Matches in SemOpenAlex for { <https://semopenalex.org/work/W2465915100> ?p ?o ?g. }
Showing items 1 to 72 of
72
with 100 items per page.
- W2465915100 endingPage "A570" @default.
- W2465915100 startingPage "A570" @default.
- W2465915100 abstract "Developing countries moving to universal coverage seek to increase medicine access. They face the problem of determining which medicines to reimburse and how to set price and access for them. Medicine price and access are set by many organisations in developing countries - ministry of health, hospitals, national/regional payers and procurement bodies - with limited or no data on prices and utilisation. This leads to a fragmented system with widely varying price and access levels within the same country. Ad hoc solutions such as median pricing, international price referencing (IRP), HTA or arbitrary price cuts, with no overarching framework or logic, exacerbate the problems leading to supply shortages, poor quality, irrational use and continuing large differences in price and access. There is no consistent mechanism for setting price and access for innovative medicines. In the few countries performing cost-effectiveness assessments, these medicines are almost never found to be cost effective at local thresholds. In this paper, we lay out a structured Pricing and Patient Access (PPA) framework that empowers countries with effective approaches and tools to price medicines. These include competitive pricing for generics and setting price/access based on benefit assessment for patented medicines. Specific tools such as IRP, therapeutic referencing and price-volume/risk-share negotiations and managed entry agreements can then be used within this overall framework to improve access to priority medicines. While many of these tools exist in developed countries, we develop specific adaptations for developing countries. Further, building of such systems faces obstacles such as a cognitive disconnect between what stakeholders think they know and what they really know about PPA, institutional fragmentation, stakeholder buy-in and limited local capabilities (number of staff, skills, IT systems to track price and utilisation). To address these we also lay out a pathway to reform that addresses each of these issues." @default.
- W2465915100 created "2016-07-22" @default.
- W2465915100 creator A5017336525 @default.
- W2465915100 creator A5066068173 @default.
- W2465915100 date "2015-11-01" @default.
- W2465915100 modified "2023-09-30" @default.
- W2465915100 title "Reforming Drug Pricing and Patient Access Systems to Support Universal Coverage In Developing Countries" @default.
- W2465915100 doi "https://doi.org/10.1016/j.jval.2015.09.1878" @default.
- W2465915100 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26533204" @default.
- W2465915100 hasPublicationYear "2015" @default.
- W2465915100 type Work @default.
- W2465915100 sameAs 2465915100 @default.
- W2465915100 citedByCount "0" @default.
- W2465915100 crossrefType "journal-article" @default.
- W2465915100 hasAuthorship W2465915100A5017336525 @default.
- W2465915100 hasAuthorship W2465915100A5066068173 @default.
- W2465915100 hasBestOaLocation W24659151001 @default.
- W2465915100 hasConcept C100001284 @default.
- W2465915100 hasConcept C118518473 @default.
- W2465915100 hasConcept C136764020 @default.
- W2465915100 hasConcept C144133560 @default.
- W2465915100 hasConcept C162324750 @default.
- W2465915100 hasConcept C162853370 @default.
- W2465915100 hasConcept C17744445 @default.
- W2465915100 hasConcept C18903297 @default.
- W2465915100 hasConcept C199539241 @default.
- W2465915100 hasConcept C199776023 @default.
- W2465915100 hasConcept C201650216 @default.
- W2465915100 hasConcept C2777481183 @default.
- W2465915100 hasConcept C41008148 @default.
- W2465915100 hasConcept C50522688 @default.
- W2465915100 hasConcept C83864248 @default.
- W2465915100 hasConcept C86803240 @default.
- W2465915100 hasConcept C99527880 @default.
- W2465915100 hasConceptScore W2465915100C100001284 @default.
- W2465915100 hasConceptScore W2465915100C118518473 @default.
- W2465915100 hasConceptScore W2465915100C136764020 @default.
- W2465915100 hasConceptScore W2465915100C144133560 @default.
- W2465915100 hasConceptScore W2465915100C162324750 @default.
- W2465915100 hasConceptScore W2465915100C162853370 @default.
- W2465915100 hasConceptScore W2465915100C17744445 @default.
- W2465915100 hasConceptScore W2465915100C18903297 @default.
- W2465915100 hasConceptScore W2465915100C199539241 @default.
- W2465915100 hasConceptScore W2465915100C199776023 @default.
- W2465915100 hasConceptScore W2465915100C201650216 @default.
- W2465915100 hasConceptScore W2465915100C2777481183 @default.
- W2465915100 hasConceptScore W2465915100C41008148 @default.
- W2465915100 hasConceptScore W2465915100C50522688 @default.
- W2465915100 hasConceptScore W2465915100C83864248 @default.
- W2465915100 hasConceptScore W2465915100C86803240 @default.
- W2465915100 hasConceptScore W2465915100C99527880 @default.
- W2465915100 hasIssue "7" @default.
- W2465915100 hasLocation W24659151001 @default.
- W2465915100 hasOpenAccess W2465915100 @default.
- W2465915100 hasPrimaryLocation W24659151001 @default.
- W2465915100 hasRelatedWork W110272138 @default.
- W2465915100 hasRelatedWork W1488479267 @default.
- W2465915100 hasRelatedWork W1510715609 @default.
- W2465915100 hasRelatedWork W1525079208 @default.
- W2465915100 hasRelatedWork W2026675990 @default.
- W2465915100 hasRelatedWork W2062989495 @default.
- W2465915100 hasRelatedWork W2608109274 @default.
- W2465915100 hasRelatedWork W285629161 @default.
- W2465915100 hasRelatedWork W3124597600 @default.
- W2465915100 hasRelatedWork W3126144718 @default.
- W2465915100 hasVolume "18" @default.
- W2465915100 isParatext "false" @default.
- W2465915100 isRetracted "false" @default.
- W2465915100 magId "2465915100" @default.
- W2465915100 workType "article" @default.