Cookies?
Library Header Image
LSE Research Online LSE Library Services

Pharmaceutical regulation in 15 European countries: review

Panteli, Dimitra, Arickx, Francis, Cleemput, Irina, Dedet, Guillaume, Eckhardt, Helene, Fogarty, Emer, Gerkens, Sophie, Henschke, Cornelia, Hislop, Jennifer, Jommi, Claudio, Kaitelidou, Daphne, Kawalec, Pawel, Keskimäki, Ilmo, Kroneman, Madelon, Lopez Bastida, Julio, Pita Barros, Pedro, Ramsberg, Joakim, Schneider, Peter, Spillane, Susan, Vogler, Sabine, Vuorenkoski, Lauri, Wallach Kildemoes, Helle, Wouters, Olivier J. and Busse, Reinhard (2016) Pharmaceutical regulation in 15 European countries: review. Health Systems in Transition, 18 (5). pp. 1-118. ISSN 1817-6119

[img]
Preview
PDF - Published Version
Download (2MB) | Preview

Identification Number: 16

Abstract

In the context of pharmaceutical care, policy-makers repeatedly face the challenge of balancing patient access to effective medicines with affordability and rising costs. With the aim of guiding the health policy discourse towards questions that are important to actual and potential patients, this study investigates a broad range of regulatory measures, spanning marketing authorization to generic substitution and resulting price levels in a sample of 16 European health systems (Austria, Belgium, Denmark, England, Finland, France, Germany, Greece, Ireland, Italy, the Netherlands, Poland, Portugal, Scotland, Spain and Sweden). All countries employ a mix of regulatory mechanisms to contain pharmaceutical expenditure and ensure quality and efficiency in pharmaceutical care, albeit with varying configurations and rigour. This variation also influences the extent of publicly financed pharmaceutical costs. Overall, observed differences in pharmaceutical expenditure should be interpreted in conjunction with the differing volume and composition of consumption and price levels, as well as dispensation practices and their impact on measurement of pharmaceutical costs. No definitive evidence has yet been produced on the effects of different cost-containment measures on patient outcomes. Depending on the foremost policy concerns in each country, different levers will have to be used to enable the delivery of appropriate care at affordable prices.

Item Type: Article
Official URL: http://www.euro.who.int/en/about-us/partners/obser...
Additional Information: © 2016 World Health Organization
Divisions: LSE
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Research centres and groups > LSE Health and Social Care
Date Deposited: 16 Nov 2016 10:53
Last Modified: 20 Oct 2019 02:31
URI: http://eprints.lse.ac.uk/id/eprint/68290

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics