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Pharmaceutical Economics and Policy,   ISBN:9780195300956

     
  Pharmaceutical Economics and Policy

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Binding: Hardcover
Release Date: November 2006
Edition: 2
List Price: $60.00

Average Customer Rating:
Score = 3.0 Score = 3.0 Score = 3.0 Score = 3.0 Score = 3.0

ISBN-13: 9780195300956
ISBN-10: 0195300955
Author: Stuart O. Schweitzer
Publisher: Oxford University Press, USA
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Summaries and Customer Reviews are supplied by Amazon.com

Summary:

The pharmaceutical industry is praised as a world leader in high technology innovation and the creator of products that increase both longevity and quality of life for people throughout the world. At the same time, the industry is also criticized for its marketing and pricing practices and for its apparent anticompetitive responses to generic competition. Even its research and development priorities are criticized as being too closely driven by the goal of maximizing shareholder value, rather than the health of the public. Unfortunately, many of the critics of the industry fail to understand the complexities of the industry and its role in the nations healthcare system. This book uses the tools of economic analysis to explore the conflicting priorities and aims of the pharmaceutical industry, from both an American and worldwide perspective.
This is the second edition of a uniquely comprehensive and balanced discussion of pharmaceutical policy issues. All the chapters of the former edition have been fully re-written and extensively updated.
In addition, the book includes six new chapters on emerging topics such as the broadened role of FDA regulations and the increasing diversity of the industry. An entire chapter is devoted to the biotechnology industry and one to alternative medicines, often called "nutraceuticals." Another new chapter discusses segments of the industry that specialize in particular activities including generic drugs and drug delivery systems. The recent controversial expansion of Medicare to cover outpatient drugs is discussed in depth. The introduction is also updated to address the volatile pace of pharmaceutical innovation and how the pharmaceutical industry has responded to the emergence of managed care.

Customer Reviews:

Average Customer Rating: Score = 3.0 Score = 3.0 Score = 3.0 Score = 3.0 Score = 3.0

A Product of Laziness
Customer Rating:  Score = 3 Score = 3 Score = 3 Score = 3 Score = 3

It's almost ludicrous to claim this book is updated. I read the older version (published around 1997) because it was the only one that was available at my University library. I thought it would be perfect as research for an essay I was planning on writing, so I ordered the updated 2007 version assuming it would be essentially the same format but with updated statistics and information. Anyway long story short I had the unpleasant experience of being reminded that 'assume' makes and a** out of u and me. The 2007 version had hardly been updated. Save for a few new chapters it is almost exactly the same. The author still cites the exact same studies from the late 1980s and early 90s, some with extremely small sample sizes, as if these are still relevant, as well as providing a plethora of old statistics that ceased to be of any use 6 or 7 years ago (unless you happen to be a historian).

In short this book can hardly be called a scholarly achievement. It's fine if you want a brief overview of the history and economic functioning of the pharmaceutical industry, without getting too hung up on whether the information is up-to-date, but if you want to use it to aid in writing an essay on microeconomics it will probably be a waste of your time and money. The author obviously did not put enough effort updating his book.

Another thing people might have a problem with is that the author tends to side with the pharmaceutical industry on most issues (ie pharmaceutical price controls are detrimental, the drug approval process is too strict etc.). I don't in principle have any problem with advocating free market solutions to economic problems, but some may be irked by the one-sided presentation.

Regrettably, out of date...
Customer Rating:  Score = 4 Score = 4 Score = 4 Score = 4 Score = 4

---
...since its publication in 1997, for during the interval we've had (among other developments):

(1) The Food and Drug Administration Modernization Act (FDAMA '97),

(2) The promulgation of the Pharmaceutical Research and Manufacturers of America (PhRMA) Code on Interactions with Healthcare Professionals (2002), and

(3) The federal Department of Health and Human Services (DHHS) formally weighing in with their final "anti-kickback" guidance from the Office of their Inspector General (OIG), incidentally shutting the door between pharmaceuticals marketing and the drug manufacturers' "support" of continuing medical education (CME) on April 28, 2003.

