基本药物政策.pdf

Medicines Access and Use: Frameworks for and Examples of Policy Decisions 药物可及性和使用：政策决定框架及实例 Anita Wagner, PharmD, MPH, DrPH Harvard Medical School Harvard Pilgrim Health Care Institute WHO Collaborating Center in Pharmaceutical Policy Boston, 7 July 2010 Overview 大纲 • U.S. situation 美国的情况 • Chinese context 中国背景 • Pharmaceutical policy challenges 药 品政策面临的挑战 • Pharmaceutical policy tools 药品政策 工具 • ICIUM2011 and MedIC in China ICIUM2011和MedIC在中国 Rapid Growth in U.S. Prescription Drug Spending 美国处方药支出增长迅速 IMS Health, 2010 Problems Paying for Prescription Drugs, 2008 处方药费用支付问题，2008 How much of a problem is it for you or your family to pay for prescription medicines that you need? 家庭在支付所需 的处方药费用时是否有困难？ A serious problem 很 16% 大困难 Not much 41% of a 58% problem 25% A problem, 没问题 but not serious 有一 点困难，但不 严重 Source: USA Today/Kaiser Family Foundation/Harvard School of Public Health: The Public On Prescription Drugs and Pharmaceutical Companies (conducted Jan. 3-23, 2008). Serious Problems Paying, Not Filling Prescriptions and Skipping Rx Drug Doses Because of Cost, 2008 因费用原因不买药或不按要求用量用药情况，2008 In past two years, have ever NOT filled 29% a prescription becaus