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Estimated Financing Amount Needed for Essential Medicines in China, 2014
Wei Xu, Zheng-Yuan Xu, Gong-Jie Cai1
1School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, Jiangsu 211198, China.
Chinese Medical Journal
|March 11, 2016
Summary
China needs approximately $20 billion annually for essential medicines (EMs). This study estimates financing for EMs to support a new healthcare financing mechanism.
Area of Science:
- Health Economics
- Pharmaceutical Policy
- Public Health
Background:
- China is exploring an independent financing system for essential medicines (EMs).
- Current financing mechanisms for EMs require further data and evidence.
- Establishing a robust financing system is crucial for healthcare accessibility.
Purpose of the Study:
- To estimate the financing amount required for essential medicines (EMs) in China for the year 2014.
- To provide data-driven evidence to inform the development of a national financing mechanism for EMs.
- To assess the financial needs for ensuring access to essential medicines.
Main Methods:
- Retrospective analysis of sales data for all 520 drugs on the 2012 national essential medicines list in China for 2014.
- Estimation of EMs costs by identifying drugs used for the 109 most common diseases in China.
- Utilized two distinct methodologies to cross-validate financing estimates.
Main Results:
- The estimated financing amounts for essential medicines (EMs) in China for 2014 ranged from $17,776.44 million to $19,094.09 million USD.
- Both estimation methods converged on a similar financial requirement.
- The study quantified the substantial financial investment needed for EMs.
Conclusions:
- An annual budget of approximately $20 billion USD is estimated to be necessary for essential medicines (EMs) in China.
- The findings support the establishment of an independent financing system for EMs.
- Irrational drug use, particularly with intravenous fluids and antibiotics, remains a significant challenge impacting healthcare costs.

