Pharmaceutical Economics and Policy

By Stuart O. Schweitzer

Book Overview

The pharmaceutical industry is praised as a leader in high technology innovation and the creator of products that increase both longevity and quality of life for people throughout the world. Yet the industry is also reviled for its marketing and pricing practices and even its research and development priorities. Its competitive nature is undergoing change today, with the entry of new firms and products increasing competition at the same time that mergers reduce it.
This book employs the tools of economic analysis to explore the conflicting priorities and aims of the pharmaceutical industry, from both a US and worldwide perspective. Schweitzer discusses the industry both as a manufacturer of products and as a major player in the making of health-care decisions. The author also analyzes the reasons and results of the shift in the locus of demand for pharmaceuticals. Presently the most important factor in formulating the future direction of pharmaceutical research are the demands of the large managed-care organizations rather than individual physicians. HMOs make decisions about product access on behalf of hundreds of thousands of patients. Recent changes in the regulatory environment--including patent law and FDA approval policies--have also influenced the pharmaceutical sector and are therefore investigated in detail.
Pharmaceutical Economics and Policy provides an insightful and expert analysis of this complex sector, and suggests appropriate regulatory approaches to assure that both private and public objectives continue to be served. It provides the first comprehensive look at the economics of the pharmaceutical industry in over 25 years. Readable and balanced, it will serve as an authoritative reference source for students and researchers in health services, health administration, health economics and policy, as well as for policy analysts and economists in industry, managed care organizations, and hospitals.

• Format: Hardcover
• Language: English
• ISBN: 0195105249
• ISBN13: 9780195105247
• Release Date: January 1997
• Publisher: Oxford University Press
• Length: 256 Pages
• Weight: 0.90 lbs.
• Dimensions: 6.4" x 0.8" x 9.5"

Customer Reviews

Regrettably, out of date...

--- ...since its publication in 1997, for during the interval we've had (among other developments): (1) The Food and Drug Administration Modernization Act (FDAMA '97), (2) The promulgation of the Pharmaceutical Research and Manufacturers of America (PhRMA) Code on Interactions with Healthcare Professionals (2002), and (3) The federal Department of Health and Human Services (DHHS) formally weighing in with their final "anti-kickback" guidance from the Office of their Inspector General (OIG), incidentally shutting the door between pharmaceuticals marketing and the drug manufacturers' "support" of continuing medical education (CME) on April 28, 2003. (4) New concerns regarding drug safety issues (both pre- and post-marketing) have been raised by way of the COX-2 NSAID crisis, particularly by Merck's defalcations in the suppression of adverse events data in the 2000 publication of their VIGOR trial results (see Waxman's editorial in *The New England Journal of Medicine*, June 23, 2005;352[25]:2576-2578), and have invoked structural and procedural changes in the FDA's Office of New Drugs (OND) the end of which is not yet in sight. (5) Medicare Part "D" has gone into effect, with NICE long-term implications for future impact upon the pharmaceutical industry in these United States. Things have *changed,* folks. There's ten years' worth of critically important regulatory and pharmacoeconomic changes that neither the author nor the rest of the industry could have taken into consideration back when the galleys of this book were returned to the publisher. To the best of my knowledge, there is still no other source of information on the subject as ambitious (and as competently written) as is Dr. Schweitzer's work. Both author and publisher must certainly be aware of the fact that there is a need (and a definite market) for a new edition. ---

most comprehensive book on the Pharmaceutical market

I believe the book is useful for everyone in The Pharmaceutical Industry. It will be useful for reps, higher management, physicians, technicians, scientists, product and regulatory affairs managers and just about anyone who wants to "think outside the box" of their specific role within the industry. Despite its broad range the book is succinct, never vague, and contains a plethora of useful information. I came across this book without never having heard about the author and with the sole purpose of finding specific economic data. I found that and much more. What an astonishing surprise the book was. The book presents the most comprehensive and intelligently condensed information about the overall pharmaceutical market forces, that I saw recently. specific to the industry. For instance, the short Chapter (2) on marketing Pharmaceuticals offers more important data and contextual information than most books entirely dedicated to Pharmaceutical marketing. In a little more than 20 pages the author manages to provide useful information about sales forces management and economic analysis, including joint marketing, along with definitions about all types of promotional materials and relevant organizations for promotion of Pharmaceuticals, including Continuing Medical Education and the FDA's Division of Marketing. In the even shorter chapter on pricing, the author starts by cleverly laying out the fundamentals of supply and demand for Pharmaceuticals and goes on to quantitatively and contextually explain the worldwide differences. Overall the book has information just about any Pharmaceutical market topic; from all of the non-life sciences issues associated with pre-clinical development of drugs to the structure and future trends of the industry. All this information is easy to find because the book is simply organized in internal analysis (the industry) versus external analysis (consumer, market, public and private influential institutions). I'm truly impressed with the depth and range of knowledge displayed in this book, so much so that if I wasn't working for The Pharmaceutical Industry already I would approach Professor Schweitzer for a postdoctoral research.