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[...]... of resources over another can only be established by examining the aggregate results ofthe resources used on the health status ofthe population Theeconomic cost ofthe pharmaceuticals for the patient and society as a 1 2 Thepublicfinancingofpharmaceuticals whole is not well represented by the observation of higher or lower pharmaceutical expenditure The opportunity cost ofpharmaceuticals must... consumption, and therefore the reduction is not very great, as the demand is fairly inelastic Furthermore, the application of co-payments with exemptions in order to attenuate the negative effects on equity is generally complex and costly In Chapter 7, professor B González López-Valcárcel ofthe University of Las Palmas de Gran Canaria analyses the participation ofthe insuree in the payment ofthe price of the. .. not the optimal solution, and welfare gains can be generated by means of price differentiation in each market (Ramsey prices) Nevertheless, both the phenomenon of parallel imports and national price regulation on the basis ofthe observed price in other countries tend to work for the smoothing of prices The second series of contributions focus on the analysis of the application and effectiveness of the. .. López-Casasnovas of Pompeu Fabra University provides evidence of expenditure behaviour and the evolution ofthepublicfinancingofpharmaceuticals in the context of Spanish public health expenditure Empirical evidence based on simple data may lead to excessively direct and contradictory conclusions as to the situation of Spanish pharmaceutical spending Such would be the case ofthe figures for the share of health... whole, and its effects on the introduction of innovations and the level of pharmaceutical prices In Chapter 2, Pompeu Fabra University lecturer P Ibern Regàs offers an analysis of the advantages and the limitations ofthefinancingof innovation in the pharmaceutical sector based on protection through patents The author observes that, although patents have indisputably contributed to the development of. .. rise in the average price per prescription paints a very different picture The rise in the average price of medicines can be attributed to any of 4 Thepublicfinancingofpharmaceuticals Table 1.1 Public pharmaceutical expenditure as a percentage ofpublic health expenditure 1960 Australia Austria Belgium Canada Czech Rep Denmark Finland France Germany Greece Hungary Iceland Ireland Italy Japan Korea... reflect any rise in relative consumption ofthe pharmaceutical resource but rather private financing that is not only one ofthe lowest in the EU but moreover is decreasing Given that there is a crossover between public and private pharmaceutical financing in the production of health services (users with coverage who prefer to pay the retail price ofthe drug to the inconvenience of obtaining the prescription... spite ofthe widespread application of pharmaceutical co-payment in European health systems, the author observes that this mechanism does not appear to have been very effective in cost containment Co-payments represent a way of making the user share the burden of the cost rather than an essential source of income for thepublic system Theory and comparative experience ofthe system alike indicate that the. .. Introduction 11 THE CONTENTS OF THIS BOOK This book consists of a series of works that evaluate various aspects related to thepublicfinancingofpharmaceuticals In all health systems with majority public funding, thefinancingofpharmaceuticals constitutes one ofthe key factors in reform policies and health cost containment measures This importance of pharmaceutical spending can be explained by... Trade-related aspects of intellectual property United Kingdom United States of America World Health Organization World Trade Organization xiii 1 Introduction: Public pharmaceutical expenditure J Puig-Junoy PHARMACEUTICALS AND EFFICIENT HEALTH PRODUCTION In the analysis of health care the price of care is often confused with the level of expenditure, particularly so in the analysis of the cost of pharmaceuticals . attest to the accuracy and integrity of this document Date: 2005.06.16 15:44:32 +08'00' The Public Financing of Pharmaceuticals The Public Financing of Pharmaceuticals An Economic Approach Edited. studies of the pharmaceutical industry and pharmaceuticals published over the last 20 years by Spanish economists 235 Index 245 vi The public financing of pharmaceuticals Figures 2.1 Welfare loss of. established by examining the aggre- gate results of the resources used on the health status of the population. The economic cost of the pharmaceuticals for the patient and society as a 1 whole