* What are the principal features of the system responsible for the
production, regulation, distribution and funding of therapeutic
drugs? * What are the major problem areas and issues of policy
concern that have arisen in the pharmaceutical sector and how have
the participants - particularly the State - responded to such
controversies? Medicines, and the policy issues they raise, are the
subject of this book. Therapeutic drugs are widely used - some on a
routine basis, others in a highly selective and specialized
fashion. Although we take the availability of such potent agents
for granted, there stands behind them a complex and sophisticated
system of scientific innovation, industrial production, State
audit, and professional distribution. Major issues of price,
innovation, safety, professional practice and consumer autonomy
arise. Pharmaceuticals account for about ten per cent of health
care costs, they are produced by a flagship industrial sector, they
are jealously guarded by key professional groups, they raise
formidable questions of quality and safety, and they are watched
over by a vigilant and vociferous consumer movement. Managing
Medicines seeks to disentangle these issues and come up with
concrete suggestions as to how we might move forward in an area of
public policy that is hotly disputed. It will be of interest to
health professionals and policy makers as well as students of
public health, nursing studies, social policy and social work.
General
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