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The New and Old Europe: East-West Split in Pharmaceutical Spending
HIGHLIGHTS: Since the geopolitical developments of 1989, former centrally planned economies of Eastern Europe followed distinctively different pathways in national pharmaceutical expenditure evolution as compared to their free market Western European counterparts. Long term spending on pharmaceutica...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771948/ https://www.ncbi.nlm.nih.gov/pubmed/26973521 http://dx.doi.org/10.3389/fphar.2016.00018 |
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author | Jakovljevic, Mihajlo Lazarevic, Marija Milovanovic, Olivera Kanjevac, Tatjana |
author_facet | Jakovljevic, Mihajlo Lazarevic, Marija Milovanovic, Olivera Kanjevac, Tatjana |
author_sort | Jakovljevic, Mihajlo |
collection | PubMed |
description | HIGHLIGHTS: Since the geopolitical developments of 1989, former centrally planned economies of Eastern Europe followed distinctively different pathways in national pharmaceutical expenditure evolution as compared to their free market Western European counterparts. Long term spending on pharmaceuticals expressed as percentage of total health expenditure was falling in free market economies as of 1989. Back in early 1990s it was at higher levels in transitional Eastern European countries and actually continued to grow further. Public financing share of total pharmaceutical expenditure was steadily falling in most Central and Eastern European countries over the recent few decades. Opposed scenario were EU-15 countries which successfully increased their public funding of prescription medicines for the sake of their citizens. Pace of annual increase in per capita spending on medicines in PPP terms, was at least 20% faster in Eastern Europe compared to their Western counterparts. During the same years, CEE region was expanding their pharmaceuticals share of health spending in eight fold faster annual rate compared to the EU 15. Private and out-of-pocket expenditure became dominant in former socialist countries. Affordability issues coupled with growing income inequality in transitional economies will present a serious challenge to equitable provision and sustainable financing of pharmaceuticals in the long run. |
format | Online Article Text |
id | pubmed-4771948 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-47719482016-03-11 The New and Old Europe: East-West Split in Pharmaceutical Spending Jakovljevic, Mihajlo Lazarevic, Marija Milovanovic, Olivera Kanjevac, Tatjana Front Pharmacol Pharmacology HIGHLIGHTS: Since the geopolitical developments of 1989, former centrally planned economies of Eastern Europe followed distinctively different pathways in national pharmaceutical expenditure evolution as compared to their free market Western European counterparts. Long term spending on pharmaceuticals expressed as percentage of total health expenditure was falling in free market economies as of 1989. Back in early 1990s it was at higher levels in transitional Eastern European countries and actually continued to grow further. Public financing share of total pharmaceutical expenditure was steadily falling in most Central and Eastern European countries over the recent few decades. Opposed scenario were EU-15 countries which successfully increased their public funding of prescription medicines for the sake of their citizens. Pace of annual increase in per capita spending on medicines in PPP terms, was at least 20% faster in Eastern Europe compared to their Western counterparts. During the same years, CEE region was expanding their pharmaceuticals share of health spending in eight fold faster annual rate compared to the EU 15. Private and out-of-pocket expenditure became dominant in former socialist countries. Affordability issues coupled with growing income inequality in transitional economies will present a serious challenge to equitable provision and sustainable financing of pharmaceuticals in the long run. Frontiers Media S.A. 2016-02-09 /pmc/articles/PMC4771948/ /pubmed/26973521 http://dx.doi.org/10.3389/fphar.2016.00018 Text en Copyright © 2016 Jakovljevic, Lazarevic, Milovanovic and Kanjevac. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pharmacology Jakovljevic, Mihajlo Lazarevic, Marija Milovanovic, Olivera Kanjevac, Tatjana The New and Old Europe: East-West Split in Pharmaceutical Spending |
title | The New and Old Europe: East-West Split in Pharmaceutical Spending |
title_full | The New and Old Europe: East-West Split in Pharmaceutical Spending |
title_fullStr | The New and Old Europe: East-West Split in Pharmaceutical Spending |
title_full_unstemmed | The New and Old Europe: East-West Split in Pharmaceutical Spending |
title_short | The New and Old Europe: East-West Split in Pharmaceutical Spending |
title_sort | new and old europe: east-west split in pharmaceutical spending |
topic | Pharmacology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771948/ https://www.ncbi.nlm.nih.gov/pubmed/26973521 http://dx.doi.org/10.3389/fphar.2016.00018 |
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