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Göteborgs universitets publikationer

Comparison of pharmaceutical policies to stimulate use of generics in Japan and Sweden

Författare och institution:
Shinobu Imai (Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa); Karolina Andersson Sundell (Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa); K. Fushimi (-)
Publicerad i:
Health Policy and Technology, 5 ( 2 ) s. 189-195
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
Objectives: Among OECD countries, the proportion of total expenditure on health spent on pharmaceuticals is highest in Japan, 20%. In Sweden, the corresponding proportion is 13%. Swedish pharmaceutical expenditures increased dramatically in the 1990s and policy changes were introduced to curb this. Both countries have introduced policy changes to increase cost containment. This study aims to compare the pharmaceutical policies regarding generic medicines in Japan and Sweden. Methods: Information on pharmaceutical policies was collected. We compared pharmaceutical policies according to the 4E (Education, Engineering, Economics, and Enforcement) component framework developed to describe the differences in policies. Results and conclusions: In Sweden, there were several organizational and managerial interventions within the Engineering class. Japan had several positive incentives for health care actors in the Economics category. The Enforcement category had a stronger legal component in Sweden compared to Japan. The Swedish policies were mainly directed towards prescribing and dispensing whereas the Japanese addressed several stakeholders to promote use of generic drugs. The countries were similar with respect to the Education category. Within the Enforcement component the Swedish policies were legally enforced whereas the Japanese to large extent were recommendations. (C) 2016 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Hälsovetenskaper ->
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Pharmaceutical policy, Generic substitution, Generic drugs, Japan, Sweden, 4E, health-care, cost-containment, substitution, expenditure, quality, society, europe, impact, Health Care Sciences & Services
Postens nummer:
Posten skapad:
2016-06-27 11:27

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