Active pharmaceutical management strategies of health insurance systems to improve cost-effective use of medicines in low- and middle-income countries: A systematic review of current evidence
AbstractHealth insurance systems have great potential to improve the cost-effective use of medicines by leveraging better provider prescribing, more cost-effective use by consumers, and lower prices from industry. Despite ample evidence from high-income countries, little is known about insurance system strategies targeting medicines in low- and middle-income countries (LMIC). This paper provides a critical review of the literature on these strategies and their impacts in LMIC.
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Bibliographic InfoArticle provided by Elsevier in its journal Health Policy.
Volume (Year): 100 (2011)
Issue (Month): 2 ()
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Web page: http://www.elsevier.com/locate/healthpol
Essential medicines; Drug utilization; Health insurance; Health policy; Cost effectiveness;
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- Sun, Xiaoyun & Jackson, Sukhan & Carmichael, Gordon A. & Sleigh, Adrian C., 2009. "Prescribing behaviour of village doctors under China's New Cooperative Medical Scheme," Social Science & Medicine, Elsevier, vol. 68(10), pages 1775-1779, May.
- Dong, Hengjin & Bogg, Lennart & Rehnberg, Clas & Diwan, Vinod, 1999. "Association between health insurance and antibiotics prescribing in four counties in rural China," Health Policy, Elsevier, vol. 48(1), pages 29-45, July.
- Jürgen Maurer, 2008.
"Assessing horizontal equity in medication treatment among elderly Mexicans: which socioeconomic determinants matter most?,"
John Wiley & Sons, Ltd., vol. 17(10), pages 1153-1169.
- Jürgen Maurer, 2007. "Assessing Horizontal Equity in Medication Treatment Among Elderly Mexicans: Which Socioeconomic Determinants Matter Most?," MEA discussion paper series 07143, Munich Center for the Economics of Aging (MEA) at the Max Planck Institute for Social Law and Social Policy.
- Wagner, Anita K. & Graves, Amy Johnson & Reiss, Sheila K. & LeCates, Robert & Zhang, Fang & Ross-Degnan, Dennis, 2011. "Access to care and medicines, burden of health care expenditures, and risk protection: Results from the World Health Survey," Health Policy, Elsevier, vol. 100(2), pages 151-158.
- Pitaknetinan, Kitti & Tangcharoensathien, Viroj & Supachutikul, Anuwat & Bennett, Sara & Mills, Anne, 1999. "Profit, payment and pharmaceutical practices: perspectives from hospitals in Bangkok," Health Policy, Elsevier, vol. 46(3), pages 179-194, March.
- Saradamma, Rema Devi & Higginbotham, Nick & Nichter, Mark, 2000. "Social factors influencing the acquisition of antibiotics without prescription in Kerala State, south India," Social Science & Medicine, Elsevier, vol. 50(6), pages 891-903, March.
- Pagan, Jose A. & Ross, Sara & Yau, Jeffrey & Polsky, Daniel, 2006. "Self-medication and health insurance coverage in Mexico," Health Policy, Elsevier, vol. 75(2), pages 170-177, January.
- Quimbo, Stella A. & Peabody, John W. & Shimkhada, Riti & Woo, Kimberly & Solon, Orville, 2008. "Should we have confidence if a physician is accredited? A study of the relative impacts of accreditation and insurance payments on quality of care in the Philippines," Social Science & Medicine, Elsevier, vol. 67(4), pages 505-510, August.
- Mills, Anne & Bennett, Sara & Siriwanarangsun, Porntep & Tangcharoensathien, Viroj, 2000. "The response of providers to capitation payment: a case-study from Thailand," Health Policy, Elsevier, vol. 51(3), pages 163-180, April.
- Liu, Shuen-Zen & Romeis, James C., 2004. "Changes in drug utilization following the outpatient prescription drug cost-sharing program--evidence from Taiwan's elderly," Health Policy, Elsevier, vol. 68(3), pages 277-287, June.
