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1 – 10 of over 18000Alimohammad Lotfi, Mandana Shakouri, Seyed Reza Abazari, Amir Aghsami and Masoud Rabbani
This paper deals with the combined management and design of a sustainable pharmaceutical supply chain network with considering recycling.
Abstract
Purpose
This paper deals with the combined management and design of a sustainable pharmaceutical supply chain network with considering recycling.
Design/methodology/approach
This paper first utilizes the analytical hierarchy process to select and rank green manufacturers. Second, the authors proposed a multi-objective nonlinear mathematical model to design a sustainable pharmaceutical supply chain network. The proposed model has been linearized and solved using the LP-metric method using GAMS software.
Findings
A real case study has been conducted in Iran. The results show that environmental and social issues can be improved while minimizing total costs.
Originality/value
Given the criticality and importance of drugs in human health and the importance of recycling in today's world, proper management and design of a sustainable drug supply chain are necessary. This study pays special attention to environmental issues by utilizing multi-criteria decision approaches and customer satisfaction.
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Mohammad Mahdi Ershadi and Mohamad Sajad Ershadi
Appropriate logistic planning for the pharmaceutical supply chain can significantly improve many financial and performance aspects. To this aim, a multi-objective optimization…
Abstract
Purpose
Appropriate logistic planning for the pharmaceutical supply chain can significantly improve many financial and performance aspects. To this aim, a multi-objective optimization model is proposed in this paper that considers different types of pharmaceuticals, different vehicles with determining capacities and multi-period logistic planning. This model can be updated based on new information about resources and newly identified requests.
Design/methodology/approach
The main objective function of the proposed model in this paper is minimizing the unsatisfied prioritized requests for pharmaceuticals in the network. Besides, the total transportation activities of different types of vehicles and related costs are considered as other objectives. Therefore, these objectives are optimized hierarchically in the proposed model using the Lexicographic method. This method finds the best value for the first objective function. Then, it tries to optimize the second objective function while maintaining the optimality of the first objective function. The third objective function is optimized based on the optimality of other objective functions, as well. A non-dominated sorting genetic algorithm II-multi-objective particle swarm optimization heuristic method is designed for this aim.
Findings
The performances of the proposed model were analyzed in different cases and its results for different problems were shown within the framework of a case study. Besides, the sensitivity analysis of results shows the logical behavior of the proposed model against various factors.
Practical implications
The proposed methodology can be applied to find the best logistic plan in real situations.
Originality/value
In this paper, the authors have tried to use a multi-objective optimization model to guide and correct the pharmaceutical supply chain to deal with the related requests. This is important because it can help managers to improve their plans.
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The objectives of this paper are to describe the “affordable drugs movement” and present a social marketing framework to place major developments within a meaningful theoretical…
Abstract
Purpose
The objectives of this paper are to describe the “affordable drugs movement” and present a social marketing framework to place major developments within a meaningful theoretical context.
Design/methodology/approach
Specific examples are used to illustrate the framework and its utility in understanding the complexities of the pharmaceutical market. Methods to research the dynamics of the market are also presented.
Findings
Provides referenced descriptions and examples of forces causing change within the pharmaceutical market. Classifies forces into six conditions influencing successful social movements: structural conduciveness, structural strains, growth of generalized beliefs, precipitating events, mobilization for action, and utilization of social control by opponents. Suggests social research methodologies to study the conditions in greater depth.
Research limitations/implications
This is a descriptive framework that has not been validated for its use in the pharmaceutical market.
Practical implications
Offers a useful framework for academics, managers, students, and individuals to classify and study developments in the pharmaceutical industry.
Originality/value
This paper provides an overview of major forces within the pharmaceutical market and offers direction for those who wish to explore it in greater detail.
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Firoz Ahmad and Boby John
This study aims to investigate a reliability-level demand-oriented pharmaceutical supply chain design with maximal anticipated demand coverage. Different hospitals with the…
Abstract
Purpose
This study aims to investigate a reliability-level demand-oriented pharmaceutical supply chain design with maximal anticipated demand coverage. Different hospitals with the particular reliability value associated with the various pharmaceutical items (PIs) are considered. An inter-connected multi-period supply chain comprising manufacturers, distribution centers, hospitals and patients is assumed for the smooth flow of health-care items, enhancing supply chain reliability. A reliability index for PIs is depicted to highlight product preference and facilitate hospitals’ service levels for patients.
