کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
988582 935351 2012 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pharmaceutical Cost-Containment Policies and Sustainability: Recent Irish Experience
ترجمه فارسی عنوان
سیاست مهار هزینه دارویی و توسعه پایدار: آخرین تجربه ایرلندی
کلمات کلیدی
طرح های دارویی جامعه؛ سیاست های مهار هزینه؛ هزینه های دارویی؛ بهره وری؛ گزینه؛ پایداری
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی

ObjectiveOur objective is to review and assess the main pharmaceutical cost-containment policies used in Ireland in recent years, and to highlight how a policy that improved fiscal sustainability but worsened economic sustainability could have improved both if an option-based approach was implemented.MethodThe main public pharmaceutical cost-containment policy measures including reducing the ex-factory price of drugs, pharmacy dispensing fees and community drug scheme coverage, and increasing patient copayments are outlined along with the resulting savings. We quantify the cost implications of a new policy that restricts the entitlement to free prescription drugs of persons older than 70 years and propose an alternative option-based policy that reduces the total cost to both the state and the patient.ResultsThis set of policy measures reduced public spending on community drugs by an estimated €380m in 2011. The policy restricting free prescription drugs for persons older than 70 years, though effective in reducing public cost, increased the total cost of the drugs supplied. The policy-induced cost increase stems from a fees anomaly between the two main community drugs schemes which is circumvented by our alternative option-based policy.ConclusionsOur findings highlight the need for policymakers, even when absorbed with reducing cost, to design cost-containment policies that are both fiscally and economically sustainable.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Value in Health - Volume 15, Issue 2, March–April 2012, Pages 389–393
نویسندگان
, ,