- Tu, Feng & Tokunaga, Shoji & Deng, ZhouLu & Nobutomo, Koichi, 2002. "Analysis of hospital charges for cerebral infarction stroke inpatients in Beijing, People's Republic of China," Health Policy, Elsevier, vol. 59(3), pages 243-256, March.
- Adam Wagstaff, 2010. "Estimating health insurance impacts under unobserved heterogeneity: the case of Vietnam's health care fund for the poor," Health Economics, John Wiley & Sons, Ltd., vol. 19(2), pages 189-208.
- Yip, Winnie & Eggleston, Karen, 2004. "Addressing government and market failures with payment incentives: Hospital reimbursement reform in Hainan, China," Social Science & Medicine, Elsevier, vol. 58(2), pages 267-277, January.
- Fwu-Ranq Chang & Pravin K. Trivedi, 2003. "Economics of self-medication: theory and evidence," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 721-739.
- Sanita Hirunrassamee & Sauwakon Ratanawijitrasin, 2009. "Does your health care depend on how your insurer pays providers? Variation in utilization and outcomes in Thailand," International Journal of Health Care Finance and Economics, Springer, vol. 9(2), pages 153-168, June.
- Hotchkiss, David Richards & Hutchinson, Paul Lawrence & Malaj, Altin & Berruti, Andres Alejandro, 2005. "Out-of-pocket payments and utilization of health care services in Albania: Evidence from three districts," Health Policy, Elsevier, vol. 75(1), pages 18-39, December.
- Pérez-Cuevas, Ricardo & Guiscafré, Hector & Muñoz, Onofre & Reyes, Hortensia & Tomé, Patricia & Libreros, Vita & Gutiérrez, Gonzalo, 1996. "Improving physician prescribing patterns to treat rhinopharyngitis. Intervention strategies in two health systems of Mexico," Social Science & Medicine, Elsevier, vol. 42(8), pages 1185-1194, April.
- Dror, David Mark & Koren, Ruth & Ost, Alexander & Binnendijk, Erika & Vellakkal, Sukumar & Danis, Marion, 2007. "Health insurance benefit packages prioritized by low-income clients in India: Three criteria to estimate effectiveness of choice," Social Science & Medicine, Elsevier, vol. 64(4), pages 884-896, February.
- Yip, Winnie & Hsiao, William C., 2009. "Non-evidence-based policy: How effective is China's new cooperative medical scheme in reducing medical impoverishment?," Social Science & Medicine, Elsevier, vol. 68(2), pages 201-209, January.
- Kim, Han Joong & Chung, Woojin & Lee, Sang Gyu, 2004. "Lessons from Korea's pharmaceutical policy reform: the separation of medical institutions and pharmacies for outpatient care," Health Policy, Elsevier, vol. 68(3), pages 267-275, June.
- Wagner, Anita K. & Graves, Amy Johnson & Reiss, Sheila K. & LeCates, Robert & Zhang, Fang & Ross-Degnan, Dennis, 2011. "Access to care and medicines, burden of health care expenditures, and risk protection: Results from the World Health Survey," Health Policy, Elsevier, vol. 100(2-3), pages 151-158, May.
- Dror, David M. & Soriano, Elmer S. & Lorenzo, Marilyn E. & Sarol, Jesus Jr. & Azcuna, Rosebelle S. & Koren, Ruth, 2005. "Field based evidence of enhanced healthcare utilization among persons insured by micro health insurance units in Philippines," Health Policy, Elsevier, vol. 73(3), pages 263-271, September.
- Zhu, Minmin & Dib, Hassan H. & Zhang, Xinping & Tang, Shengchun & Liu, Liqun, 2008. "The influence of health insurance towards accessing essential medicines: The experience from Shenzhen labor health insurance," Health Policy, Elsevier, vol. 88(2-3), pages 371-380, December.
- Kaplan, Warren A. & Ritz, Lindsay Sarah & Vitello, Marie & Wirtz, Veronika J., 2012. "Policies to promote use of generic medicines in low and middle income countries: A review of published literature, 2000–2010," Health Policy, Elsevier, vol. 106(3), pages 211-224.
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