scholarly journals Policies to Encourage the Use of Biosimilars in European Countries and Their Potential Impact on Pharmaceutical Expenditure

2021 ◽  
Vol 12 ◽  
Author(s):  
Sabine Vogler ◽  
Peter Schneider ◽  
Martin Zuba ◽  
Reinhard Busse ◽  
Dimitra Panteli
Keyword(s):  
Information Service ◽  
Pharmaceutical Expenditure ◽  
Monitoring And Evaluation ◽  
European Countries ◽  
High Price ◽  
Inpatient Setting ◽  
Pharmaceutical Pricing ◽  
Public Authorities ◽  
Comprehensive Picture ◽  
Policy Measures

Introduction: Biosimilar medicines are considered promising alternatives to new biologicals with high price tags. The extent of savings resulting from biosimilar use depends on their price and uptake, which are largely shaped by pricing, reimbursement, and demand-side policies. This article informs about different policy measures employed by European countries to design the biologicals market and explores potential savings from the increased use of biosimilar medicines in Germany.Methods: Policy measures that target the price and uptake of biosimilar medicines were identified based on a prefilled questionnaire survey with public authorities in 16 European countries, who were the members of the Pharmaceutical Pricing and Reimbursement Information network (July 2020). Potential savings that could have been generated in Germany if different measures identified in the surveyed countries had been implemented were calculated for six publicly funded biological molecules. Price data of the Pharma Price Information service and German consumption data for 2018 were used for the calculation of five scenarios.Results: Several countries use a price link policy, setting the biosimilar price as a percentage of the price of the reference biological. Also lowering the price of the reference biological upon market entry of a biosimilar is less frequently used. While tendering of biosimilar medicines in the inpatient setting is the norm, it is rarely employed for biosimilars in outpatient use. Reference price systems and INN prescribing of medicines are the commonly used policy measures in the off-patent market, but some countries define exemptions for biologicals. Substituting biosimilars at the pharmacy level is rather an exception. Potential savings in Germany ranged from 5% (simple price link) to 55% (prices at the level of other countries) for the six studied molecules.Conclusion: Despite some differences, there are discernible tendencies across European countries with regard to their applications of certain policy measures targeting the price and uptake of biosimilar medicines. The potential for savings of some of these policies was clearly demonstrated. Monitoring and evaluation of these rather recent measures is key for obtaining a more comprehensive picture of their impact.

scholarly journals Measures to manage, reduce and prevent medicines shortages in European countries in 2020

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Vogler ◽  
S Fischer
Keyword(s):  
The Netherlands ◽  
Foreign Language ◽  
European Countries ◽  
Pharmaceutical Pricing ◽  
Public Authorities ◽  
The Public ◽  
Information Leaflets ◽  
Future Supply ◽  
Working Groups ◽  
Pricing And Reimbursement

Abstract Background Several countries have seen an increase in medicines shortages that constitute a major public health threat as they can negatively impact the health outcomes of patients. The study aims to survey measures that European countries apply or consider introducing to address medicines shortages. Methods A questionnaire was sent to the public authorities, as involved in the Pharmaceutical Pricing and Reimbursement Information (PPRI) network, in 47 countries, thereof 44 countries of the WHO European region. Respondents were asked to report measures in place or being discussed as of the first quarter of 2020. Results Preliminary data from 8 countries (Albania, Austria, Finland, Germany, Italy, the Netherlands, Romania, Sweden; further responses are expected) show that national registers to which manufacturers notify, usually on a mandatory basis, upcoming and existing shortages (including end dates and causes in some countries) are common (all countries but Albania). Medicine reserve supplies that have to be kept for defined medicines exist in Albania and Finland; they are being established the Netherlands and are under discussion in Germany and Sweden. Finland and Italy allow issuing export bans for targeted medicines; this possibility is before implementation in Austria, was planned and then withdrawn in Romania and is under discussion in the other countries (except Albania). Further measures include simplified import permits (with patient information leaflets in foreign language), working groups with relevant stakeholders and financial sanctions for manufacturers in case of non-supply. Conclusions Governments have been reacting to shortages by implementing appropriate measures and adapting existing ones. Actions taken differ with regard to stakeholders addressed, the degree of obligation and the focus (optimising the management of existing shortages vs. prevention of future supply limitations). Key messages A mix of measures to address medicine shortages is applied in European countries. Recently, the number of measures increased, and actions requested from stakeholders tend to have become mandatory.

