ArticleBulletin of the World Health Organization2015
Transitioning to a national health system in Cyprus: a stakeholder analysis of pharmaceutical policy reform.
Article in Bulletin of the World Health Organization, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation of medicines pricing policies in sub-Saharan Africa: systematic review.Systematic reviews · 2022Pooled it
- Pooled it
- Prevalence and sociodemographic determinants of selected noncommunicable diseases among the general population of Cyprus: A large population-based cross-sectional study.Chronic diseases and translational medicine · 2023Article
- Disentangling prescribing behaviour of Cypriot physicians, within a complex framework of interacting.The International journal of health planning and management · 2022Article
- Comparing Generic Drug Markets in Europe and the United States: Prices, Volumes, and Spending.The Milbank quarterly · 2017Article
- Cost-Sharing Rates Increase During Deep Recession: Preliminary Data From Greece.International journal of health policy and management · 2016Article
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Authors and funding
2 authors.
Funding
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Abstract
objectiveTo review the pharmaceutical sector in Cyprus in terms of the availability and affordability of medicines and to explore pharmaceutical policy options for the national health system finance reform expected to be introduced in 2016.
methodsWe conducted semi-structured interviews in April 2014 with senior representatives from seven key national organizations involved in pharmaceutical care. The captured data were coded and analysed using the predetermined themes of pricing, reimbursement, prescribing, dispensing and cost sharing. We also examined secondary data provided by the Cypriot Ministry of Health; these data included the prices and volumes of prescription medicines in 2013.
findingsWe identified several key issues, including high medicine prices, underuse of generic medicines and high out-of-pocket drug spending. Most stakeholders recommended that the national government review existing pricing policies to ensure medicines within the forthcoming national health system are affordable and available, introduce a national reimbursement system and incentivize the prescribing and dispensing of generic medicines. There were disagreements over how to (i) allocate responsibilities to governmental agencies in the national health system, (ii) reconcile differences in opinion between stakeholders and (iii) raise awareness among patients, physicians and pharmacists about the benefits of greater generic drug use.
conclusionIn Cyprus, if the national health system is going to provide universal health coverage in a sustainable fashion, then the national government must address the current issues in the pharmaceutical sector. Importantly, the country will need to increase the market share of generic medicines to contain drug spending.
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