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30 年来三项主要法规对韩国制药行业影响的纵向研究。

Longitudinal study of the impact of three major regulations on the Korean pharmaceutical industry in the last 30 years.

机构信息

Korea Pharmaceutical and Bio-Pharma Manufacturers Association, Seoul, South Korea.

Department of Pharmacology, Chung-Ang University, Seoul, South Korea.

出版信息

Health Res Policy Syst. 2022 Jan 6;20(1):4. doi: 10.1186/s12961-021-00797-9.

Abstract

BACKGROUND

The pharmaceutical industry is heavily regulated. Partly for this reason, new drugs generally take over 10 years from the product development stage to market entry. Although regulations affect the pharmaceutical industry over a long period, previous studies investigating the impact of new regulatory policies have usually focused on the short period before and after implementing that policy. Therefore, the purpose of this study is to examine whether and how significantly regulatory policies affect long-term innovation in the pharmaceutical industry in Korea.

METHODS

This study focused on three significant regulatory policies: the introduction of the product patent system, changes in the Good Manufacturing Practice (GMP) system, and the Drug Expenditure Rationalization Plan (DERP). The study used interrupted time series (ITS) analysis to investigate the long-term impacts of the policies before and after implementation.

RESULTS

Our results show that introducing the product patent system in 1987 significantly increased the number of Korean patent applications. The effect of the revised GMP policies was also statistically significant, both before and after implementation and between pre-emptive companies and non-pre-emptive ones. However, due to the companies' negotiations with the regulatory authorities or the regulatory system that links drug approval and price evaluation, the DERP did not significantly delay new drug registration in Korea.

CONCLUSION

This study showed that the policies of the product patent system, GMP policies, and DERP regulations have significantly encouraged pharmaceutical companies to strive to meet regulatory requirements and promote innovation in Korea. The study suggests that it is necessary for companies to pre-emptively respond to systemic changes in development and production strategies to deal with regulatory changes and achieve sustainable growth. Also, our study results indicate that since government policies motivate the innovative system of the pharmaceutical industry, governmental authorities, when formulating pharmaceutical policies, need to consider the impact on the long-term innovation of the industry.

摘要

背景

制药行业受到严格监管。部分由于这个原因,新药从研发阶段到进入市场一般需要超过 10 年的时间。尽管监管对制药行业的影响持续时间较长,但以前研究新监管政策影响的研究通常集中在实施该政策前后的短期。因此,本研究旨在考察监管政策是否以及如何显著影响韩国制药行业的长期创新。

方法

本研究重点关注三项重大监管政策:产品专利制度的引入、良好生产规范(GMP)制度的变化以及药品支出合理化计划(DERP)。本研究采用中断时间序列(ITS)分析来研究政策实施前后的长期影响。

结果

我们的研究结果表明,1987 年引入产品专利制度显著增加了韩国专利申请数量。修订后的 GMP 政策的效果在实施前后以及抢先公司和非抢先公司之间均具有统计学意义。然而,由于公司与监管机构的谈判或将药品审批与价格评估联系起来的监管体系,DERP 并没有显著延迟韩国新药注册。

结论

本研究表明,产品专利制度、GMP 政策和 DERP 法规政策显著鼓励了制药公司努力满足监管要求,促进了韩国的创新。研究表明,公司有必要先发制人地应对发展和生产策略中的系统性变化,以应对监管变化并实现可持续增长。此外,我们的研究结果表明,由于政府政策激励了制药行业的创新体系,政府部门在制定制药政策时需要考虑对行业长期创新的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f477/8734354/9feb12970447/12961_2021_797_Fig1_HTML.jpg

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