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Pedro Rizo Ríos1, Aurora González Rivera2, Itzel Rivas Oropeza1

  • 1Consejo de Salubridad General, Ciudad de México, México.

Value in Health Regional Issues
|April 29, 2018
PubMed
Summary
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Mexico

Area of Science:

  • Public Health
  • Health Technology Assessment
  • Pharmaceutical Policy

Context:

  • Rising healthcare costs and new technologies strain public health systems, especially with low budgets.
  • Drug procurement in public health institutions requires strategic strengthening for cost-effectiveness.
  • Patient out-of-pocket expenses increase when public health budgets are insufficient.

Purpose:

  • To describe the drug approval process for public health institutions in Mexico.
  • To ensure the efficacy, safety, and efficiency of health technologies.
  • To inform strategies for optimizing drug selection and resource allocation.

Summary:

  • A cross-sectional study analyzed the drug approval process from September 2011 to December 2012.
  • Of 244 drug applications, 42% were ultimately approved, with common refusals due to lack of clinical evidence or economic evaluation issues.
Keywords:
eficaciaeficienciaevaluación de tecnologías sanitariasmedicamentospolíticas de saludseguridad

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  • Approval methods included consensus (73%), low price conditions (12%), and majority vote (6%).

    • Impact:

    • The process emphasized methodological rigor, scientific evidence, transparency, and resource optimization.
    • Drug selection requires careful evaluation to maximize health benefits and economic efficiency.
    • Economic evaluation, considering evidence quality and GDP per capita, aids in defining cost-effective drug alternatives.