COMMUNICATIVE POLICY OF PUBLIC AUTHORITIES IN EUROPEAN COUNTRIES: COMPARATIVE ANALYSIS

2020 ◽  
Vol 11 (6) ◽  
Author(s):  
VALERII M. DRESHPAK ◽  
VIKTOR G. KOVALOV ◽  
NATALIІA V. BABACHENKO ◽  
EVGEN M. PAVLENKO
Keyword(s):  
Comparative Analysis ◽  
European Countries ◽  
Public Authorities

scholarly journals Did Lockdown Work? An Economist’s Cross-Country Comparison

2021 ◽  
Author(s):  
Christian Bjørnskov
Keyword(s):  
Mortality Rates ◽  
European Countries ◽  
Country Comparison ◽  
Clear Association ◽  
Policy Measures ◽  
Two Indices ◽  
Cross Country

Abstract I explore the association between the severity of lockdown policies in the first half of 2020 and mortality rates. Using two indices from the Blavatnik Centre’s COVID-19 policy measures and comparing weekly mortality rates from 24 European countries in the first halves of 2017–2020, addressing policy endogeneity in two different ways, and taking timing into account, I find no clear association between lockdown policies and mortality development.

scholarly journals E-Commerce Calls for Cyber-Security and Sustainability: How European Citizens Look for a Trusted Online Environment

2021 ◽  
Vol 13 (12) ◽  
pp. 6752
Author(s):  
Idiano D’Adamo ◽  
Rocío González-Sánchez ◽  
Maria Sonia Medina-Salgado ◽  
Davide Settembre-Blundo
Keyword(s):  
Cyber Security ◽  
Theoretical Perspective ◽  
Point Of View ◽  
Decision Makers ◽  
European Countries ◽  
Business Strategies ◽  
Public Authorities ◽  
Regulatory Policies ◽  
Critical Issues ◽  
Different Levels

The pandemic has changed the citizens’ behavior, inducing them to avoid any real contact. This has given an incredible impulse to e-commerce; however, the complexity of the topic has not yet been adequately explored in the literature. To fill this gap, this study has a twofold purpose: (1) to investigate how European countries comparatively perform in e-commerce, and (2) to describe what are the most important challenges for the further expansion of e-commerce. To this end, we adopted a hybrid methodology based on multi-criteria decision analysis (MCDA) and a Likert scale survey. The first method allows to us rank the e-commerce performance of different European countries, while the second one looks at the problems and barriers that characterize online shopping. The results of the study show that European countries have different sensitivities to the issue of cyber-security, and among them it is possible to identify three groups with different levels of attention to the critical issues of e-commerce. The Netherlands, Sweden and Denmark belong to the group of countries most responsive to e-commerce. This request is part of a broader framework of transition toward sustainable development, i.e., a reliable digital environment where citizens and businesses can exercise their rights and freedoms in complete security. Finally, from a theoretical perspective, this paper adds a new baseline to the literature on the state of the art of e-commerce in Europe that addresses the effects of the pandemic. From a managerial point of view, decision makers can find in the results of this analysis a support for the setting of business strategies for the expansion of firms in certain markets and guidance for public authorities when defining regulatory policies for e-commerce.

scholarly journals Enhancing Export Diversification in Resource-Rich Economies – Policies and Evidence from Kazakhstan

2019 ◽  
Vol 71 ◽  
pp. 01002
Author(s):  
P. Zhelev
Keyword(s):  
Natural Resources ◽  
Price Volatility ◽  
Monitoring And Evaluation ◽  
Commodity Price ◽  
High Price ◽  
Export Diversification ◽  
Policy Initiatives ◽  
Price Boom ◽  
The Government ◽  
Competitive Economy

Kazakhstan has managed to benefit from its considerable endowments of natural resources during the commodity price boom in the 2000s. However, the global crisis of 2008-09 has demonstrated that relying on a single sector prone to high price volatility cannot be a viable strategy for development. The government of Kazakhstan well realizes that and for already 2 decades has been pursuing various industrial policy initiatives to build a more diversified and competitive economy. The paper aims to examine how successful were those policies by applying various indicators of export diversification. The results show that progress has been very limited as the country’s export basket is highly concentrated and still dominated by oil. This suggests that Kazakhstan should ensure better implementation, coordination, monitoring and evaluation of its diversification initiatives.

Adoption of Broadband Services

2011 ◽  
pp. 671-688
Author(s):  
Morten Falch
Keyword(s):  
South Korea ◽  
Information Society ◽  
National Level ◽  
European Countries ◽  
Successful Implementation ◽  
National Differences ◽  
Wide Range ◽  
Broadband Services ◽  
Policy Measures ◽  
The U.S

Broadband is seen as a key infrastructure for developing the information society. For this reason many Governments are actively engaged in stimulating investments in broadband infrastructures and use of broadband services. This chapter compares a wide range of broadband strategies in the most successful markets for broadband. This is done through analysis of national policies in three European countries—Denmark, Sweden, and Germany—and the U.S., Japan, and South Korea. We concluded that successful implementation of broadband depends on the kind of policy measures to be taken at the national level. Many countries have provided active support for stimulating diffusion of broadband and national variants of this type of policies in different countries are important for an explanation of national differences in adoption of broadband.

