Reforms and initiatives in Scotland in recent years to encourage the prescribing of generic drugs, their influence and implications for other countries.

Godman, Brian ORCID: 0000-0001-6539-6972, Bishop, Iain, Finlayson, Alexander E ORCID: 0000-0002-2047-4671, Campbell, Stephen ORCID: 0000-0002-2328-4136, Kwon, Hye-Young ORCID: 0000-0001-9772-1354 and Bennie, Marion (2013) Reforms and initiatives in Scotland in recent years to encourage the prescribing of generic drugs, their influence and implications for other countries. Expert review of pharmacoeconomics & outcomes research, 13 (4). pp. 469-482.

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Abstract

Scotland has introduced a number of initiatives to enhance the prescribing of low-cost generic drugs versus originators and patent products in a class where these are seen as similar. The objective of this review is to appraise the influence of the various measures on subsequent utilization patterns and expenditure in high-volume classes to provide guidance. This review is principally a narrative review of published studies. The authors' found supply-side measures resulted in generic prices as low as 3% of pre-patent loss prices. Multiple demand-side measures resulted in high international non-proprietary name prescribing, and a considerable increase in prescribing efficiency for the proton pump inhibitors, statins, renin-angiotensin inhibitor drugs and selective serotonin reuptake inhibitors. There were no specific activities encouraging the prescription of losartan versus other angiotensin receptor blockers or risperidone versus other atypical antipsychotic drugs following generics and no change in their utilization patterns post generics. The authors can conclude multiple measures are needed to change physician prescribing habits. Authorities cannot rely on any 'spillover' effects to affect future prescribing, even in closely related classes.

Item Type:	Article
Uncontrolled Keywords:	Humans, Drugs, Generic, Attitude of Health Personnel, Health Knowledge, Attitudes, Practice, Health Policy, Health Care Reform, Cost-Benefit Analysis, Cost Savings, Drug Costs, Health Expenditures, Policy Making, Physician Incentive Plans, Guideline Adherence, Scotland, Practice Guidelines as Topic, Drug Prescriptions, Practice Patterns, Physicians'
Depositing User:	Symplectic Admin
Date Deposited:	30 Jun 2017 07:53
Last Modified:	17 Mar 2024 13:45
DOI:	10.1586/14737167.2013.820956
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3008211