Determinants of utilisation differences for cancer medicines in Belgium, Scotland and Sweden

Alessandra Ferrario

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: Background Little comparative evidence is available on utilisation of cancer medicines in different countries and its determinants. The aim of this study was to develop a statistical model to test the correlation between utilisation and possible determinants in selected European countries. Methods A sample of 31 medicines for cancer treatment that obtained EU-wide marketing authorisation between 2000 and 2012 was selected. Annual data on medicines’ utilisation covering the in- and out-patient public sectors were obtained from national authorities between 2008 and 2013. Possible determinants of utilisation were extracted from HTA reports and complemented by contacts with key informants. A longitudinal mixed effect model was fitted to test possible determinants of medicines utilisation in Belgium, Scotland and Sweden. Results In the all-country model, the number of indications reimbursed positively correlated with increased consumption of medicines [one indication 2.6, 95% CI (1.8–3.6); two indications 2.4, 95% CI (1.4–4.3); three indications 4.9, 95% CI (2.2–10.9); all P

Keywords: Medicines; utilisation; Multilevel; mixedeffects; data; models; Oncology; Managed; entry; agreements; Pharmaceutical; policy (search for similar items in EconPapers)
JEL-codes: I11 (search for similar items in EconPapers)
Date: 2017-12-01
New Economics Papers: this item is included in nep-eur, nep-hea and nep-mkt
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Published in European Journal of Health Economics, 1, December, 2017, 18(9), pp. 1095-1105. ISSN: 1618-7598

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Persistent link: https://EconPapers.repec.org/RePEc:ehl:lserod:68806

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