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制药行业平行进口的定价与福利影响

Pricing and welfare implications of parallel imports in the pharmaceutical industry.

作者信息

Jelovac Izabela, Bordoy Catalina

机构信息

CREPP-University of Liege, Boulevard de Rectorat 7(B31), 4000 Liege, Belgium.

出版信息

Int J Health Care Finance Econ. 2005 Mar;5(1):5-21. doi: 10.1007/s10754-005-6599-x.

DOI:10.1007/s10754-005-6599-x
PMID:15714261
Abstract

In this paper we investigate the implications of permitting parallel imports of pharmaceuticals produced by a monopoly, from one country to another. We use a model where countries differ in the patients' level of co-payment for buying pharmaceuticals, and patients differ in the utility obtained from the consumption of pharmaceuticals. We show that the effects of parallel imports on total welfare are as follows: On the one hand, when countries differ in their health system only, parallel imports decrease total welfare; On the other hand, when countries differ in the health needs of their patients only, parallel imports enhance total welfare.

摘要

在本文中,我们研究了允许垄断企业生产的药品从一个国家平行进口到另一个国家的影响。我们使用了一个模型,其中不同国家患者购买药品的自付费用水平存在差异,并且患者从药品消费中获得的效用也有所不同。我们表明,平行进口对总福利的影响如下:一方面,当国家仅在卫生系统方面存在差异时,平行进口会降低总福利;另一方面,当国家仅在患者的健康需求方面存在差异时,平行进口会提高总福利。

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本文引用的文献

1
Do pharmaceutical prices respond to potential patient out-of-pocket expenses?药品价格会对患者潜在的自付费用做出反应吗?
Rand J Econ. 2002 Autumn;33(3):469-87.
2
Should the US allow prescription drug reimports from Canada?美国应该允许从加拿大重新进口处方药吗?
J Health Econ. 2002 Jul;21(4):699-708. doi: 10.1016/s0167-6296(02)00035-8.
3
The economics of parallel trade.平行贸易的经济学
4
Parallel imports and a mandatory substitution reform: a kick or a muff for price competition in pharmaceuticals?平行进口与强制替代改革:对药品价格竞争是助力还是阻碍?
Eur J Health Econ. 2015 Dec;16(9):969-83. doi: 10.1007/s10198-014-0646-9. Epub 2014 Nov 18.
5
Compulsory licensing and access to drugs.强制许可和药品获取。
Eur J Health Econ. 2015 Jan;16(1):83-94. doi: 10.1007/s10198-013-0556-2. Epub 2014 Jan 10.
6
Assessing the impact of global price interdependencies.评估全球价格相互依存关系的影响。
Pharmacoeconomics. 2008;26(8):649-59. doi: 10.2165/00019053-200826080-00003.
Pharmacoeconomics. 1998 Mar;13(3):293-304. doi: 10.2165/00019053-199813030-00004.