[e-drug] Analysing pharmaceutical policy in Europe

E-DRUG: Analysing pharmaceutical policy in Europe
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Dear e-druggers

We are in the process of preparing our research programme for next year - we have to propose topics. I would like to study the pharmaceutical policy in Belgium and compare it with other countries - but I do not know how to get started. I would like for instance to compare the number of specialties on the market, (I expect it is very high here) and the procedures of getting a drug on the market.

Would you have any reference (I kind of remember an article comparing figures across European countries, but cannot find the exact
reference)

Or any suggestion for a 'conceptual framework' - how do you approach this topic?

Thanks for your help -

Marie-Laurence

Marie-Laurence Lambert, MD, PhD
KCE
Centre d'Expertise des Soins de Santé
Federaal Kenniscentrum voor de Gezondheidszorg
Belgian Centre for Healthcare Knowledge
62 Rue de la Loi
1040 Bruxelles
Belgique
Tel (32) 2 287 33 45
Fax (32) 2 287 33 85
Visit our website http://kce.fgov.be/

E-DRUG: Analysing pharmaceutical policy in Europe (2)
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Dear Marie-Laurence,

If you are interested in intellectual property aspects, contact me and
maybe I can be of some help. I am an IP attorney working on IP and
public health in Washington DC.

regards

Judit
--
Judit Rius Sanjuan
Attorney
Knowledge Ecology International (KEI)
www.keionline.org / www.cptech.org
1621 Connecticut Ave, NW, Suite 500 Washington, DC 20009 USA
Tel.: +1.202.332.2670, Ext 18 Fax: +1.202.332.2673
judit.rius@keionline.org

E-DRUG: Analysing pharmaceutical policy in Europe (3)
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Marie,

One option for you would be the compare Belgian policy with the Australian National Medicines Policy.
See:
www.health.gov.au/internet/wcms/publishing.nsf/Content/National%20Medicines%20Policy-2

The Australian National Medicines Policy is based on four central objectives:

    * Timely access to the medicines that Australians need, at a cost individuals and the community can afford;

    * Medicines meeting appropriate standards of quality, safety and efficacy;

    * Quality use of medicines;

    * Maintaining a responsible and viable medicines industry;

The Quality use of medicines component has conceptual framework you may find interesting.
www.health.gov.au/internet/wcms/publishing.nsf/Content/nmp-pdf-natstrateng-cnt.htm

This conceptual framework is really just an approach to market segmentation so if you want a larger conceptual framework, you could consider the conceptual framework of marketing.

For what it is worth, in my opinion there are many good things about the Australian National Medicines Policy but it is deeply flawed. One of these flaws in the strong emphasis on stakeholder partnership that has allowed industry interests to dominate via partnerships of industry, industry funded health professionals, industry funded patients' organisations, industry funded regulators and pragmatists who don't want to offend those "stakeholders".

Dissenting voices, such as mine, have been marginalised. This has left Australia defenceless against the marketing of drugs like Vioxx and unable to learn from such mistakes.

Also in my opinion the policy is largely an attempt to treat symptoms caused by patent monopoly protection for new drugs. It would be better to treat the main cause of the problems by phasing out patent protection in favour of competitive grant funding of research and the other functions currently funded by drug companies.

See:
Mansfield P. Industry-Sponsored Research: A More Comprehensive Alternative. PLoS Med 2006;3(10): e463
http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0030463

Mansfield P. Introduction to Healthy Skepticism Inc, our reform agenda and methods. August 2006 Vol 24 No 8
http://www.healthyskepticism.org/news/InternationalAug06.php

regards,

Peter

Dr Peter Mansfield
GP
Director, Healthy Skepticism Inc
Countering misleading drug promotion.
www.healthyskepticism.org
Receive free Healthy Skepticism Updates about once a month: www.healthyskepticism.org/lists/?p=subscribe
Research Fellow, Discipline of General Practice, University of Adelaide
peter.mansfield@adelaide.edu.au
See publication list at:
www.adelaide.edu.au/directory/peter.mansfield
"Peter Mansfield" <peter.mansfield@adelaide.edu.au>