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Globalization and Health

, 13:53

Global health systems

Abstract

BackgroundThe World Health Organization recommends establishing and implementing a national pharmaceutical policy NPP to guarantee effective and equitable access to medicines. Mexico has implemented several policy approaches to regulate the pharmaceutical sector, but it has no formal NPP. This article describes the approach that the Mexican government has taken to improve availability and affordability of essential medicines.

MethodsDescriptive policy analysis of public pharmaceutical policy proposals and health action plans on the basis of publicly available data and health progress reports, with a focus on availability and affordability of medicines.

ResultsThe government has implemented pooled procurement, price negotiations, and an information platform in the public sector to improve affordability and availability. The government mainly reports on the savings that these strategies have generated in the public expenditure but their full impact on availability and affordability has not been assessed.

ConclusionsTo increase availability and affordability of medicines in the public sector, the Mexican government has resorted on isolated strategies. In addition to efficient procurement, price negotiations and price information, other policy components and pricing interventions are needed. All these strategies should be included in a comprehensive NPP.

KeywordsMedicines Availability Affordability Policy Mexico Middle-income country Price negotiations Pooled procurement AbbreviationsBVSBiblioteca Virtual en Salud - Virtual library of Mexico in health

CBMCISCuadro Básico y Catálogo de Medicamentos - Scheme and catalogue for medicines

CCNPMISComisión Coordinadora para la Negociación de Precios de Medicamentos - Coordinating Commission for the Negotiation of Prices of Medicines

CesMedCentro Sectorial de Gestión Web de Información de Medicamentos - Sectorial Centre of Web Management of Medicines Information

ERPExternal Reference Pricing

FUNSALUDFundación para la Salud - Foundation for Health

GDPGross Domestic Product

HPFIMHacia una Política Farmacéutica Integral para México - Towards an integral pharmaceutical policy for Mexico

IMSSInstituto Mexicano del Seguro Social - Mexican Institute of Social Security

INSPInstituto Nacional de Salud Pública - National Institute of Public Health

LATAMLatin America

LMICLow- and Middle-income countries

MICMiddle-income countries

MoEMinistry of Economics

MoHMinistry of Health

MRPMaximum Retail Price

MXPMexican Pesos

NPPNational Pharmaceutical Policy

OECDOrganization for Economic Co-operation and Development

PAHOPan American Health Organization

PROSESAPrograma Sectorial de Salud - Health Action Plan

SESAServicios Estatales de Salud - State health services

SPSSeguro Popular de Salud - Poeple’s Health Insurance

WHOWorld Health Organization

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Autor: Daniela Moye-Holz - Jitse P van Dijk - Sijmen A. Reijneveld - Hans V. Hogerzeil

Fuente: https://link.springer.com/







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