Overcoming Challenges of Generic Medicines Utilization in Low- and Middle-Income Countries

Hassali, Mohamed Azmi; Wong, Zhi Yen

doi:10.1016/b978-0-12-811228-1.00012-1

Cited by 2 publications

(1 citation statement)

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“…Healthcare providers are increasingly faced with escalating pharmaceutical expenditure, especially in developing countries, where 20%-60% of their healthcare costs are from pharmaceuticals. To curb the costs, a greater use of generic medicines is encouraged (Hassali and Wong, 2018). However, generic medicines’ acceptance and uptake in developing countries, especially South Africa, have been relatively low (Koch, 2012).…”

Section: Introductionmentioning

confidence: 99%

Generic medicine brand knowledge structure, relationships and purchase

Duh

Diniso

2020

IJPHM

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Purpose Cheaper generic anti-retroviral medicines are encouraged and often prescribed in South Africa for HIV/AIDS treatment. However, the medicines’ acceptance rate is relatively low. This has been attributed to inadequate brand knowledge of the bioequivalence of generic medicines. Studies have examined how brand knowledge structure lead to purchase. The contributions of brand relationship builders (i.e. trust and satisfaction), which are indicators of sustainable purchase, are rarely considered. This study aims to adapt Esch, Langner, Schmitt and Geus’ (2006) brand knowledge structure and relationship model to examine the impact of South African young adults’ brand knowledge structure (brand awareness, brand image and brand beliefs) and trust on brand satisfaction and purchase. Design/methodology/approach Cross-sectional data was quantitatively collected from 207 young adults through self-administered, paper-based questionnaires. Data was analysed with structural equation modelling. Findings Brand awareness, image, trust and belief in efficacy positively influenced purchase. All these factors, except brand awareness, positively led to satisfaction. The tested adapted model explained 53.0 and 58.5% variances of purchase and brand satisfaction, respectively. Practical implications Considering how much brand knowledge structure and trust explained purchase and satisfaction from the tested model, South African government, pharmaceutical marketers and consumer interest groups should educate young adults about the bioequivalence, safety and efficacy of generic medicines. With greater knowledge of these qualities, satisfaction is gained from purchase decision. Originality/value Instead of the usual examination of demographic differences in generic medicine beliefs and perception, this study contributes by revealing brand-related drivers of purchase and satisfaction.

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Section: Introductionmentioning

confidence: 99%

Generic medicine brand knowledge structure, relationships and purchase

Duh

Diniso

2020

IJPHM

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Effects of transparent online open procurement on prices, volumes, and costs of medicines: an interrupted time series study in Ningxia, China

Gao,

Liu,

et al. 2024

Front. Pharmacol.

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ObjectivesTo assess the effects of the transparent online open procurement arrangement on the prices, volumes, and costs of medicines in Ningxia, China.MethodsData were extracted from the Ningxia pharmaceutical procurement platform, covering 16 months of purchase orders (December 2019 to March 2021) prior to the implementation of the transparent online open procurement policy and 20 months of purchase orders after the implementation of the policy (April 2021 to November 2022). Interrupted time series (ITS) analysis was performed to evaluate the effects of the transparent online open procurement policy on the prices, volumes, and total costs of the purchase orders.ResultsAfter implementation of the transparent online open procurement policy, the average price of purchased medicines showed a declining trend by 0.012 Yuan per month, while the total volume of purchase orders declined at a rate by 1.741 million per month measured by the smallest formulation units and the total costs of the purchase orders decreased at a rate by 5.525 million Yuan per month.ConclusionThe transparent online open procurement policy resulted in reduced prices, lowered volumes, and lowered total costs of purchased orders of medicines.

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Overcoming Challenges of Generic Medicines Utilization in Low- and Middle-Income Countries

Cited by 2 publications

References 60 publications

Generic medicine brand knowledge structure, relationships and purchase

Generic medicine brand knowledge structure, relationships and purchase

Effects of transparent online open procurement on prices, volumes, and costs of medicines: an interrupted time series study in Ningxia, China

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