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  • 9-June-2023

    English

    Enhancing competition in on-patent markets

    The 2018 OECD report Pharmaceutical Innovation and Access to Medicines noted that fostering competition in both on- and off-patent markets can improve the efficiency of pharmaceutical spending. Various policies are used to promote competition among off-patent medicines, but generally do not induce competition in on-patent markets. While tendering is widely used for hospital and other institutional purchasing, it is less common for ambulatory care medicines, or where medicines are reimbursed rather than supplied directly. As part of its broader work agenda on 'Increasing the transparency of pharmaceutical markets to inform policies', this paper explores how payers could harness competition to improve the efficiency of spending on medicines still subject to patent protection or regulatory exclusivity. The OECD undertook an extensive analysis consisting of two parts: 1) a quantitative analysis using product-level time series sales data to explore whether therapeutic competition occurs, and, if so, how it has affected prices and volumes over time, based on a sample of countries and therapeutic classes and 2) a review of current practices and policies on pricing, coverage and procurement of on-patent medicines to identify whether these have been influencing competition between alternative therapeutic products. This report presents the key findings from this analytical work.
  • 24-May-2023

    English

    Health System Performance Assessment Framework for the Czech Republic

    EU Funded Note The health system performance assessment (HSPA) framework for the Czech Republic is an initiative designed to help the Czech health system improve policy planning, monitoring, and decision taking. This report describes the HSPA framework for the Czech Republic, its development process, governance structure and implementation roadmap. It also details the Czech HSPA framework domains, populated by indicators selected through a comprehensive review process. As such, the framework enables the assessment of strengths and weaknesses of the Czech health system. Its implementation will increase the accountability of national authorities and principal healthcare stakeholders, improve public involvement, smooth flow of information across the health sector, and allow reform planning and monitoring.
  • 23-May-2023

    English

    Reviews of National Healthcare Quality

    OECD Healthcare Quality Reviews seek to examine what works and what does not work in different countries – both to benchmark the efforts of countries and to provide advice on reforms to improve their health system.

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  • 10-May-2023

    English

    Integrating Care to Prevent and Manage Chronic Diseases - Best Practices in Public Health

    People today are living longer with complex health needs but often receive fragmented care. This has prompted countries to support patient-centred, integrated care models. As part of OECD’s work on best practices in public health, this report outlines policy recommendations to prevent and manage chronic diseases by integrating care. Policy recommendations were drawn from a review of key integrated care models implemented in OECD and EU27 countries.
  • 20-April-2023

    English

    Private Health Insurance

    The OECD Study on Private Health Insurance was completed between 2001 and 2004, and assessed the role that private health insurance (PHI) plays in OECD member countries. This page lists all reports released as part of the study.

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  • 20-April-2023

    English

    Public Health Reviews

    This series of OECD Reviews of Public Health provide in-depth analysis and policy recommendations to strengthen priority areas of countries’ public health systems, highlighting best practice examples that allow learning from shared experiences, and the spreading of innovative approaches.

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  • 20-April-2023

    English

    Pharmaceutical Pricing Policy project

    The OECD Pharmaceutical Pricing Policy project had two main objectives: to add to the base of information about pharmaceutical pricing policy in OECD countries and develop a taxonomy and framework for making international comparisons of policies, and to analyse cross-national impacts and implications of policies, particularly with respect to the impacts on pharmaceutical prices paid in other countries and on pharmaceutical R&D.

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  • 20-April-2023

    English

    Healthcare prices and Purchasing Power Parities

    Variations in per capita health spending can be the result of differences in prices for healthcare goods and services, and in the quantity of care that individuals are using (“volume”). Eurostat and the OECD have calculated purchasing power parities and price level indexes for GDP and some 50 product groups, including health and hospitals, on a regular and timely basis.

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  • 20-April-2023

    English

    International Trade in Health Services

    Medical tourism is apparently growing rapidly and yet there is little data on the extent of the provision of health care services across borders. This OECD paper identifies the key emerging policy issues relating to the rise in this new market.

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