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Does Economic Incentive Matter for Rational Use of Medicine? China’s Experience from the Essential Medicines Program

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  • Mingsheng Chen
  • Lijie Wang
  • Wen Chen
  • Luying Zhang
  • Hongli Jiang
  • Wenhui Mao

Abstract

It seems that the removal of a perverse economic incentive alone would not lead to improvement of healthcare providers’ prescribing patterns. The rationality of the Essential Medicines List and the lack of payers’ and providers’ meaningful involvement in the development of the policy possibly contribute to the lack of significant changes in prescribing behaviors. It is suggested that China should adopt more comprehensive policies for healthcare facilities, physicians, patients, and payers, rather than just relying on economic incentives to improve rational use of medicines. Copyright Springer International Publishing Switzerland 2014

Suggested Citation

  • Mingsheng Chen & Lijie Wang & Wen Chen & Luying Zhang & Hongli Jiang & Wenhui Mao, 2014. "Does Economic Incentive Matter for Rational Use of Medicine? China’s Experience from the Essential Medicines Program," PharmacoEconomics, Springer, vol. 32(3), pages 245-255, March.
    • Handle: RePEc:spr:pharme:v:32:y:2014:i:3:p:245-255
    DOI: 10.1007/s40273-013-0068-z
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    References listed on IDEAS

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    1. World Bank, 2010. "Financing, Pricing, and Utilization of Pharmaceuticals in China," World Bank Publications - Reports 27598, The World Bank Group.
    2. Karen Eggleston & Li Ling & Meng Qingyue & Magnus Lindelow & Adam Wagstaff, 2008. "Health service delivery in China: a literature review," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 149-165, February.
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    4. 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.
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    Cited by:

    1. Xinping Zhang & Youwen Cui & Chaojie Liu & Keyuan Zuo & Yuqing Tang, 2019. "Antibiotic Sales in Primary Care in Hubei Province, China: An Analysis of 2012–2017 Procurement Records," IJERPH, MDPI, vol. 16(18), pages 1-13, September.
    2. Yang, Lianping & Liu, Chaojie & Ferrier, J. Adamm & Zhang, Xinping, 2015. "Organizational barriers associated with the implementation of national essential medicines policy: A cross-sectional study of township hospitals in China," Social Science & Medicine, Elsevier, vol. 145(C), pages 201-208.
    3. Wenhui Mao & Yunyu Huang & Wen Chen, 2019. "An analysis on rational use and affordability of medicine after the implementation of National Essential Medicines Policy and Zero Mark-up Policy in Hangzhou, China," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-13, March.
    4. Shanshan Guo & Wenchao Du & Shuqing Chen & Xitong Guo & Xiaofeng Ju, 2019. "Exploring the Impact of the Rational Antibiotic Use System on Hospital Performance: The Direct Effect and the Spillover Effect," IJERPH, MDPI, vol. 16(18), pages 1-13, September.
    5. Wannian Liang & Jipan Xie & Hongpeng Fu & Eric Wu, 2014. "The Role of Health Economics and Outcomes Research in Health Care Reform in China," PharmacoEconomics, Springer, vol. 32(3), pages 231-234, March.
    6. Rao, Krishna D. & Mehta, Akriti & Kautsar, Hunied & Kak, Mohini & Karem, Ghassan & Misra, Madhavi & Joshi, Harsha & Herbst, Christopher H. & Perry, Henry B., 2023. "Improving quality of non-communicable disease services at primary care facilities in middle-income countries: A scoping review," Social Science & Medicine, Elsevier, vol. 320(C).
    7. Xiaojie Sun & Xiaoyun Liu & Qiang Sun & Winnie Yip & Adam Wagstaff & Qingyue Meng, 2016. "The Impact of a Pay‐for‐Performance Scheme on Prescription Quality in Rural China," Health Economics, John Wiley & Sons, Ltd., vol. 25(6), pages 706-722, June.
    8. Wenhui Mao & Huyen Vu & Zening Xie & Wen Chen & Shenglan Tang, 2015. "Systematic Review on Irrational Use of Medicines in China and Vietnam," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-16, March.
    9. Guan, Xiaodong & Tian, Ye & Song, Jiafang & Zhu, Dawei & Shi, Luwen, 2019. "Effect of physicians' knowledge on antibiotics rational use in China's county hospitals," Social Science & Medicine, Elsevier, vol. 224(C), pages 149-155.
    10. Ding Ding & Qingxia Pan & Linghan Shan & Chaojie Liu & Lijun Gao & Yanhua Hao & Jian Song & Ning Ning & Yu Cui & Ye Li & Xinye Qi & Chao Liang & Qunhong Wu & Guoxiang Liu, 2016. "Prescribing Patterns in Outpatient Clinics of Township Hospitals in China: A Comparative Study before and after the 2009 Health System Reform," IJERPH, MDPI, vol. 13(7), pages 1-10, July.

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