Design/methodology/approach
A mixed-integer multi-objective programming problem that maximizes maximal demand coverage minimizes the total economic costs and pharmaceutical delivery time is depicted under intuitionistic fuzzy uncertainty. Further, a novel interactive neutrosophic programming approach is developed to solve the proposed pharmaceutical supply chain management (PSCM) model. Each objective’s marginal evaluation is elicited by various sorts of membership functions such as linear, exponential and hyperbolic types of membership functions and depicted the truth, indeterminacy and falsity membership degrees under a neutrosophic environment.
Findings
The proposed PSCM model is implemented on a real case study and solved using an interactive neutrosophic programming approach that reveals the proposed methods’ validity and applicability. An ample opportunity to generate the compromise solution is suggested by tuning various parameters. The outcomes are evaluated with practical managerial implications based on the significant findings. Finally, conclusions and future research scope are addressed based on the proposed work.
Research limitations/implications
The propounded study has some limitations that can be addressed in future research. The discussed PSCM model can be merged with and extended by considering environmental factors such as the health-care waste management system, which is not included in this study. Uncertainty among parameters due to randomness can be incorporated and can be tackled with historical data. Besides, proposed interactive neutrosophic programming approach (INPA), various metaheuristic approaches may be applied to solve the proposed PSCM model as a future research scope.
Practical implications
The strategy advised is to provide an opportunity to create supply chains and manufacturing within India by helping existing manufacturers to expand, identifying new manufacturers, hand-holding and facilitating, teams of officers, engineers and scientists deployed and import only if necessary to meet timelines. Thus, any pharmaceutical company or organization can adopt the production and distribution management initiatives amongst hospitals to strengthen and enable the pharmaceutical company while fighting fatal diseases during emergencies. Finally, managers or policy-makers can take advantage of the current study and extract fruitful pieces of information and knowledge regarding the optimal production and distribution strategies while making decisions.
Originality/value
This research work manifests the demand-oriented extension of the integrated PSCM design with maximum expected coverage, where different hospitals with pre-determined reliability values for various PIs are taken into consideration. The practical managerial implications are explored that immensely support the managers or practitioners to adopt the production and distribution policies for the PIs to ensure the sustainability in supply chain design.
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Health sector is one of the most important sectors when the size of spending and the number of people and organizations involved are considered. An important characteristic of…
Abstract
Health sector is one of the most important sectors when the size of spending and the number of people and organizations involved are considered. An important characteristic of this sector is the dominance of governments as health care providers and/or financers. This fact has important procurement policy implications. This paper gives a detailed overview of the health sector in Turkey and issues surrounding public procurement in this sector. It presents a model for implementation of eprocurement in Turkey’s public health sector, a discussion about the extent to which e-procurement can solve prevailing problems and suggestions to improve procurement in this sector.
Dee W. Edington and Alyssa B. Schultz
The goal of this review is to present the literature which provides evidence of the association between health risks and the workplace economic measures of time away from work…
Abstract
Purpose
The goal of this review is to present the literature which provides evidence of the association between health risks and the workplace economic measures of time away from work, reduced productivity at work, health care costs and pharmaceutical costs.
Design/methodology/approach
A search of PubMed was conducted which combined the keyword search terms “health risks” with “health costs”, “pharmaceutical costs”, “absenteeism”, “productivity”, “workers compensation”, and “presenteeism”. High quality studies were selected and combined with studies known to the authors.
Findings
A strong body of evidence exists which shows that health risks of employees are associated with health care costs and pharmaceutical costs. A growing body of literature also confirms that health risks are associated with the productivity measures of time away from work, workers' compensation, absenteeism and presenteeism. Furthermore, studies have shown that changes in risks are associated with changes in health care costs, time‐away‐from‐work and presenteeism.
Originality/value
The paper shows that measures of success will continue to be important as the field of worksite health management moves forward. Research needs to progress beyond simple associations to the evaluation of changes in costs, trends and transitions over time.
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Research sponsored by entities in developed countries, but conducted in developing countries, has recently been the focus of academic debate, international declarations and media…
Abstract
Research sponsored by entities in developed countries, but conducted in developing countries, has recently been the focus of academic debate, international declarations and media controversy. Much of this attention has focused on whether the trials are exploitative and if so what should be done to avoid exploitation. This chapter takes Alan Wertheimer's principles of mutually advantageous transactions and applies them to the question of exploitation in international research. In this chapter, I develop an analysis of exploitation and apply this to the hypothesis that some pharmaceutical companies who run drug trials in developing countries wrongfully exploit the trial participants.
