"The challenge in all settings is to make the difficult decisions
in a way that is defensible, justifiable, ethical, and
equitable"
So write Nick Freemantle and Suzanne Hill in their introduction
to this important discussion on decision making in the
reimbursement of pharmaceuticals. Based around a programme
supported by the World Health Organization, chapters by leading
academics involved in the research tackle such major issues as
international pharmaceutical policy, tensions in licensing
policies, priority setting, and relationships between the
stakeholders.
Chapters include
Development of marketing authorisation procedures for
pharmaceuticals
Interpreting clinical evidence
International pharmaceutical policy: health creation or wealth
creation?
Development of fourth hurdle policies around the world
Economic modelling in drug reimbursement
Priority setting in health care: matching decision criteria with
policy objectives
Tensions in licensing and reimbursement decisions: case of riluzole
for amytrophic lateral sclerosis
Relationship between stakeholders: managing the war of words
Medicine and the media: good information or misleading hype?
How to promote quality use of cost-effective medicines
Using economic evaluation to inform health policy and
reimbursement: making it happen and making it sustainable
Pricing of pharmaceuticals
Evaluating pharmaceuticals for health policy in low and middle
income country settings.
Besides the controversial issues there is a wealth of practical
information including economic modelling and the experiences from
the WHO programme, providing readers with workableexamples. This is
essential reading for clinical researchers in pharmaceuticals and
policy makers everywhere.
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