Improving Transparency in Pharmaceutical Systems

Strengthening Critical Decision Points Against Corruption

Datos Bibliográficos

ID19916626
AutoresJillian Clare Cohen, James A Cercone, James Cercone, Roman Macaya
Año2002
Páginas1-108
Fecha de publicación2002-10-01
Open AccessNo
TipoBOOK
EditorialWorld Bank, Washington, DC (PUBLISHER)
DOI10.1596/20426
OpenAlexW1823749976
IdiomaEN
Citas recibidas3
Referencias citadas24

This study presents a diagnostic \n framework and methodology to evaluate a pharmaceutical \n system s vulnerability to corruption and to determine which \n corrupt practices can have a major impact on the system s \n ultimate efficiency. We thus provide: (a) a systematic and \n quantifiable assessment of the extent to which a country s \n pharmaceutical system is vulnerable to corrupt practices; \n and (b) the identification of potential actions to increase \n the system s resistance to corruption, and ultimately, \n improve access of the population to good quality, essential \n medicines. The diagnostic framework and methodology permit \n users to identify key decision points in the pharmaceutical \n supply and distribution system (registration, selection, \n procurement, distribution, service delivery and use); assess \n the extent to which a country s current policies and \n practices at each of these key decision points make the \n system vulnerable to corruption; and understand the range of \n options that could reduce this vulnerability. This \n diagnostic tool has been designed for use by World Bank \n health specialists involved in health lending operations \n that include pharmaceutical components, and their national \n counterparts to help them identify points of vulnerability \n in the pharmaceutical system, address these points, and thus \n help ensure that pharmaceutical expenditures are maximized. \n While developed in the context of the health systems of \n Latin America and the Caribbean (and implemented in a pilot \n study in Costa Rica), the methodology can be modified with \n ease so that it is applicable to other regions

Business · Computer security · Context (archaeology) · Geography · Language change · Procurement · Risk analysis (engineering) · Transparency (behavior) · Vulnerability (computing) · Computer Science · Corruption and Economic Development · Healthcare Systems and Reforms · Marketing · Pharmaceutical Economics and Policy