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Cost Containment Through Pharmaceutical Procurement: A Caribbean Case Study by MAGGIE HUFF-ROUSSELLE; FRANCIS BURNETT is a Economics, Econometrics and Finance article available to read on EtoBox.

What is Cost Containment Through Pharmaceutical Procurement: A Caribbean Case Study about?

This article discusses the potential for health sector cost containment in developing countries through improved pharmaceutical procurement. By describing the specific example of the Eastern Caribbean Drug Service (ECDS), which provides a pooled procurement service to nine ministries of health in the small island nations of the Caribbean, it examines the elements of the procurement operation that allowed ECDS to reduce unit costs for pharmaceuticals by over 50 per cent during its first procurement cycle. The analyis of ECDS considers: (1) political will, institutional alliances, and the creation of a public sector monopsony; (2) pooling demand; (3) restricted international tendering and the pharmaceutical industry; (4) estimating demand and supplier guarantees; (5) reducing variety and increasing volume through standardizing pack sizes, dosage forms and strengths; (6) generic bidding and therapeutic alternative bidding; (7) mode of transport from foreign suppliers; (8) financing mechanisms, including choice of currency, foreign exchange, and terms of payment; (9) market conditions and crafting and enforcing supplier contracts; and, (1 0) the adjudication process, including consider

Who reads Cost Containment Through Pharmaceutical Procurement: A Caribbean Case Study?

Author

MAGGIE HUFF-ROUSSELLE; FRANCIS BURNETT

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0749-6753)

Published

1996

Language

EN

Field

Economics, Econometrics and Finance (Social Sciences)