What impact do prescription drug charges have on efficiency and equity? Evidence from high-income countries

被引：82

作者：

Gemmill, Marin C. ^{[1
]}

Thomson, Sarah ^{[1
]}

Mossialos, Elias ^{[1
]}

机构：

[1] Univ London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, England

来源：

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH | 2008年 / 7卷 / 1期

关键词：

D O I：

10.1186/1475-9276-7-12

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

As pharmaceutical expenditure continues to rise, third-party payers in most high-income countries have increasingly shifted the burden of payment for prescription drugs to patients. A large body of literature has examined the relationship between prescription charges and outcomes such as expenditure, use, and health, but few reviews explicitly link cost sharing for prescription drugs to efficiency and equity. This article reviews 173 studies from 15 high-income countries and discusses their implications for important issues sometimes ignored in the literature; in particular, the extent to which prescription charges contain health care costs and enhance efficiency without lowering equity of access to care.

引用

页数：22

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