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Pharmaceutical prescriptions in Italy

S Garattini1

  • 1Instituto de Richerche Farmacologiche Mario Negri.

International Journal of Technology Assessment in Health Care
|January 1, 1995
PubMed
Summary
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Pharmaceutical prescriptions varied significantly across four European nations. Italy

Area of Science:

  • Pharmacoeconomics
  • Health Policy Analysis
  • Pharmaceutical Market Research

Background:

  • Significant divergence exists in pharmaceutical prescribing patterns across major European countries.
  • In 1992, only seven active pharmaceutical ingredients were common among the top 50 products by value in Italy, France, Germany, and the UK.
  • This highlights substantial national differences in drug utilization and market composition.

Purpose of the Study:

  • To analyze the impact of a new National Health System (NHS) reimbursement policy in Italy based on drug efficacy.
  • To investigate the subsequent changes in the Italian pharmaceutical market following the policy implementation.
  • To discuss the pharmacologic and economic implications of this policy shift.

Main Methods:

  • Comparative analysis of pharmaceutical sales data by value in four European countries (Italy, France, Germany, UK) for 1992.

Related Experiment Videos

  • Analysis of the top 50 most-sold pharmaceutical products by value in Italy before and after the policy change in 1994.
  • Qualitative discussion of pharmacologic and economic consequences.
  • Main Results:

    • In 1992, a low overlap (seven active principles) was observed in the top 50 products by value across the four studied European countries.
    • Following Italy's 1994 policy shift to efficacy-based reimbursement by the NHS, the list of top 50 products by value underwent dramatic changes within the first five months.
    • The new policy significantly altered pharmaceutical market dynamics in Italy.

    Conclusions:

    • National health policies, particularly reimbursement strategies based on efficacy, profoundly influence pharmaceutical market composition and drug prescribing.
    • The Italian case demonstrates a rapid and substantial shift in the pharmaceutical landscape due to policy reform.
    • Understanding these pharmacoeconomic dynamics is crucial for healthcare systems and pharmaceutical manufacturers.