(4) New concerns regarding drug safety issues (both pre- and post-marketing) have been raised by way of the COX-2 NSAID crisis, particularly by Merck's defalcations in the suppression of adverse events data in the 2000 publication of their VIGOR trial results (see Waxman's editorial in *The New England Journal of Medicine*, June 23, 2005;352[25]:2576-2578), and have invoked structural and procedural changes in the FDA's Office of New Drugs (OND) the end of which is not yet in sight.

(5) Medicare Part "D" has gone into effect, with NICE long-term implications for future impact upon the pharmaceutical industry in these United States.

Things have *changed,* folks. There's ten years' worth of critically important regulatory and pharmacoeconomic changes that neither the author nor the rest of the industry could have taken into consideration back when the galleys of this book were returned to the publisher. To the best of my knowledge, there is still no other source of information on the subject as ambitious (and as competently written) as is Dr. Schweitzer's work. Both author and publisher must certainly be aware of the fact that there is a need (and a definite market) for a new edition.
---

Un volume complet, bien vulgarisé
Customer Rating:  Score = 1 Score = 1 Score = 1 Score = 1 Score = 1

Met beaucoup d'emphase sur le point de vue international versus les États-Unis, propos de macro économie biens présentés.

Une seule lacune, les statistiques citées sont déjà bien obsolètes...

most comprehensive book on the Pharmaceutical market
Customer Rating:  Score = 5 Score = 5 Score = 5 Score = 5 Score = 5

I believe the book is useful for everyone in The Pharmaceutical Industry. It will be useful for reps, higher management, physicians, technicians, scientists, product and regulatory affairs managers and just about anyone who wants to "think outside the box" of their specific role within the industry. Despite its broad range the book is succinct, never vague, and contains a plethora of useful information. I came across this book without never having heard about the author and with the sole purpose of finding specific economic data. I found that and much more. What an astonishing surprise the book was. The book presents the most comprehensive and intelligently condensed information about the overall pharmaceutical market forces, that I saw recently. specific to the industry. For instance, the short Chapter (2) on marketing Pharmaceuticals offers more important data and contextual information than most books entirely dedicated to Pharmaceutical marketing. In a little more than 20 pages the author manages to provide useful information about sales forces management and economic analysis, including joint marketing, along with definitions about all types of promotional materials and relevant organizations for promotion of Pharmaceuticals, including Continuing Medical Education and the FDA's Division of Marketing. In the even shorter chapter on pricing, the author starts by cleverly laying out the fundamentals of supply and demand for Pharmaceuticals and goes on to quantitatively and contextually explain the worldwide differences. Overall the book has information just about any Pharmaceutical market topic; from all of the non-life sciences issues associated with pre-clinical development of drugs to the structure and future trends of the industry. All this information is easy to find because the book is simply organized in internal analysis (the industry) versus external analysis (consumer, market, public and private influential institutions). I'm truly impressed with the depth and range of knowledge displayed in this book, so much so that if I wasn't working for The Pharmaceutical Industry already I would approach Professor Schweitzer for a postdoctoral research.

Review of Pharmaceutical Economics and Policy
Customer Rating:  Score = 3 Score = 3 Score = 3 Score = 3 Score = 3

I commend the author's attempt to provide a comprehensive review of pharmaceutical economics and policy in less than three hundred pages. This book is an interesting read and is accessible to those of us who are not economists. However, I would not recommend this book to others due to the facts that (1) the author is inconsistent in referencing the literature and (2) he often fails to present alternative interpretations of the empirical evidence. For example, the author uses evidence of price discrimination to demonstrate the "importance of consumer demand" in the pricing of pharmaceuticals and, by extension, the presence of competition in the pharmaceutical market (pgs. 103-105). However, he fails to point out that price discrimination by pharmaceutical companies reduces consumer surplus, a direct benefit of competitive markets. In addition, the book contains many typos that may prove distracting to some readers.

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