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Published on: December 3, 2020
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Promoting and regulating generic medicines: Brazil in comparative perspective.
Elize Massard da Fonseca1, Kenneth C Shadlen2
1Institute of Education and Research, São Paulo, Brazil.
Summary
Generic drug policies reduce healthcare costs and improve access. This study provides a framework for comparing national policies across four key dimensions: equivalence, labeling, prescription, and substitution.
Area of Science:
- Health Policy
- Pharmaceutical Economics
- Public Health
Background:
- Generic drug promotion is vital for national pharmaceutical policies, aiming to lower drug expenditure and broaden healthcare access.
- Comparative analysis of generic drug policies is hindered by a lack of standardized assessment frameworks.
- Understanding stakeholder interests is crucial for effective policy development and implementation.
Purpose of the Study:
- To establish a comprehensive framework for evaluating and comparing national generic drug policies.
- To identify key dimensions for assessing generic drug policy effectiveness.
- To explore the influence of stakeholder interests on policy formulation and execution.
Main Methods:
- Analysis of national regulations across four critical dimensions: therapeutic equivalence, packaging and labeling, prescription, and substitution.
- Examination of public and private sector stakeholder influences on policy.
- Case study focusing on Brazil to illustrate policy challenges and conflicts.
Main Results:
- Identified four core dimensions for comparative analysis of generic drug policies.
- Highlighted the impact of diverse stakeholder interests on policy implementation.
- Illustrated policy development complexities through the Brazil case study.
Conclusions:
- The proposed framework offers a roadmap for comparative analysis of generic drug policies.
- Addressing stakeholder dynamics is essential for successful generic drug policy implementation.
- Further research can utilize this framework to conduct cross-national policy evaluations.

