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CONTENTS
Foreword Price Of Simvastatin xi
Preface Simvastatin 40 Mg xiii
Acknowledgments xix
Chapter 1. Introduction 1
Why Care about Pharmaceutical Policy? 1
What Is Pharmaceutical Policy? 5
What the Book Seeks to Accomplish 7
References 9
Chapter 2. Using the Flagship Framework to Reform
Pharmaceutical Policy Statin Simvastatin 11
How to Begin the Process of Reform 11
Ultimate Performance Goals 13
The Role of Cost in Setting Reform Goals 17
The Role of Politics and Ethics in Identifying Problems and
Choosing Reform Priorities 20
The Reform Cycle 22
The Control Knobs 24
Government Failures and Market Failures 26
Summary on the Flagship Framework 32
References Simvastatin 10mg 20 Mg Simvastatin 33
Chapter 3. Introduction to the Pharmaceutical Sector 35
The World Pharmaceutical Market 35
Consolidation of Research and Development Companies Cost Of Simvastatin 42
Pharmaceutical Pricing 44
The Role of National Policy Zocor Simvastatin 47
Summary on the Pharmaceutical Sector 50
References Cholesterol Simvastatin 51
v
Chapter 4. Ethics and Priority Setting in
Pharmaceutical Reform 53
Commonly Identi??ed Pharmaceutical Sector Problems Simvastatin Price Pravastatin Simvastatinv 55
Relating Identi??ed Problems to Performance Goals 56
Relating Performance Goals to Ethical Perspectives: Utilitarianism 58
Relating Performance Goals to Ethical Perspectives: Liberalism 61
Relating Performance Goals to Ethical Perspectives:
Communitarianism 63
The Flagship Framework and Economic Development Goals 66
The International Dimension of Pharmaceutical Policy 67
The Importance of Fair Process Simvastatin Zocor 69
Summary on Ethics (and Some Suggestions) 70
Case Studies for Chapter 4 (Ethics) 71
References 72
Chapter 5. Diagnosing Performance Problems and
Developing a Policy Response 75
A Simple Pharmaceutical Example to Illustrate the Method 77
The Intermediate Performance Goals and Their Role in the
Diagnostic Process 40 Mg Simvastatin 79
Using the Intermediate Performance Measures 82
A Systems Approach to Process Improvement 84
Developing Policy Responses What Is Simvastatin 85
Summary on Diagnosis 87
References 88
Chapter 6. Managing the Politics of Pharmaceutical
Policy Reform 89
The Role of Politics in Pharmaceutical Policy Making Simvastatin 40mg 89
Stakeholder Analysis and Political Context 91
Moving to Strategy Development 93
The Politics of Pharmaceutical Policy Reform Some Examples 96
Summary on Politics 98
Case Study on Politics 98
References Simvastatin Cholesterol 98
Chapter 7. Financing the Pharmaceutical Sector 101
Pharmaceutical Financing and Health Sector Financing Simvastatin Tablet 102
Judging the Distributional Impact of Financing Options 103
Pharmaceutical Financing Choices 115
Summary on Financing 118
Case Study on Financing and Payment Simvastatin Mg 119
References 119
vi Contents
Chapter 8. Paying for Pharmaceuticals 121
Pharmaceutical Payment Reform and Health Sector Reform 122
Pharmaceutical Payment and Corruption 123
Procurement 124
Wholesale Payments 129
Payments by End Users 133
Summary on Payment 139
Case Studies on Financing and Payment 140
References 140
Chapter 9. Organizing the Public Sector to Improve
Pharmaceutical Performance 143
Pharmaceutical Sector Performance: The Six Keys 144
Autonomy, Corporatization, and Marketization 149
Contracting In and Contracting Out 151
Decentralization 152
Social Franchising 154
Using the New Public Sector Management 156
Essential Medicines Lists 157
The Potential Contribution of Process Improvement 158
The Challenges of Change 160
Summary on Organization 161
Case Studies on Organization 162
References 162
Chapter 10. Improving Pharmaceutical Sector Performance
through Regulation Simvastatin 20 Mg 165
The Conditions for Successful Regulation Simvastatin 10 Mg 167
Regulating Product Quality 170
Regulating Use 176
Regulation Directed at Controlling Prices 178
Summary on Regulation 179
Case Studies on Regulation 180
References Simvastatin Tablets 180
Chapter 11. Using Persuasion to In?uence
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