The aim of a study carried out by Spanish researchers was to identify and analyse policies applied in the health services to enhance uptake of biosimilars in the framework of clinical management settings [1]. Incentives, both financial and non-financial, were of particular interest for the authors. They reviewed the relevant experiences developed in different high-income countries with advanced healthcare systems. In addition, they investigated barriers to the implementation of these policies in Spain.
The authors consider this to be a pioneering study since very little research literature can be found on the subject. After an introductory chapter explaining the motivation for this work, chapter two is dedicated to the concept of economic incentives and to the review of the main findings of the economic literature, paying attention to pay for performance and gainsharing arrangements. The final section covers incentives to improve prescription of medicines by doctors.
There are two chapters dealing with the development of clinical management in general and in Spain. The next chapter is dedicated to the barriers that exist in Spain to the development of incentives for biosimilars in the framework of clinical management. Chapter six summarizes the systematic literature search carried for the purposes of the study. Chapter seven describes experiences of the implementation of incentive schemes for biosimilars in the US, Denmark, France, Germany, Italy, UK and Canada.
This is followed by the development and main ideas of a multidisciplinary focus group of experts. On the basis of the study, and some guiding questions, the group discussions led to a number of contributions that have been included in the recommendations collected in the ninth chapter.
The study also includes an executive summary at the beginning and several annexes at the end.
Conflict of interest
The authors of the book [1] did not provide any conflict of interest statement. The book was unconditionally funded by the Spanish Association of Biosimilar Medicines, BIOSIM.
Abstracted by Félix Lobo, Profesor Emérito, Department of Economics, University Carlos III de Madrid and Funcas, ES-28903 Getafe, Madrid, Spain.
Editor’s comment
Readers interested to learn more about policies for biosimilars are invited to visit www.gabi-journal.net to view the following manuscripts published in GaBI Journal:
Local policies on biosimilars: are they designed to optimize use of liberated resources?
Policy recommendations for a sustainable biosimilars market: lessons from Europe
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Reference
1. Lobo F, Del Rio I. Gestión clínica, incentivos y biosimilares (Biosimilars, Clinical Management and Incentives). 2020. Ediciones Díaz de Santos. Madrid.
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