نوع مقاله : مقاله علمی پژوهشی
نویسندگان
1 استادیار سیاستگذاری عمومی دانشگاه علامه طباطبائی
2 دانشیار علوم سیاسی دانشگاه علامه طباطبائی
3 دانشجوی دکتری سیاستگذاری عمومی دانشگاه تهران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Medicine is considered one of the strategic items in any country. A large part of raw materials and some medicines are imported into our country. In recent years, sanctions have been a factor in serious restrictions on financial transactions, severe exchange rate fluctuations and a significant increase in the inflation rate. In this regard, the allocation of government currency to basic goods, especially medicines, was implemented with the aim of controlling prices. The pharmaceutical plan reviewed these policies.
Methodology: Conducting in-depth interviews with experts and stakeholders in the field of medicine, including policymakers in the parliament, insurance, the Food and Drug Administration, the Human Medicines Industry Owners Syndicate, the Pharmaceutical Manufacturers Syndicate and universities, their opinions were examined. The results were analyzed qualitatively and using the content analysis method.
Findings: This study examines the drug plan in four dimensions: process evaluation, outcome evaluation, cost-benefit evaluation, and impact evaluation. The main themes, including "method of formulation and implementation", "stakeholder participation in formulation", effects such as "people's access to drugs", "impact on drug shortages", "eliminating reverse smuggling", "increasing drugs covered by insurance", etc., were examined and evaluated. Conclusion: The items of problem identification and expert studies of the plan, eliminating reverse smuggling, increasing drugs covered by insurance, reducing drug shortages, targeting drug subsidies, preventing waste of foreign exchange resources, preventing rent and eliminating corruption, and in the cost-benefit dimension, it was positive, and in the items of stakeholder participation in formulating the plan, success in implementation, political and financial support, maintaining stability of out-of-pocket payments, and accelerating the payment of insurance debt for drugs, it was negative. Similarly, further research is needed on the issues of using the best solution, people's access to medicine, modifying consumption patterns, reducing induced avoidance, and social justice.
کلیدواژهها [English]