BRIC nations – Brazil, Russia, India, and China – represent 40% of the world’s population, including a growing aging population and middle class with an increasing prevalence of chronic disease. Their healthcare systems increasingly rely on prescription drugs, but they differ from most other healthcare systems because healthcare expenditures in BRIC nations have exhibited the highest revenue growth rates for pharmaceutical multinational corporations (MNCs), Big Pharma. The response of BRIC nations to Big Pharma presents contrasting cases of how governments manage the tensions posed by rising public expectations and limited resources to satisfy them. Understanding these tensions represents an emerging area of research and an important challenge for all those who work in the field of health policy and management (HPAM).
Jakovljevic MB, Milovanovic O. Growing burden of non-communicable diseases in the emerging health markets: the case of BRICS. Front Public Health. 2015;3:65. doi:10.3389/fpubh.2015.00065
Jakovljevic MM. Comparison of historical medical spending patterns among the BRICS and G7. J Med Econ. 2016;19(1):70-76. doi:10.3111/13696998.2015.1093493
Hamdouch A, Depret MH. La Nouvelle Economie Industrielle de la Pharmacie. Paris: Elsevier; 2001:54-56.
Tannoury M, Attieh Z. The influence of emerging markets on the pharmaceutical industry. Curr Ther Res Clin Exp. 2017;86:19-22. doi:10.1016/j.curtheres.2017.04.005
Gagnon MA, Lexchin J. The cost of pushing pills: a new estimate of pharmaceutical promotion expenditures in the United States. PLoS Med. 2008;5(1):e1. doi:10.1371/journal.pmed.0050001
Light DW, Lexchin JR. Pharmaceutical research and development: what do we get for all that money? BMJ. 2012;345:e4348. doi:10.1136/bmj.e4348
Fabre G. Propriété Intellectuelle, Contrefaçon et Innovation. Rouan: University of Rouan and Le Havre Press; 2009.
Naci H, Carter AW, Mossialos E. Why the drug development pipeline is not delivering better medicines. BMJ. 2015;351:h5542. doi:10.1136/bmj.h5542
Jakovljevic M, Potapchik E, Popovich L, Barik D, Getzen TE. Evolving health expenditure landscape of the BRICS nations and projections to 2025. Health Econ. 2017;26(7):844-852. doi:10.1002/hec.3406
Evolution and patterns of global health financing 1995-2014: development assistance for health, and government, prepaid private, and out-of-pocket health spending in 184 countries. Lancet. 2017;389(10083):1981-2004. doi:10.1016/s0140-6736(17)30874-7
Watt NF, Gomez EJ, McKee M. Global health in foreign policy--and foreign policy in health? Evidence from the BRICS. Health Policy Plan. 2014;29(6):763-773. doi:10.1093/heapol/czt063
Ezziane Z. Essential drugs production in Brazil, Russia, India, China and South Africa (BRICS): opportunities and challenges. Int J Health Policy Manag. 2014;3(7):365-370. doi:10.15171/ijhpm.2014.118
Jakovljevic M. Recent developments in the world’s leading generic markets. Medicinski časopis. 2014;48(3):140-142. doi:10.5937/mckg48-5071
da Silva RM, Caetano R. "Farmacia Popular do Brasil" Program: characterization and evolution between 2004 and 2012. Cien Saude Colet. 2015;20(10):2943-2956. doi:10.1590/1413-812320152010.17352014
Biehl J, Petryna A, Gertner A, Amon JJ, Picon PD. Judicialisation of the right to health in Brazil. Lancet. 2009;373(9682):2182-2184. doi:10.1016/s0140-6736(09)61172-7
Ahmad A, Khan MU, Patel I. Drug pricing policies in one of the largest drug manufacturing nations in the world: Are affordability and access a cause for concern? J Res Pharm Pract. 2015;4(1):1-3. doi:10.4103/2279-042x.150043
Roy V, Gupta U, Agarwal AK. Cost of medicines & their affordability in private pharmacies in Delhi (India). Indian J Med Res. 2012;136(5):827-835.
Wang H, Gusmano MK, Cao Q. An evaluation of the policy on community health organizations in China: will the priority of new healthcare reform in China be a success? Health Policy. 2011;99(1):37-43. doi:10.1016/j.healthpol.2010.07.003
Fabre G. The Chinese healthcare challenge; Comment on “Shanghai rising: avoidable mortality as measured by avoidable mortality since 2000.” Int J Health Policy Manag. 2015;4(3):195-197. doi:10.15171/ijhpm.2015.36
Yip W, Hsiao W. Harnessing the privatisation of China's fragmented health-care delivery. Lancet. 2014;384(9945):805-818. doi:10.1016/s0140-6736(14)61120-x
Chitour H. Big Pharma in China—The Driving Forces behind Their Success—A Qualitative Analysis. Chinese Stud. 2013;2(4):169-177. doi:10.4236/chnstd.2013.24028
Bioassociates. Top Pharmaceutical Multinationals in China by Investment. BioMed Tracker; 2012.
Hu J, Mossialos E. Pharmaceutical pricing and reimbursement in China: when the whole is less than the sum of its parts. Health Policy. 2016;120(5):519-534. doi:10.1016/j.healthpol.2016.03.014
European Chamber. China manufacturing 2025: Putting manufacturing ahead of market forces. http://www.europeanchamber.com.cn. Published 2017.
Chinitz D, Rodwin VG. On health policy and management (HPAM): mind the theory-policy-practice gap. Int J Health Policy Manag. 2014;3(7):361-363. doi:10.15171/ijhpm.2014.122
Bigdeli M, Jacobs B, Tomson G, et al. Access to medicines from a health system perspective. Health Policy Plan. 2013;28(7):692-704. doi:10.1093/heapol/czs108
Rodwin,V. G. , Fabre,G. and Ayoub,R. F. (2018). BRIC Health Systems and Big Pharma: A Challenge for Health Policy and Management. International Journal of Health Policy and Management, 7(3), 201-206. doi: 10.15171/ijhpm.2017.145
MLA
Rodwin,V. G. , , Fabre,G. , and Ayoub,R. F. . "BRIC Health Systems and Big Pharma: A Challenge for Health Policy and Management", International Journal of Health Policy and Management, 7, 3, 2018, 201-206. doi: 10.15171/ijhpm.2017.145
HARVARD
Rodwin V. G., Fabre G., Ayoub R. F. (2018). 'BRIC Health Systems and Big Pharma: A Challenge for Health Policy and Management', International Journal of Health Policy and Management, 7(3), pp. 201-206. doi: 10.15171/ijhpm.2017.145
CHICAGO
V. G. Rodwin, G. Fabre and R. F. Ayoub, "BRIC Health Systems and Big Pharma: A Challenge for Health Policy and Management," International Journal of Health Policy and Management, 7 3 (2018): 201-206, doi: 10.15171/ijhpm.2017.145
VANCOUVER
Rodwin V. G., Fabre G., Ayoub R. F. BRIC Health Systems and Big Pharma: A Challenge for Health Policy and Management. IJHPM, 2018; 7(3): 201-206. doi: 10.15171/ijhpm.2017.145