scholarly journals A Comparison of Current Prophylactic Therapy in Canada and the United Kingdom

1977 ◽  
Author(s):  
A. Aronstam ◽  
M.J. Inwood ◽  
P.G. Arblaster
Keyword(s):  
Health Care ◽  
United Kingdom ◽  
Care Delivery ◽  
Prophylactic Therapy ◽  
The United Kingdom ◽  
Social Events ◽  
Geographic Coverage ◽  
Routine Basis ◽  
The Difference ◽  
Health Care Delivery Systems

A survey of Canadian and British physicians actively treating hemophiliacs was undertaken to assess whether the difference in the two countries’ health care delivery systems influenced their attitudes to prophylactic therapy. Questionnaires defining prophylactic therapy and relating its use to a number of activities were sent to directors of hemophilia treatment centres representing adequate geographic coverage in both countries. 47 replies were received (10/13 Canadian and 37/40 British). 50% of the United Kingdom (UK) physicians used prophylactic therapy on occasion as compared to 92% of Canadian physicians. However, only 20% UK physicians versus 80% Canadian used it on a routine basis for selected patients. 43% British physicians compared to 50% Canadian gave prophylaxis prior to certain athletic or social events. The mean dose of Factor VIII or IX given by Canadian physicians was higher and individual doses were given more frequently. The increased acceptability of this form of therapy in Canada may be related to easier availability of Factor concentrates and a more flexible health care system.

How the United Kingdom Controls Pharmaceutical Prices and Spending: Learning From Its Experience

2021 ◽  
pp. 002073142199709
Author(s):  
Marc A. Rodwin
Keyword(s):  
United Kingdom ◽  
Cost Effective ◽  
Market Prices ◽  
The United Kingdom ◽  
Generic Market ◽  
Pharmaceutical Spending ◽  
The Difference ◽  
The Government ◽  
Pharmaceutical Prices ◽  
Limit Access

To control costs and improve access, nations can adopt strategies employed in the United Kingdom to control pharmaceutical prices and spending. Current policy evolved from a system created in 1957 that allowed manufacturers to set launch prices, capped manufacturers’ rates of return, and later cut list prices. These policies did not effectively control spending and had limited effects on purchase prices. The United Kingdom currently controls pharmaceutical spending in 4 ways. (a) Since 1999, it has typically paid no more than is cost-effective. (b) Since 2017, for medicines that will have a significant budget impact, National Health Service England seeks discounts from cost-effective prices or seeks to limit access for 2 years to patients with the greatest need. (c) Since 2014, statutes and a voluntary scheme have required branded manufacturers to pay the government rebates to recoup the difference between the global pharmaceutical budget and actual spending. (d) For hospitals, generics and some patented drugs are procured through competitive bidding; community pharmacies are reimbursed through a system that provides an incentive to beat average generic market prices. These policies controlled the growth of spending, with the largest effects following budget controls in 2014. Changes since 2008 have reduced savings, first by paying more than is cost-effective for cancer drugs and then by applying higher cost-effectiveness thresholds for some drugs used to treat cancer and certain other drugs.

The Future of Health Care in South Korea and the UK

2006 ◽  
Vol 5 (3) ◽  
pp. 375-385 ◽  
Author(s):  
Bob Matthews ◽  
Yoonsoon Jung
Keyword(s):  
Health Care ◽  
South Korea ◽  
Care Delivery ◽  
Health Care Systems ◽  
Public Provision ◽  
Capitalist System ◽  
Private Provision ◽  
Care Systems ◽  
Health Care Delivery Systems ◽  
The Uk

This paper discusses and compares the origin and development of the health care systems of South Korea and the UK from the end of WW2 and endeavours to compare outcomes. The paper emphasises the importance of war as a stimulus to the development of national health services in both countries and argues that there is convergence between the UK's nationalised NHS and South Korea's US-modelled capitalist system. Overall, we conclude that there is a possibility not only that the financing and nature of the Korean and UK health care delivery systems may show convergence, but it is not impossible that they will ‘change places’ with the UK system dominated by private provision and South Korea's by public provision.

III. On the figure, dimensions, and mean specific gravity of the Earth, as derived from the ordnance trigonometrical survey of Great Britain and Ireland

1857 ◽  
Vol 8 ◽  
pp. 111-116 ◽  
Keyword(s):  
United Kingdom ◽  
Great Britain ◽  
Specific Gravity ◽  
Royal Society ◽  
The United Kingdom ◽  
The Earth ◽  
The Difference ◽  
The Government

The Trigonometrical Survey of the United Kingdom commenced in the year 1784, under the immediate auspices of the Royal Society; the first base was traced by General Roy on the 16th of April of that year, on Hounslow Heath, in presence of Sir Joseph Banks, then President of the Society, and some of its most distinguished Fellows. The principal object which the Government had then in view, was the connexion of the Observatories of Paris and Greenwich by means of a triangulation, for the purpose of determining the difference of longitude between the two observatories.

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