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来源类型 | Report |
规范类型 | 报告 |
来源ID | RR-899-DH |
International variation in drug usage: An exploratory analysis of the "causes" of variation | |
Ellen Nolte; Jennie Corbett | |
发表日期 | 2014-11-27 |
出版年 | 2014 |
页码 | 104 |
语种 | 英语 |
结论 |
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摘要 | This report explores the range of possible causes that might explain observed international variations in the usage of medicines for selected disease areas: dementia, osteoporosis, cancer, diabetes and hepatitis C. Commissioned by the UK Department of Health, through its Policy Research Programme, it complements a quantitative analysis of medicines uptake carried out by the Office for Health Economics (OHE) of medicines uptake across 16 classes of medicines in 13 high-income countries in 2012/13. Both studies build on an earlier study led by Professor Sir Mike Richards (UK) into the extent and causes of international variations in drug usage, published in 2010. Drawing on a rapid evidence assessment, we explore, for each of the five disease areas, epidemiological factors such as the disease burden and aspects of health system and service organisation that were shown to have a direct or indirect impact on drug usage, such as reimbursement mechanisms, access to diagnosis and treatment more broadly. We also provide a summary overview of key features of the health systems and of the principles of drug assessment or approval processes across the countries included in the OHE analysis. We find that a range of factors are likely to play a role in explaining international variation in medicines use, but their relative importance will vary depending on the disease area in question and the system context. Any given level of use of a given medicine in one country is likely determined by a set of factors the combination and the relative weight of which will be different in another country. |
目录 |
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主题 | Health Care Costs ; Health Care Organization and Administration ; Health Disparities ; Pharmaceutical Drugs ; United Kingdom |
URL | https://www.rand.org/pubs/research_reports/RR899.html |
来源智库 | RAND Corporation (United States) |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/522620 |
推荐引用方式 GB/T 7714 | Ellen Nolte,Jennie Corbett. International variation in drug usage: An exploratory analysis of the "causes" of variation. 2014. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR899.pdf(1388KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
1495316347431.jpg(3KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | ![]() 浏览 |
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