IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0179479.html
   My bibliography  Save this article

The reasons behind medicine shortages from the perspective of pharmaceutical companies and pharmaceutical wholesalers in Finland

Author

Listed:
  • Kati Heiskanen
  • Riitta Ahonen
  • Risto Kanerva
  • Pekka Karttunen
  • Johanna Timonen

Abstract

The aim of this study was to explore the reasons behind medicine shortages from the perspective of pharmaceutical companies and pharmaceutical wholesalers in Finland. The study took the form of semi-structured interviews. Forty-one pharmaceutical companies and pharmaceutical wholesalers were invited to participate in the study. The pharmaceutical companies were the member organizations of Pharma Industry Finland (PIF) (N = 30) and the Finnish Generic Pharmaceutical Association (FGPA) (N = 7). One company which is a central player in the pharmaceutical market in Finland but does not belong to PIF or FGPA was also invited. The pharmaceutical wholesalers were those with a nationwide distribution network (N = 3). A total of 30 interviews were conducted between March and June 2016. The data were subjected to qualitative thematic analysis. The most common reasons behind medicine shortages in Finland were the small size of the pharmaceutical market (29/30), sudden or fluctuating demand (28/30), small stock sizes (25/30), long delivery time (23/30) and a long or complex production chain (23/30). The reasons for the medicine shortages were supply-related more often than demand-related. However, the reasons were often complex and there was more than one reason behind a shortage. Supply-related reasons behind shortages commonly interfaced with the country-specific characteristics of Finland, whereas demand-related reasons were commonly associated with the predictability and attractiveness of the market. Some reasons, such as raw material shortages, were considered global and thus had similar effects on other countries.

