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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Inotai, Andras Brixner, Diana Maniadakis, Nikos Dwiprahasto, Iwan Kristin, Erna Prabowo, Agus Yasmina, Alfi Priohutomo, Sigit Németh, Bertalan Wijaya, Kalman Kalo, Zoltan |
| Abstract | Background Off-patent pharmaceuticals (OPPs) hold vital importance in meeting public health objectives, especially in developing countries where resources are limited. OPPs are comprised of off-patent originals, branded generics and unbranded generics; nonetheless, these products are not identical and often there are differences in their equivalence, manufacturing quality standards and reliability of supply. This necessitates reconsideration of the lowest price policy objective in pharmaceutical decision making. The aim of this study was to develop a Multi-Criteria Decision Analysis (MCDA) framework through a pilot workshop to inform the national procurement of OPPs in Indonesia. Methods An initial list of potentially relevant criteria was identified based on previous work and a literature review. In a 2-day pilot policy workshop, twenty local experts representing different stakeholder groups and decision-making bodies selected the final criteria, approved the scoring function for each criterion, and assigned weights to each criterion. Results An MCDA framework was proposed for OPP drug decision making in developing countries, which included price and 8 non-price criteria. Based on the pilot policy workshop 6 + 1 criteria were considered relevant for Indonesia: pharmaceutical price (40% weight), manufacturing quality (18.8%), equivalence with the reference product (12.2%), product stability and drug formulation (12.2%), reliability of drug supply (8.4%), real world clinical or economic outcomes, such as adherence or non-drug costs (4.2%) and pharmacovigilance (3.6%). Conclusions According to the pilot policy workshop, other criteria apart from price need to be strengthened in the tendering process. The introduction of additional criteria for OPP procurement in an MCDA framework creates incentives for manufacturers to invest into improved manufacturing standards, equivalence proof, product quality, reliability of supply or even additional real-world data collection, which ultimately may result in more health gain for the society. |
| Related Links | https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-018-3805-3.pdf |
| Ending Page | 12 |
| Page Count | 12 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14726963 |
| DOI | 10.1186/s12913-018-3805-3 |
| Journal | BMC Health Services Research |
| Issue Number | 1 |
| Volume Number | 18 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2018-12-29 |
| Access Restriction | Open |
| Subject Keyword | Public Health Health Administration Health Informatics Nursing Research Off-patent pharmaceuticals Multi-criteria decision analysis Tender Bioequivalence Developing countries |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Policy |
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