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Access to oncology medicines in EU and OECD countries

Author

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  • Thomas Hofmarcher
  • Caroline Berchet
  • Guillaume Dedet

Abstract

Ensuring equal access to the latest cancer medicines is one of the most pressing challenges facing OECD health systems today. Despite the emergence of new oncology drugs, disparities in patient access—particularly through clinical trials and early access programs—remain a critical issue. Rising costs are also straining even the most affluent healthcare systems, making affordability a concern for all. This working paper examines various aspects of inequalities in access to cancer medicines, covering key stages in a medicine's life cycle, from marketing authorization to reimbursement decisions and uptake in clinical practice. The analysis draws on original findings from the 2023 OECD Policy Survey on Cancer Care Performance. It also explores potential strategies to stimulate competition among oncology medicine producers, which could create significant budget headroom, allowing reinvestment in new cancer medicines that offer substantial clinical benefits to patients.

Suggested Citation

  • Thomas Hofmarcher & Caroline Berchet & Guillaume Dedet, 2024. "Access to oncology medicines in EU and OECD countries," OECD Health Working Papers 170, OECD Publishing.
    • Handle: RePEc:oec:elsaad:170-en
    DOI: 10.1787/c263c014-en
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    More about this item

    Keywords

    Cancer; Oncology medicines;

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L11 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Production, Pricing, and Market Structure; Size Distribution of Firms
    • O30 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - General

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