Policy objective of generic medicines from the investment perspective: The case of clopidogrel
  • Metaadatok
Tartalom: http://real.mtak.hu/64124/
Archívum: MTA Könyvtár
Gyűjtemény: Status = Published


Type = Article
Cím:
Policy objective of generic medicines from the investment perspective: The case of clopidogrel
Létrehozó:
Elek, PĂ©ter
Harsányi, András
Zelei, Tamás
Csetneki, Kata
Kaló, Zoltán
Kiadó:
Elsevier
Dátum:
2017
Téma:
RA0421 Public health. Hygiene. Preventive Medicine / közegészségügy, higiénia, betegség-megelőzés
RS Pharmacy and materia medica / gyógyszerészet, gyógyászati eszközök
Tartalmi leírás:
The objective of generic drug policies in most countries is defined from a disinvestment perspective: reduction in expenditures without compromising health outcomes. However, in countries with restricted access of patients to original patented drugs, the objective of generic drug policies can also be defined from an investment perspective: health gain by improved patient access without need for additional health budget. This study examines the investment aspect of generic medicines by analyzing clopidogrel utilization in European countries between 2004 and 2014 using multilevel panel data models. We find that clopidogrel consumption was strongly affected by affordability constraints before the generic entry around 2009, but this effect decayed by 2014. After controlling for other variables, utilization had a substantially larger trend increase in lower-income European countries than in the higher-income ones. Generic entry increased clopidogrel consumption only in lower- and average-income countries but not in the highest-income ones. An earlier generic entry was associated with a larger effect. The case of clopidogrel indicates that the entrance of generics may increase patient access to effective medicines, most notably in lower-income countries, thereby reducing inequalities between European patients. Policymakers should also consider this investment aspect of generic medicines when designing pharmaceutical policies.
Nyelv:
angol
Típus:
Article
PeerReviewed
info:eu-repo/semantics/article
Formátum:
text
Azonosító:
Elek, Péter and Harsányi, András and Zelei, Tamás and Csetneki, Kata and Kaló, Zoltán (2017) Policy objective of generic medicines from the investment perspective: The case of clopidogrel. HEALTH POLICY, 121 (5). pp. 558-565. ISSN 0168-8510
Kapcsolat:
https://doi.org/10.1016/j.healthpol.2017.02.015
MTMT:3222035; doi:10.1016/j.healthpol.2017.02.015