With expenditures totaling $227 billion in 2007, prescription drug purchases are a growing portion of the total medical expenditure, and as this industry continues to grow…
Abstract
With expenditures totaling $227 billion in 2007, prescription drug purchases are a growing portion of the total medical expenditure, and as this industry continues to grow, prescription drugs will continue to be a critical part of the larger health care industry. This chapter presents a survey on the economics of the US pharmaceutical industry, with a focus on the role of R&D and marketing, the determinants (and complications) of prescription drug pricing, and various aspects of consumer behavior specific to this industry, such as prescription drug regulation, the patient's interaction with the physician, and insurance coverage. This chapter also provides background in areas not often considered in the economics literature, such as the role of pharmacy benefit managers in prescription drug prices and the differentiation between alternative measures of prescription drug prices.
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Keywords
- Abbreviated New Drug Application (ANDA)
- Average Manufacturer Price (AMP)
- Average Wholesale Price (AWP)
- Bayh-Dole Act
- Bioequivalence
- Brand name drug
- Center for Medicare and Medicaid Services (CMS)
- Chain pharmacy
- Clinical trials
- Closed formulary
- Coinsurance
- Compliance
- Co-payment
- Cost controls
- Cost sharing
- Detailing
- Direct-to-consumer Advertising (DTC Advertising)
- Disease management
- Drug manufacturers
- Drug prices
- Drug–product substitution
- Experience goods
- Fee-for-service (FFS)
- First-mover advantage
- Food and Drug Administration (FDA)
- Formulary
- Generic drug
- Good Manufacturing Processes (GMP)
- Hatch-Waxman Act
- Health plan
- Insurance
- Investigational New Drug Application (IND)
- Mail-order pharmacy
- Mail-order prescription drugs
- Medicaid
- Medicare
- Medicare+Choice (M+C)
- Medicare Advantage
- Medicare Modernization Act (MMA)
- Medicare Part D
- Moral hazard
- Negative goods
- New Drug Application (NDA)
- Non-retail pharmacy
- Original Medicare
- Out-of-pocket
- Paid search advertising
- Patent
- Patient
- Pharmaceutical
- Pharmacy
- Pharmacy benefit manager (PBM)
- Physician
- Prescription drugs
- Product differentiation
- Rebate
- Reimbursement
- Research and development (R&D)
- Retail pharmacy
- Search costs
- Switching costs
- Therapeutic class
- Third-party insurance
- Tiered formulary
- Wholesale Acquisition Price (WAC)
- Wholesaler
Shin‐Yun Wang and Chih‐Chiang Hwang
The purpose of this paper is to apply options to the pharmaceutical markets to solute the corruption and counterfeit drugs in emerging markets.
Abstract
Purpose
The purpose of this paper is to apply options to the pharmaceutical markets to solute the corruption and counterfeit drugs in emerging markets.
Design/methodology/approach
This article proposes a framework for using pharmaceutical options. The application of options to pharmaceuticals will enable a freer and more competitive pharmaceutical market, and assist medicine producers and hospitals using pharmaceutical options market to hedge price risk.
Findings
The paper finds that it is possible, for example, to apply the theoretical framework to case studies in pharmaceutical markets.
Research limitations/implications
The present study provides a starting‐point for further research in the pharmaceutical markets sector. The environment of the existing pharmaceutical markets, the implementation of pharmaceutical options, and the potential benefit of such implementation are discussed in details.
Originality/value
This framework has proven to be useful in improving the pharmaceutical markets of the medical industry.
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Pedro Pita Barros reviews pharmaceutical policies adopted by health care systems in European (OECD) countries. He notes that cost-sharing for pharmaceuticals is higher than cost…
Abstract
Pedro Pita Barros reviews pharmaceutical policies adopted by health care systems in European (OECD) countries. He notes that cost-sharing for pharmaceuticals is higher than cost-sharing for other services. However, although pharmaceutical cost-sharing is pervasive across the European Union, concerns over equity have led most countries to adopt sliding fee schedules and even outright exemptions from copayments for vulnerable populations such as the elderly and low income households. The most common form of price regulation in these countries is reference pricing, either “external” (pegging pharmaceutical payments to lowest prices in a group of countries) or “internal” (pegging pharmaceutical prices to the lowest price within a therapeutic class), as well as outright administrative price controls. In his theoretical results, Barros shows that reference pricing lowers cost to consumers the most, followed by administrative price lists, while the pure coinsurance system yields the higher total cost. To foster innovation, Barros proposes adoption of innovative payment schemes based on supply-side risk sharing whereby payments to drug manufacturers are tied to treatment results and patient outcomes. Such schemes are akin to pay-for performance methods used to reimburse physicians in certain managed care settings in the United States.