Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Government use licenses in Thailand: an assessment of the health and economic impacts | Yamabhai et al. Globalization and Health 2011 7 28 http content 7 1 28 H2 globalization 7 AND HEALTH RESEARCH Open Access Government use licenses in Thailand an assessment of the health and economic impacts Inthira Yamabhai Adun Mohara Sripen Tantivess Kakanang Chaisiri and Yot Teerawattananon Abstract Background Between 2006 and 2008 Thailand s Ministry of Public Health MOPH granted government use licenses for seven patented drugs in order to improve access to these essential treatments. The decision to grant the government use licenses was contentious both within and beyond the country. In particular concerns were highlighted that the negative consequences might outweigh the expected benefits of the policy. This study conducted assessments of the health and economic implications of these government use licenses. Methods The health and health-related economic impacts were quantified in terms of i Quality Adjusted Life Years QALYs gained and ii increased productivity in US dollars USD as a result of the increased access to drugs. The study adopted a five-year timeframe for the assessment commencing from the time of the grant of the government use licenses. Empirical evidence gathered from national databases was used to assess the changes in volume of exports after US Generalized System of Preferences GSP withdrawal and level of foreign direct investment FDI . Results As a result of the granting of the government use licenses an additional 84 158 patients were estimated to have received access to the seven drugs over five years. Health gains from the use of the seven drugs compared to their best alternative accounted for 12 493 QALYs gained which translates into quantifiable incremental benefits to society of million. The government use license on efavirenze was found to have the greatest benefit. In respect of the country s economy the study found that Thailand s overall exports increased overtime although exports of the .
