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Pharmaceutical Policies in OECD Countries: Reconciling Social and Industrial Goals

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  • S. Jacobzone
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    Abstract

    Regulation of the pharmaceutical sector needs to reconcile private and social objectives. Public intervention pursues multiple goals which relate to both health and industry policy. Many OECD Governments are also heavily involved as buyers of pharmaceuticals in publicly-financed health care systems. This paper describes recent trends in pharmaceutical expenditure and financing in a first chapter. A second chapter discusses the economics of pharmaceutical markets. A third chapter provides a review of national policies and their attempts to balance public and private objectives. Pharmaceutical expenditure has been rising steadily as a share of GDP since 1970. However, total health expenditure has also risen. As a result, pharmaceutical expenditure has, on average, maintained its share of total health expenditure in the OECD, close to 15 %. Across countries, pharmaceutical expenditure per capita depends on relative incomes but is also influenced by institutional features. The pharmaceutical ... La régulation du secteur pharmaceutique doit réconcilier des objectifs sociaux et privés. L'intervention publique poursuit des objectifs multiples, relatifs tant à la politique de santé qu'à la politique industrielle. De nombreux gouvernements de l'OCDE sont également profondément engagés en tant qu'acheteurs de médicaments dans des systèmes de santé financés sur fonds publics. Dans un premier chapitre, cette etude décrit des tendances récentes des dépenses pharmaceutiques et du financement. Un second chapitre discute l'économie des marchés du médicament. Un troisième chapitre offre une revue des politiques nationales et de leurs efforts pour équilibrer les objectifs publics et privés. Les dépenses pharmaceutiques ont vu leur part du PIB s'accroître constamment depuis 1970. Cependant, la part des dépenses de santé s'est aussi accrue. Il en résulte que les dépenses de médicament ont dans l'ensemble maintenu leur part au sein des dépenses de santé, proche de 15 %. Les dépenses de ...

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    Bibliographic Info

    Paper provided by OECD Publishing in its series OECD Labour Market and Social Policy Occasional Papers with number 40.

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    Date of creation: 17 Apr 2000
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    Handle: RePEc:oec:elsaaa:40-en

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    Cited by:
    1. Emmanuelle Auriol & Pierre M. Picard, 2009. "Government Outsourcing: Public Contracting with Private Monopoly," Economic Journal, Royal Economic Society, vol. 119(540), pages 1464-1493, October.
    2. Laura Magazzini & Fabio Pammolli & Massimo Riccaboni, 2004. "Dynamic competition in pharmaceuticals," The European Journal of Health Economics, Springer, vol. 5(2), pages 175-182, May.
    3. Jean O. Lanjouw, 2005. "Patents, Price Controls, and Access to New Drugs: How Policy Affects Global Market Entry," NBER Working Papers 11321, National Bureau of Economic Research, Inc.
    4. Antonio Cabrales, 2003. "Pharmaceutical generics, vertical product differentiation and public policy," Working Papers, Research Center on Health and Economics 662, Department of Economics and Business, Universitat Pompeu Fabra.
    5. Eric de Laat & Rudy Douven & Esther Mot & F. Windmeijer, 2004. "Pharmaceutical promotion and GP prescription behaviour," CPB Discussion Paper 30, CPB Netherlands Bureau for Economic Policy Analysis.
    6. Klaus Desmet & Clara Eugenia García & Praveen Kujal & Félix Lobo, 2003. "Implementing R&D Policies: An Analysis Of Spain’S Pharmaceutical Research Program," Economics Working Papers we035923, Universidad Carlos III, Departamento de Economía.
    7. Antonio Giuffrida, 2001. "Learning from the Experience: The Inter-American Development Bank and Pharmaceuticals," IDB Publications 53858, Inter-American Development Bank.
    8. Gambardella, Alfonso & Orsenigo, Luigi & Pammolli, Fabio, 2000. "Global Competitiveness in Pharmaceuticals: A European Perspective," MPRA Paper 15965, University Library of Munich, Germany.
    9. Christel Lane & Jocelyn Probert, 2003. "Globalisation and Its Impact on Competitiveness: the Case of the British and German Pharmaceutical Industry," ESRC Centre for Business Research - Working Papers wp262, ESRC Centre for Business Research.
    10. Vincenzo Atella & Peter R. Noyce & Ellen Schafheutle & Karen Hassell, 2005. "Affordability of Medicines and Patients' Cost Reduction Behaviors: Empirical Evidence Based on SUR Estimates from Italy and the United Kingdom," CEIS Research Paper 71, Tor Vergata University, CEIS.
    11. Emma Verastegui & Alejandro Mohar, 2010. "Colorectal cancer in Mexico: should a middle income country invest in screening or in treatment?," The European Journal of Health Economics, Springer, vol. 10(1), pages 107-114, January.
    12. John Yfantopoulos, 2008. "Pharmaceutical pricing and reimbursement reforms in Greece," The European Journal of Health Economics, Springer, vol. 9(1), pages 87-97, February.
    13. Vincenzo Atella & Franco Peracchi & Domenico Depalo & Claudio Rossetti, 2006. "Drug compliance, co-payment and health outcomes: evidence from a panel of Italian patients," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 875-892.
    14. Konigbauer, Ingrid, 2007. "Advertising and generic market entry," Journal of Health Economics, Elsevier, vol. 26(2), pages 286-305, March.

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