Antiretroviral purchasing and prescription practices in Mexico: constraints, challenges and opportunities
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| Formato: | Artículo científico |
| Lenguaje: | es |
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Instituto Nacional de Salud Pública
2015
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| _version_ | 1876450403395043328 |
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| author | Claire Chaumont |
| author_facet | Claire Chaumont |
| contents | Antiretroviral purchasing and prescription practices in Mexico: constraints, challenges and opportunities Claire Chaumont Sergio Bautista-Arredondo Juan José Calva Roberto Isaac Bahena-González Gerda Hitz Sánchez-Juárez Arturo González de Araujo-Muriel Carlos Magis-Rodríguez Mauricio Hernández-Ávila Salud HIV anti Mexico Latin America retroviral agents Objective. This study examines the antiretroviral (ARV) market characteristics for drugs procured and prescribed to Mexico’s Social Protection System in Health beneficiaries between 2008 and 2013, and compares them with international data. Materials and methods. Procurement information from the National Center for the Prevention and the Control of HIV/AIDS was analyzed to estimate volumes and prices of key ARV. Annual costs were compared with data from the World Health Organization’s Global Price Reporting Mechanism for similar countries. Finally, regimens reported in the ARV Drug Management, Logistics and Surveillance System database were reviewed to identify prescription trends and model ARV expenditures until 2018. Results. Results show that the first-line ARV market is concentrated among a small number of patented treatments, in which prescription is clinically adequate, but which prices are higher than those paid by similar countries. The current set of legal and structural options available to policy makers to bring prices down is extremely limited. Conclusions. Different negotiation policies were not successful to decrease ARV high prices in the public health market. The closed list approach had a good impact on prescription quality but was ineffective in reducing prices. The Coordinating Commission for Negotiating the Price of Medicines and other Health Supplies also failed to obtain adequate prices. To maximize purchase efficiency, policy makers should focus on finding long-term legal and political safeguards to counter the high prices imposed by pharmaceutical companies. 2015 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10639892011 es http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.2 Vol.57 |
| format | Artículo científico |
| id | redalyc_10639892011 |
| institution | Redalyc |
| language | es |
| publishDate | 2015 |
| publisher | Instituto Nacional de Salud Pública |
| spellingShingle | Antiretroviral purchasing and prescription practices in Mexico: constraints, challenges and opportunities Claire Chaumont Salud HIV anti Mexico Latin America retroviral agents Antiretroviral purchasing and prescription practices in Mexico: constraints, challenges and opportunities Claire Chaumont Sergio Bautista-Arredondo Juan José Calva Roberto Isaac Bahena-González Gerda Hitz Sánchez-Juárez Arturo González de Araujo-Muriel Carlos Magis-Rodríguez Mauricio Hernández-Ávila Salud HIV anti Mexico Latin America retroviral agents Objective. This study examines the antiretroviral (ARV) market characteristics for drugs procured and prescribed to Mexico’s Social Protection System in Health beneficiaries between 2008 and 2013, and compares them with international data. Materials and methods. Procurement information from the National Center for the Prevention and the Control of HIV/AIDS was analyzed to estimate volumes and prices of key ARV. Annual costs were compared with data from the World Health Organization’s Global Price Reporting Mechanism for similar countries. Finally, regimens reported in the ARV Drug Management, Logistics and Surveillance System database were reviewed to identify prescription trends and model ARV expenditures until 2018. Results. Results show that the first-line ARV market is concentrated among a small number of patented treatments, in which prescription is clinically adequate, but which prices are higher than those paid by similar countries. The current set of legal and structural options available to policy makers to bring prices down is extremely limited. Conclusions. Different negotiation policies were not successful to decrease ARV high prices in the public health market. The closed list approach had a good impact on prescription quality but was ineffective in reducing prices. The Coordinating Commission for Negotiating the Price of Medicines and other Health Supplies also failed to obtain adequate prices. To maximize purchase efficiency, policy makers should focus on finding long-term legal and political safeguards to counter the high prices imposed by pharmaceutical companies. 2015 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10639892011 es http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.2 Vol.57 |
| title | Antiretroviral purchasing and prescription practices in Mexico: constraints, challenges and opportunities |
| topic | Salud HIV anti Mexico Latin America retroviral agents |
| url | https://www.redalyc.org/articulo.oa?id=10639892011 |