Domestic and Global Pharmaceutical Policy

Affordable, appropriately used, effective medicines are key to quality health care and sustainable health systems everywhere. HPI (formerly the Drug Policy Research Group) has established a national and global reputation for pharmaceutical policy research, including investigating the impacts of policy changes on use of medicines, affordability, and clinical outcomes.

In domestic work, Drs. Galbraith, Garabedian, Lu, Ross-Degnan, and Wagner, and are conducting several studies to evaluate the impacts of high deductible health plans and Preferred Drug Lists on medication use and outcomes. (See Health Insurance Systems Research).  Drs. Lu, Ross-Degnan, and Wagner lead work on the health and economic impacts for patients and insurers of increased coverage of high-priced medicines for conditions like hepatitis C and cancers.  Drs. Ross-Degnan and Soumerai continue longstanding work on underuse of pharmaceuticals and other health services due to cost and food insecurity in the Medicare population.

In decades of global work,  frequently conducted with current and former HPI fellows from many countries, Drs. Lu, Ross-Degnan, and Wagner have conducted training programs, developed new methods and data resources appropriate to low resource settings, and collaborated on evaluating pharmaceutical sector interventions in low- and middle-income countries. Dr. Ross-Degnan continues to collaborate in a series of systematic reviews of strategies to improve health worker practices in low- and middle-income countries. Dr. Wagner collaborates with colleagues in China and elsewhere on evaluating marketing authorization, pricing, and reimbursement policies for cancer and other specialty medications.

Selected Publications

Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China

Cost-related Medication Nonadherence and Its Risk Factors Among Medicare Beneficiaries

The effectiveness of training strategies to improve healthcare provider practices in low-income and middle-income countries

Article 2: Longitudinal study assessing the one-year effects of supervision performance assessment and recognition strategy (SPARS) to improve medicines management in Uganda health facilities

Sales of anti-cancer medicines; China, Indonesia, Kazakhstan, Malaysia, Philippines and Thailand

Hypertension and diabetes treatment affordability and government expenditures following changes in patient cost sharing in the "Farmácia popular" program in Brazil: an interrupted time series study