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Les politiques du médicament dans un contexte d’austérité en France et au Royaume-Uni : quel impact sur le modèle de production des big pharma ?

Author

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  • Philippe Abecassis

    () (Centre d'Economie de l'Université de Paris Nord (CEPN))

  • Nathalie Coutinet

    () (Centre d'Economie de l'Université de Paris Nord (CEPN))

Abstract

Les politiques d’austérité menées en France comme Royaume-Uni ont entraîné une rationalisation renforcée des dépenses de santé associée à une introduction accrue de mécanismes marchands. Prenant en France, la forme d’une modification de la structure de financement de l’Assurance maladie obligatoire (AMO), une réduction des dépenses publiques autour d’un panier de soins dont les contours tendent à se réduire et d’un transfert d’une partie des dépenses vers l’Assurance maladie complémentaire (AMC). Au Royaume-Uni, les politiques d’austérité se sont traduites par une sous dotation récurrente du système de soins qui recourt de façon croissante à des offreurs de soins privés. Dans ce contexte, les deux pays ont aussi mis en œuvre des réformes ayant pour objectif de maîtriser les dépenses de médicaments. Celles-ci ont consisté à durcir les règles de fixation des prix des médicaments en particulier des médicaments innovants et à modifier les taux de prise en charge du médicament (baisse des taux de prise en charge, développement des génériques, déremboursements). Ces politiques ont contribué à la transformation du modèle d’innovation et de production des médicaments. Longtemps basé sur le développement de médicaments blockbusters, ce modèle est devenu de façon transitoire un modèle de production de médicaments génériques avant de privilégier la médecine personnalisée : les médicaments custombusters.

Suggested Citation

  • Philippe Abecassis & Nathalie Coutinet, 2017. "Les politiques du médicament dans un contexte d’austérité en France et au Royaume-Uni : quel impact sur le modèle de production des big pharma ?," CEPN Working Papers 2017-01, Centre d'Economie de l'Université de Paris Nord.
  • Handle: RePEc:upn:wpaper:2017-01
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    References listed on IDEAS

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    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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