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Pharmaceutical Policies in OECD Countries: Reconciling Social and Industrial Goals

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  • Stéphane Jacobzone
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    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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    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
    Handle: RePEc:oec:elsaaa:40-en
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