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Pooled procurement of drugs in low and middle income countries
Ist Teil von
European economic review, 2021-02, Vol.132, p.103655, Article 103655
Ort / Verlag
Elsevier B.V
Erscheinungsjahr
2021
Link zum Volltext
Quelle
Elsevier ScienceDirect Journals Complete
Beschreibungen/Notizen
We use data from seven low and middle income countries with diverse drug procurement systems to assess the effect of centralized procurement on drug prices, and provide a theoretical mechanism that explains this effect. Our empirical analysis is based on exhaustive data on drug sales quantities and expenditures over three years for forty important molecules. We find that centralized procurement of drugs by the public sector leads to lower prices but that the induced price reduction is smaller when the supply side is more concentrated.