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从通用药品模式到品牌-通用药品模式:新政策是否影响了伊朗制药公司的效率?

From generic scheme to brand-generic scheme: Have new policy influenced the efficiency of Iranian pharmaceutical companies?

作者信息

Hashemi-Meshkini Amir, Varmaghani Mehdi, Yousefi Mehdi, Yaghoubifard Saeed, Zekri Hedieh-Sadat, Nikfar Shekoufeh, Kebriaeezadeh Abbas

机构信息

Department of Pharmacoeconomics and Pharmaceutical Management, Tehran University of Medical Sciences, Tehran, Iran ; Non-Communicable Disease Research Center, Endocrinology and Metabolism Population Sciences Research Institute, Tehran University of Medical Sciences, Tehran, Iran.

Department of Health and Management, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Res Pharm Pract. 2014 Jul;3(3):88-93. doi: 10.4103/2279-042X.141101.

Abstract

OBJECTIVE

Brand-generic scheme was implemented in Iran to improve the competition in the pharmaceutical market. In this study, we aim to assess if this policy had any positive effect on efficiency of Iranian pharmaceutical companies.

METHODS

We used data envelopment analysis to evaluate the relative efficiency of pharmaceutical companies during 1999-2008. The Wilcoxon matched-pairs signed-rank and sign tests were used to assess the difference between mean technical efficiency of companies before and after implementation of the new policy.

FINDINGS

Although the Wilcoxon matched-pairs signed-rank tests did not show any significant differences in favor of the new policy in terms of both relative and pure (managerial) technical efficiency for included companies (P = 0.079 and 0.07, respectively), but the one-sided sign test indicated that only relative pure (managerial) efficiency has been improved after this policy (P = 0.031).

CONCLUSION

The "brand-generic scheme" does not seem to be a successful policy to improve efficiency level and prompt competition in pharmaceutical companies in Iran. To achieve this aim, consideration of infrastructural requirements including transparent and non-discriminating laws and regulations to support competition, the competitive pricing policies, the presence of international companies in the market, and full privatization of companies had to be also deeming by policy makers.

摘要

目的

伊朗实施了品牌仿制药计划以提高药品市场的竞争力。在本研究中,我们旨在评估该政策是否对伊朗制药公司的效率产生了积极影响。

方法

我们使用数据包络分析来评估1999年至2008年期间制药公司的相对效率。采用威尔科克森配对符号秩检验和符号检验来评估新政策实施前后公司平均技术效率的差异。

结果

尽管威尔科克森配对符号秩检验在纳入公司的相对和纯(管理)技术效率方面均未显示出有利于新政策的任何显著差异(P值分别为0.079和0.07),但单侧符号检验表明该政策实施后仅相对纯(管理)效率有所提高(P = 0.031)。

结论

“品牌仿制药计划”似乎并不是一项成功的政策,无法提高伊朗制药公司的效率水平并促进竞争。为实现这一目标,政策制定者还必须考虑基础设施要求,包括支持竞争的透明且非歧视性的法律法规、竞争性定价政策、国际公司在市场中的存在以及公司的完全私有化。

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