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Cancer Medication Consumptions in Vietnam Between 2019 and 2023: An Analysis from the National Database
Mai Thi Tuyet Kieu1, Duc Quang Tran2, Anh Thi Phuong Le1
1Department of Pharmaceutical Economics, Faculty of Pharmaceutical Management and Economics, Hanoi University of Pharmacy, Hanoi, Vietnam.
Cancer medication consumption in Vietnam saw significant fluctuations between 2019-2023, with targeted therapies dominating expenditures. Policy changes are needed to optimize medication impact and reduce the cancer burden.
Area of Science:
- Health Economics
- Oncology
- Pharmaceutical Policy
Background:
- Cancer medication consumption is a critical component of healthcare expenditure in Vietnam.
- Understanding consumption patterns is vital for effective resource allocation and policy development.
Purpose of the Study:
- To analyze cancer medication consumption trends in Vietnam from 2019 to 2023.
- To investigate the relationship between consumption, price, and bidding mechanisms.
Main Methods:
- Cross-sectional study utilizing publicly available data from the Drug Administration of Vietnam (DAV).
- Data extraction and categorization by technical groups, chemical classes, procurement levels, origin, and administration routes.
- Descriptive and statistical analyses to explore consumption, price, and bidding dynamics.
Main Results:
- Total cancer medication consumption estimated at $1.4 billion between 2019-2023, with a peak in 2023 ($359.5 million).
- Targeted therapies (44-48%) consistently led consumption, followed by chemotherapies (34-39%) and immunotherapies (8-16%).
- Originator products and high-quality generics accounted for 73-85% of expenditures; mean price per milligram decreased over time, with centralized bidding proving more efficient.
Conclusions:
- Cancer medication consumption in Vietnam exhibited substantial fluctuations influenced by procurement patterns and the pandemic.
- Targeted policies are essential to optimize the economic impact of cancer medications.
- Broader strategies are necessary to alleviate the overall cancer burden in Vietnam.
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