Healthcare systems, the State, and innovation in the pharmaceutical industry

Abstract

This article discusses the relations between healthcare systems and the pharmaceutical industry, focusing on state support for pharmaceutical innovation. The study highlights the experiences of the United States, United Kingdom, and Germany, developed countries and paradigms of modern health systems (liberal, universal, and corporatist), in addition to Japan, a case of successful catching up. The study also emphasizes the experiences of China, India, and Brazil, large developing countries that have tried different catching up strategies, with diverse histories and profiles in their healthcare systems and pharmaceutical industries. Finally, with a focus on state forms of support for health research, the article addresses the mechanisms for linkage between health systems and the pharmaceutical industry, evaluating the possibilities of Brazil strengthening a virtuous interaction, favoring the expansion and consolidation of the Brazilian health system - universal but segmented ‒ and the affirmation of the innovative national pharmaceutical industry.

Saúde e desenvolvimento sustentável: uma análise da convergência das publicações científicas

“…Mais uma vez, o que se observa é uma multiplicidade de focos relacionados a saúde e desenvolvimento suténtavel, dentre ele destacamos aspectos relacionados à economia e cuidado ecológico (SIGNORINO, 2011;BACKES, 2011), economia verde (GALLO et al, 2012), alterações climáticas, saúde do trabalhador e das crianças, gestão sustentável, desenvolvimento e saúde mental (DESSEILLES et al, 2013;ABOUETTAHIR et al, 2013;RIBEIRO et al, 2013;TOMLINSON, 2013), saúde sexual e reprodutiva, saúde verde (NEWMAN et al, 2014;KHETANI et al 2014;BOTCHWEY et al, 2014), discussões sobre os ODS, estudos sobre os determinantes sociais de saúde, saúde da mulher, crianças e adolescentes (BROLAN;HILL, 2015;ANDRADE et al, 2015;KIM;EVANS, 2015;GROVE et al, 2015), agricultura familiar, temas relacionados à indústria farmacêutica e diversos trabalhos sobre os objetivos globais para o desenvolvimento sustentável (BORGES, et al 2016;DELGADO, 2016;FURUKAWA et al, 2016;VALENTINE et al, 2016, CHAPMAN, 2016BUNDHAMCHAROEN et al, 2016;GALVÃO et al, 2016).…”

Association Between Frailty and Inpatient Services Utilization Among Older Adults in Rural China: The Mediating Role of Multimorbidity

“…Some studies examined the association between frailty and healthcare utilization using data from developed countries, such as Spain, Australia, and the United States, which indicated frailty was associated with higher hospitalization rates (9)(10)(11)(12). There are different health systems in developed and developing countries (13). To date, it is largely unknown whether frailty is associated with inpatient services utilization among older adults in developing countries such as China.…”