Advancing the Responsible Use of Medicines: Applying Levers for Change

220 Pages Posted: 23 Feb 2013  

Murray Aitken

IMS Institute for Healthcare Informatics

Lyudmila Gorokhovich

IMS Institute for Healthcare Informatics

Date Written: September 17, 2012

Abstract

In light of increasing access to medicines worldwide due to the availability of generics, it is important to assess whether medicines add value in the context of the health system. Firstly, this research frames suboptimal medicine use within 9 distinct levers with relevance to developed and developing countries. These 9 levers include nonadherence, delayed medicine use, medication errors, antibiotic misuse/overuse, suboptimal generic use, mismanaged polypharmacy, medicine shortages, substandard/counterfeit medicines and misuse of expensive therapies. Secondly, the research quantifies the avoidable healthcare costs due to suboptimal medicine use for 6 primary levers across 186 countries: 500 billion USD (2011) in avoidable costs worldwide. Third, the report provides 18 distinct case studies from 12 different countries on how governments are taking action to improve the use of medicines. Finally, 50 recommendations are offered primarily to policymakers but also to providers, payers, pharmacists, patients, the pharmaceutical industry and other healthcare stakeholders. 5 key recommendations are prioritized as rapid time to impact, low investment level and high outcomes. The report includes a chapter on the role of health informatics in improving medicine use and related challenges for health policymakers.

This report was conducted as a public service by the IMS Institute for Healthcare Informatics.

Keywords: responsible medicine use, medicines, adherence, medication errors, antibiotics, healthcare system, pharmaceuticals, costs

Suggested Citation

Aitken, Murray and Gorokhovich, Lyudmila, Advancing the Responsible Use of Medicines: Applying Levers for Change (September 17, 2012). Available at SSRN: https://ssrn.com/abstract=2222541 or http://dx.doi.org/10.2139/ssrn.2222541

Murray Aitken

IMS Institute for Healthcare Informatics ( email )

100 IMS Drive
Parsippany, NJ 07054
United States

Lyudmila Gorokhovich (Contact Author)

IMS Institute for Healthcare Informatics ( email )

11 Waterview Boulevard
Parsippany, NJ 07054
United States

Register to save articles to
your library

Register

Paper statistics

Downloads
346
rank
77,554
Abstract Views
1,606
PlumX