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- Title
Policies and Practices Catalyzing the Use of Generic Medicines: A Systematic Search and Review.
- Authors
Mostafa, Shahmoradi; Mohammad, Mosadeghrad Ali; Ebrahim, Jaafaripooyan
- Abstract
BACKGROUND: The use of generic medicines instead of branded, is one of the main policies to decrease the expenditures and provide access to affordable and essential medicines in low and middle-income countries. The present study aims to systematically create a comprehensive synthesis of demand-side policies, encouraging the use of generic medicines. METHODS: The study systematically searched and reviewed the articles in Medline, Scopus, Web of Science, and Embase from 1.1.2000 to 12.5.2019. A total of 6435 records were identified during this period of time (Medline (n=315), Scopus (n=4323), Web of Science (n=71) and Embase (n=1726)). All stages are conducted according to the Preferred Reporting Item for Systematic Reviews and Meta-Analyzed (PRISMA). RESULTS: The encouraging policies and practices were classified into four categories from 44 articles analyzed, including; Prescribing, Dispensing, Patients/consumers, and healthcare organizations. Subthemes were also explored in relation to each category as; education, financial incentives, generic substitution, advertising approaches, and enforcement. CONCLUSION: Various policies should be taken into consideration to encourage successful generic medication prescribing, dispensing, and consumption in both supply and demand-side. Economic, political, socio-cultural, technological, legal, and structural factors could as such accelerate the policies' effect. Studying the experience of successful countries can be helpful for policymakers.
- Subjects
MONETARY incentives; MIDDLE-income countries; DRUGS; MEDLINE
- Publication
Ethiopian Journal of Health Sciences, 2021, Vol 31, Issue 1, p167
- ISSN
1029-1857
- Publication type
Article
- DOI
10.4314/ejhs.v31i1.24