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Knowledge-Based Governance Can Improve the Elderly Population's Equity of Access to Public Pharmaceutical Funding: The ASSET (Age/Sex Standardised Estimates of Treatment) Research Model

9 Pages Posted: 4 Mar 2008  

Giampiero Favato

Kingston University

Paolo Mariani

Università degli Studi di Milano-Bicocca - Center for Interdisciplinary Studies in Economics, Psychology & Social Sciences (CISEPS); Università degli Studi di Milano-Bicocca - Department of Economics, Quantitative Methods and Business Strategies (DEMS)

Carole F. Print

affiliation not provided to SSRN

Alessandro Capone

affiliation not provided to SSRN

Matteo M. Pelagatti

Università degli Studi di Milano-Bicocca - Department of Economics, Quantitative Methods and Business Strategies (DEMS); University of Milan, Bicocca - Department of Statistics; Università degli Studi di Milano-Bicocca - Center for Interdisciplinary Studies in Economics, Psychology & Social Sciences (CISEPS)

Vasco Pieri

affiliation not provided to SSRN

Alberico Marcobelli

Government of the Italian Republic (Italy) - Regione Marche

Elena Tragni

affiliation not provided to SSRN

Giovanna Trotta

affiliation not provided to SSRN

Alberto Zucchi

affiliation not provided to SSRN

Alberico Catapano

affiliation not provided to SSRN

Abstract

Ageing and technological change play a major role in the governance of healthcare resources, with cohorts living longer and consuming increasing amounts of intensive, previously unavailable treatments. Equity of access to pharmaceutical treatment on the basis of clinical need alone remains the central principle of the public healthcare system, raising the issue of an equitable distribution of resources in proportion to the population needs. The primary objective of this study was to discuss the adoption of a knowledge-based capitation model (ASSET, Age/Sex Standardised Estimates of Treatment) and its implications for healthcare policy makers. The ASSET model confirmed the validity of demographic adjusted models to quantify the impact of ageing population in terms of resources needed to satisfy long-term population prescribing needs. The ASSET weightings should be used as a guide, not as the ultimate determinant, for an equitable allocation of prescribing resources in conjunction with historic utilisation and cost data.

Keywords: age, sex, estimates, cost, treatment, governance, pharmaceutical, demand, knowledge, inequalities

JEL Classification: H51, I11, I18

Suggested Citation

Favato, Giampiero and Mariani, Paolo and Print, Carole F. and Capone, Alessandro and Pelagatti, Matteo M. and Pieri, Vasco and Marcobelli, Alberico and Tragni, Elena and Trotta, Giovanna and Zucchi, Alberto and Catapano, Alberico, Knowledge-Based Governance Can Improve the Elderly Population's Equity of Access to Public Pharmaceutical Funding: The ASSET (Age/Sex Standardised Estimates of Treatment) Research Model. Available at SSRN: https://ssrn.com/abstract=1099913 or http://dx.doi.org/10.2139/ssrn.1099913

Giampiero Favato (Contact Author)

Kingston University ( email )

Kingston Hill
Kingston upon Thames
Surrey KT2 7LB
United Kingdom

Paolo Mariani

Università degli Studi di Milano-Bicocca - Center for Interdisciplinary Studies in Economics, Psychology & Social Sciences (CISEPS) ( email )

Piazza dell'Ateneo Nuovo, 1
Milano, 20126
Italy

Università degli Studi di Milano-Bicocca - Department of Economics, Quantitative Methods and Business Strategies (DEMS) ( email )

Piazza dell'Ateneo Nuovo, 1
Milan, 20126
Italy

Carole F. Print

affiliation not provided to SSRN ( email )

Alessandro Capone

affiliation not provided to SSRN ( email )

Matteo M. Pelagatti

Università degli Studi di Milano-Bicocca - Department of Economics, Quantitative Methods and Business Strategies (DEMS) ( email )

Piazza dell'Ateneo Nuovo, 1
Milan, 20126
Italy

University of Milan, Bicocca - Department of Statistics ( email )

Via Bicocca degli Arcimboldi, 8
Milan, MI 20126
Italy

HOME PAGE: http://www.statistica.unimib.it/utenti/p_matteo/

Università degli Studi di Milano-Bicocca - Center for Interdisciplinary Studies in Economics, Psychology & Social Sciences (CISEPS) ( email )

Piazza dell'Ateneo Nuovo, 1
Milano, 20126
Italy

Vasco Pieri

affiliation not provided to SSRN ( email )

No Address Available

Alberico Marcobelli

Government of the Italian Republic (Italy) - Regione Marche ( email )

Via Gentile da Fabriano 3
Ancona, 60125
Italy

Elena Tragni

affiliation not provided to SSRN ( email )

Giovanna Trotta

affiliation not provided to SSRN ( email )

Alberto Zucchi

affiliation not provided to SSRN ( email )

Alberico Catapano

affiliation not provided to SSRN ( email )

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