 points. The main drivers of the low rating are limited access to approved medicines due to a lack of reimbursement or strict reimbursement restrictions, as well as a low proportion of patients treated with selected GLP-1 therapies.

Cross-Country

General GAP for Diabetes Mellitus

Poland

43.9

Hungary

53.2

Czechia

68.2

Slovakia

64.8

High Medium Low

Compliance with guidelines

Positive recommendations were found in clinical practice guidelines for 22 of the assessed molecules or their combinations, and a significant inequality between countries was observed in the V4 region. The availability of recommended drugs in the reimbursement framework is less than 50% in Poland and about 70-80% in the other countries.

From registration to reimbursement

Population burden

DALY* - Rate per 100k

*disability adjusted life-years

Target population

Diabetes type 2 prevalence

Estimated diabetes prevalence (GBD).

Drug access

Number of patientS treated (2024)

Drug access

POPULATION treated with selected glp-1 (%)

Main issues

The average time to reimbursement for diabetes drugs in the V4 countries is 2.6 years. The difference between the shortest and the longest mean time to reimbursement among the countries is 5.2 years.
The uptake of selected GLP-1 drugs is low at less than 10% of the population with type II diabetes.
DALY (disability adjusted life years) burden in the V4 countries, apart from Slovakia, is clearly higher than the European Union average. An increasing trend of DALY burden was observed in 1995-2019 in V4 countries, which is in line with the observations for the EU.

Project

We measured the gap in innovative drug access and diagnostics in selected therapeutic areas in the Visegrád (V4) countries (Poland, Hungary, Czechia and Slovakia).

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