14/7/2015 Health Reform and Drug Financing. Selected Topics -
Health Economics and Drugs Series, No. 006: 3. Affordability and
efficiency: 3.1 Therapeutic
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Health Reform and Drug Financing. Selected Topics - Health
Economics and Drugs Series, No. 006
(1998; 49 pages) [French] [Spanish]
ndice de contenido
Acknowledgements
Executive summary
1. Introduction
2. Financing reforms
3. Affordability and efficiency
3.1 Therapeutic efficiency in drug selection and use
3.2 Cost-control measures
3.3 Affordability for consumers
4. Organizational reforms
Conclusions
References
Back Cover
3.1 Therapeutic efficiency in drug selection and use
Therapeutic efficiency, which stems from the appropriate choice
and use of drugs with proven safety and effectiveness, is key
to
the achievement of pharmaceutical policy objectives and should
lead to greater economic efficiencies in the health sector
through
the elimination of waste. However the reverse is not necessarily
true.
Changes in the health sector, including those associated with
competition and economic incentives in the private sector, can
lead
to improved flexibility and managerial efficiency, but may also
provide economic incentives for irrational prescribing and drug
use.
Any effort to improve the affordability, availability, and
quality of drugs - be it in the public or private sector - should
be
accompanied by sustained efforts to improve the rational use of
drugs. These measures are varied and include, but are not
limited
to, public and patient education, development of school
curricula on rational use, and prescriber training.
Because the achievement of public health goals requires
therapeutic efficiency, it is the responsibility of the government
to ensure
that rational drug use is promoted regardless of the mechanisms
selected for financing and providing drugs.
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