Pharmaceutical Prices

2018 ◽  
Author(s):  
Stuart O. Schweitzer ◽  
Z. John Lu
Keyword(s):  
United States ◽  
Product Quality ◽  
Pharmaceutical Expenditure ◽  
Healthcare Spending ◽  
The United States ◽  
Detailed Examination ◽  
Pharmaceutical Pricing ◽  
The Difference ◽  
The Impact ◽  
Pharmaceutical Prices

This chapter provides a detailed examination of pharmaceutical pricing strategies in the United States. It points out that pharmaceutical expenditure as a share of total healthcare spending has historically been quite low in comparison to that of hospitalization and physician services. It identifies several common measures of pharmaceutical prices, and highlights the difference in conclusions reached based on different measures. It offers a critical review of several models used to explain pharmaceutical price behavior, which are grouped into three major categories: market structure models, R&D cost-based models, and product quality or value based models. The chapter concludes that prices of brand-name drugs in the United States are largely driven by product quality attributes, not cost of R&D. Lastly, the chapter examines the impact of generic entry on price.

„Respite care” as a significant instrument of support for carers of persons with disabilities

2019 ◽  
Vol 2 (XIX) ◽  
pp. 151-167
Author(s):  
Maciej Borski
Keyword(s):  
People With Disabilities ◽  
Respite Care ◽  
The State ◽  
European Countries ◽  
Public Authorities ◽  
Persons With Disabilities ◽  
The Family

Naturally, it is the family who is predestined to take care of people with disabilities. However, they cannot be left alone with all their problems. What turns out to be necessary is the support from the state. It seems that nowadays public authorities recognize the necessity, however, they are trying to achieve the goal with the least possible financial involvement. What might constitute a very good example confirming the thesis is the long-term negligence of the state in the area of assistance to carers of persons with disabilities in the form of the so-called respite care. The author’s objective was to set this institution in a broader context of support for carers of persons with disabilities. For this purpose, what will be elaborated on is not only the origins and current legal measures functioning in Poland, but also those in selected European countries.

Osman v. UK—Transforming English Negligence Law into French Administrative Law?

1999 ◽  
Vol 48 (4) ◽  
pp. 757-778 ◽  
Author(s):  
G. Monti
Keyword(s):  
Human Rights ◽  
Administrative Law ◽  
European Countries ◽  
Public Authorities ◽  
European Court ◽  
English Law ◽  
Negligence Law

Liability of public authorities is limited in all European countries. In Osman v. UK1 the European Court of Human Rights (“the Court”) has reviewed the scope of English negligence law in a case concerning the liability of the police. On a first reading the judgment may appear to be confined to the facts of the case at hand, but further reflection suggests that the Court has attacked the orthodox approach to negligence liability for public authorities in English law.

scholarly journals The range of instruments of mechanism for interaction between the Constitutional Court of Ukraine and the Verkhovna Rada of Ukraine

2018 ◽  
Vol 6 (5) ◽  
pp. 5-11
Author(s):  
N. V. Moskalets
Keyword(s):  
Human Rights ◽  
Civil Society ◽  
Performance Indicators ◽  
Monitoring And Evaluation ◽  
The State ◽  
Individual Responsibility ◽  
Constitutional Court ◽  
Public Authorities ◽  
The Public ◽  
Civil Society Development

In the article, basing on investigation of the interaction of the Constitutional Court of Ukraine with the Verkhovna Rada of Ukraine in ensuring the rights and freedoms there was proposed the range of instruments of mechanism for interaction based on proper governance, monitoring and evaluation, including performance indicators and effectiveness, individual responsibility of a person authorized to perform the functions of the state. Due to its implementation, the public authorities will provide priority-oriented constitutional guarantees, namely human rights and freedoms in the context of promoting civil society development in Ukraine. In the article, basing on investigation of the interaction of the Constitutional Court of Ukraine with the Verkhovna Rada of Ukraine in ensuring the rights and freedoms there was proposed the range of instruments of mechanism for interaction based on proper governance, monitoring and evaluation, including performance indicators and effectiveness, individual responsibility of a person authorized to perform the functions of the state. Due to its implementation, the public authorities will provide priority-oriented constitutional guarantees, namely human rights and freedoms in the context of promoting civil society development in Ukraine. In order to enhance the implementation of the range of instruments of mechanism for interaction between the Constitutional Court of Ukraine with other public authorities, there was offered the introduction of electronic document management as a preventive anti-corruption measure with integrated monitoring and transparency mechanisms of activity of public authorities in order to reduce the level of corruption and hierarchical influence, for the purpose of openness and transparency, efficiency of activity within the democratic processes.

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