Suggested Citation

  • Kati Heiskanen & Riitta Ahonen & Risto Kanerva & Pekka Karttunen & Johanna Timonen, 2017. "The reasons behind medicine shortages from the perspective of pharmaceutical companies and pharmaceutical wholesalers in Finland," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-14, June.
    • Handle: RePEc:plo:pone00:0179479
    DOI: 10.1371/journal.pone.0179479
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0179479
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0179479&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0179479?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    2. Heiskanen, K. & Ahonen, R. & Karttunen, P. & Kanerva, R. & Timonen, J., 2015. "Medicine shortages – A study of community pharmacies in Finland," Health Policy, Elsevier, vol. 119(2), pages 232-238.
    3. Dylst, Pieter & Vulto, Arnold & Simoens, Steven, 2011. "Tendering for outpatient prescription pharmaceuticals: What can be learned from current practices in Europe?," Health Policy, Elsevier, vol. 101(2), pages 146-152, July.
    4. Petronille Bogaert & Tomasz Bochenek & Anna Prokop & Andrzej Pilc, 2015. "A Qualitative Approach to a Better Understanding of the Problems Underlying Drug Shortages, as Viewed from Belgian, French and the European Union’s Perspectives," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-20, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Vogler, Sabine & Fischer, Stefan, 2020. "How to address medicines shortages: Findings from a cross-sectional study of 24 countries," Health Policy, Elsevier, vol. 124(12), pages 1287-1296.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Said, André & Goebel, Ralf & Ganso, Matthias & Zagermann-Muncke, Petra & Schulz, Martin, 2018. "Drug shortages may compromise patient safety: Results of a survey of the reference pharmacies of the Drug Commission of German Pharmacists," Health Policy, Elsevier, vol. 122(12), pages 1302-1309.
    2. Sapanna Laysiriroj & Walter Wehrmeyer, 2020. "Intergenerational differences of CSR activities in family-run businesses in eastern Thailand," Asian Journal of Sustainability and Social Responsibility, Springer, vol. 5(1), pages 1-15, December.
    3. Maider Belintxon & Nisha Dogra & Paula McGee & Maria Jesus Pumar‐Mendez & Olga Lopez‐Dicastillo, 2020. "Encounters between children's nurses and culturally diverse parents in primary health care," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 273-282, June.
    4. Emmanuel Songsore & Michael Buzzelli, 2016. "Ontario’s Experience of Wind Energy Development as Seen through the Lens of Human Health and Environmental Justice," IJERPH, MDPI, vol. 13(7), pages 1-18, July.
    5. Ana Cristina Lindsay & Sherrie F. Wallington & Faith D. Lees & Mary L. Greaney, 2018. "Exploring How the Home Environment Influences Eating and Physical Activity Habits of Low-Income, Latino Children of Predominantly Immigrant Families: A Qualitative Study," IJERPH, MDPI, vol. 15(5), pages 1-13, May.
    6. David P. Ashmore & Roselle Thoreau & Corina Kwami & Nicola Christie & Nicholas A. Tyler, 2020. "Using thematic analysis to explore symbolism in transport choice across national cultures," Transportation, Springer, vol. 47(2), pages 607-640, April.
    7. Satu Elo & Maria Kääriäinen & Outi Kanste & Tarja Pölkki & Kati Utriainen & Helvi Kyngäs, 2014. "Qualitative Content Analysis," SAGE Open, , vol. 4(1), pages 21582440145, February.
    8. Borch, Kristian & Munk, Anders K. & Dahlgaard, Vibeke, 2020. "Mapping wind-power controversies on social media: Facebook as a powerful mobilizer of local resistance," Energy Policy, Elsevier, vol. 138(C).
    9. Naci Akdemir & Serkan Yenal, 2021. "How Phishers Exploit the Coronavirus Pandemic: A Content Analysis of COVID-19 Themed Phishing Emails," SAGE Open, , vol. 11(3), pages 21582440211, July.
    10. Caro Wolfner & Corilyn Ott & Kalani Upshaw & Angela Stowe & Lisa Schwiebert & Robin Gaines Lanzi, 2023. "Coping Strategies and Help-Seeking Behaviors of College Students and Postdoctoral Fellows with Disabilities or Pre-Existing Conditions during COVID-19," Disabilities, MDPI, vol. 3(1), pages 1-25, February.
    11. Christopher Mulwanda & Vincent R. Nyirenda & Ngawo Namukonde, 2024. "Traditional ecological knowledge, perceptions and practices on insect pollinator conservation: A case of the smallholder farmers in Murundu ward of Mufulira mining district of Zambia," Journal of Environmental Studies and Sciences, Springer;Association of Environmental Studies and Sciences, vol. 14(1), pages 24-35, March.
    12. Chiara Oppi & Cristina Campanale & Lino Cinquini, 2021. "Il problema dell?ambiguit? nei sistemi di misurazione della performance nel settore pubblico: un?analisi della letteratura internazionale," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2021(2), pages 11-38.
    13. Oznur Korukcu & Ruveyde Aydın & Jane Conway & Kamile Kukulu, 2018. "Motherhood in the shade of migration: A qualitative study of the experience of Syrian refugee mothers living in Turkey," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 46-53, March.
    14. Elke Loots & Josée Leys & Shara Proost & Manuel Morrens & Inge Glazemakers & Tinne Dilles & Bart Van Rompaey, 2022. "Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    15. Anna Rogozinska-Pawelczyk, 2022. "The Manager as an Organisation Agent during the Fourth Industrial Revolution," European Research Studies Journal, European Research Studies Journal, vol. 0(2), pages 509-529.
    16. Vogler, Sabine & Fischer, Stefan, 2020. "How to address medicines shortages: Findings from a cross-sectional study of 24 countries," Health Policy, Elsevier, vol. 124(12), pages 1287-1296.
    17. Issah Justice Musah-Surugu & Albert Ahenkan & Justcie Nyigmah Bawole, 2019. "Too weak to lead: motivation, agenda setting and constraints of local government to implement decentralized climate change adaptation policy in Ghana," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 21(2), pages 587-607, April.
    18. Rebecca A. Johnson & David L. Albright & James R. Marzolf & Jessica L. Bibbo & Hayley D. Yaglom & Sandra M. Crowder & Gretchen M. Carlisle & Karen Grindler & Nathan Harms & Amy Willard & Marita Wassma, 2021. "Experiences of Military Veterans in a Therapeutic Horseback Riding Program," Clinical Nursing Research, , vol. 30(7), pages 923-933, September.
    19. Sabine Vogler & Valérie Paris & Alessandra Ferrario & Veronika J. Wirtz & Kees Joncheere & Peter Schneider & Hanne Bak Pedersen & Guillaume Dedet & Zaheer-Ud-Din Babar, 2017. "How Can Pricing and Reimbursement Policies Improve Affordable Access to Medicines? Lessons Learned from European Countries," Applied Health Economics and Health Policy, Springer, vol. 15(3), pages 307-321, June.
    20. Chen Zhang & Kevin Fiscella & Yu Liu, 2022. "Exploring the Role of Provider–Patient Communication in Women’s Sexual Health and Pre-Exposure Prophylaxis Care in the Primary Care Settings in New York State of the United States," IJERPH, MDPI, vol. 19(13), pages 1-15, July.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0179479. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.