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Improving Use of Medicines :  Range of Approaches and the Possible Role of Insurance Systems Dennis Ross-Degnan, ScD Harvard Medical School and Harvard Pilgrim Health Care WHO Collaborating Center in Pharmaceutical Policy Health and Social Protection:  Meeting the Needs of the Poor Vientiane, 10 October 2008
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object]
Competing Pharmaceutical Policy Objectives Improving Equitable Access Available to the poor Keeping Costs Affordable To patient and to the health system Encouraging Appropriate Use Necessary, safe, effective, properly taken
Approaches for Improving Use of Medicines Improved use of  medicines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Findings From Systematic Reviews of Medicines Use Interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Role of Insurance Systems in Complex Pharmaceutical Sector taxes Consumers Providers payments treatment Government (MOH) information standards, payments Drug Industry standards lobbying $$ $$ marketing promotion oversight Consumer Organizations lobbying support information standards, education Professional Organizations lobbying Insurance systems payments payments, controls coverage price information information
Coordinated Programs to Change Medicines Use within Insurance Systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Managing Medicines in Insurance Systems: “Active Purchasing” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]

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Rolf Panel Ross Degnan

  • 1. Improving Use of Medicines : Range of Approaches and the Possible Role of Insurance Systems Dennis Ross-Degnan, ScD Harvard Medical School and Harvard Pilgrim Health Care WHO Collaborating Center in Pharmaceutical Policy Health and Social Protection: Meeting the Needs of the Poor Vientiane, 10 October 2008
  • 2.
  • 3. Competing Pharmaceutical Policy Objectives Improving Equitable Access Available to the poor Keeping Costs Affordable To patient and to the health system Encouraging Appropriate Use Necessary, safe, effective, properly taken
  • 4.
  • 5.
  • 6. Potential Role of Insurance Systems in Complex Pharmaceutical Sector taxes Consumers Providers payments treatment Government (MOH) information standards, payments Drug Industry standards lobbying $$ $$ marketing promotion oversight Consumer Organizations lobbying support information standards, education Professional Organizations lobbying Insurance systems payments payments, controls coverage price information information
  • 7.
  • 8.
  • 9.