News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search


Challenges to equitable access to medicines

Challenges to equitable access to medicines
Media Release

University of Auckland

11 June 2014

Challenges to equitable access to medicines

Access to medicines by vulnerable groups in the community, increasing medicine costs, and the demand for new medicines are some of the challenges identified in an independent study of priority medicine policy issues in New Zealand.

The study, led by Dr Zaheer-Ud-Din Babar from the University of Auckland’s School of Pharmacy, also identified issues with access to prescribers, budgetary constraints, cultural and health literacy, patient medicine affordability and the evidence required for gaining subsidy for medicines.

These findings come from the first independent study to identify medicine policy issues in New Zealand. The study consulted 20 stakeholder groups from a broad range of healthcare and policy institutions.

“While overall there was reasonable satisfaction with the availability of subsidised medicines, there were some major challenges”, says Dr Babar.

“In the context of PHARMAC's fixed budget for procuring and subsidising medicines, there was reasonable satisfaction with the range of medicines available—rare disorder medicines being the clear exception,” he says. “There were concerns raised about the decision making process and whether desired health outcomes are being measured.”

“Despite attempts to improve the situation, there are challenges of access to medicines for people in lower socio-economic groups, Māori and Pacific Island people and those with rare disorders,” says Dr Babar.

Other barriers to access to medicines included convenience to and affordability of prescribers, and the increase of prescription fees from NZ$3 to NZ$5.

“The study shows that low socio-economic groups, (encompassing Māori and Pacifica people) were continuing to have access issues related to financial, structural, educational and cultural barriers,” he says.

Concerns relating to PHARMAC included budget constraints, a lack of transparency of in-house analysis, and a lack of consistency in recommendations between the Pharmacology and Therapeutics Advisory Committees.

“Constraints and inefficiencies also exist in the submission process to access high-cost medicines,” says Dr Babar.

The study identified many of the reservations held by healthcare groups about the Trans Pacific Partnership Agreement (TPPA) and its impact on Pharmac and the availability of high cost medicines.

“There was concern from stakeholders that already ‘big amounts’ are being spent on healthcare and the ‘benefits are low’ and if there was a resultant increase in the cost of medicines, where the resources would come from to offset any cost increases,” he says.

“Very few participants were familiar with the TPPA,” says Dr Babar. “There was scepticism voiced about the driving force behind the agreement and what the benefits would be for NZ when the USA was a heavily subsidised protected market.”

“Most participants considered that New Zealand’s ability to access generic medicines or independence in procuring medicines should be upheld,” says Dr Babar. “If not, funds may need to be redirected from other services, or patient co-payments would need to rise, to compensate a likely increase in the cost of medicines.”

The full study report is available at this link


Notes to Editors (From the study report)

Just under 83% (82.7%) of health expenditure in New Zealand is publicly funded.

New Zealand's health and disability budget at the starting of this research is NZ$13.983 billion.

In comparison with other OECD countries, as a percentage of total expenditure on health, New Zealand spends less on pharmaceuticals. Approximately NZ$795 million and NZ$280 million are available for procuring community/cancer and hospital pharmaceuticals, respectively. This compares with a reported estimated spend of NZ$880 million on medical devices.

Approximately 1848 medicines are subsidised by PHARMAC, as listed on its Pharmaceutical Schedule, for use in the community and are largely accessible via prescription from a medical doctor.

Medicines make a significant contribution to health outcomes.

In 2007, ‘Medicines New Zealand’ New Zealand's medicines policy, was launched in response to access concerns from the public.The aim of the policy is to promote quality, effective and optimally used medicines. To guide decisions, the policy states principles of affordability, equity and need.
Medicines New Zealand aims to ensure that the decisions made about prioritisation and funding are as transparent as possible, understood and open to debate.

© Scoop Media

Culture Headlines | Health Headlines | Education Headlines


Time Of The Ensigns: Wellington City Council Flies The Flags

At noon on Monday the five flag options for the first referendum were hoisted over the Wellington Town Hall. The wind did not disappoint and the contenders for the new ensign contender spot flapped happily in a spring wind. More>>


13/10: 40 Years Since The Māori Land March Arrived At Parliament

Traffic into Wellington came to a standstill as thousands of Māori and Pākehā streamed along the motorway into the capital on 13 October 1975, concluding the Māori land march to parliament. More>>


Scoop Review Of Books: Before The Quakes

Remembering Christchurch: Voices from decades past: The Christchurch I lived in for my first 23 years was where four-year-olds walked alone to kindergarten, crossing roads empty of all but a couple of cars per hour. My primary school, Ilam, was newly built on a grassy paddock surrounded by rural land... More>>

6-11 October: New Zealand Improvisation Festival Hits Wellington

Wellingtonians will have a wide selection of improv to feast on with a jam packed programme containing 22 shows, three companies from Australia, two companies from Auckland, one from Nelson, one from Christchurch and seven from Wellington. More>>


Bird Of The Year: New Zealanders Asked To Vote For Their Favourite Native Bird

Te Radar, David Farrier, Heather du-Plessis Allan and Duncan Garner are just some of the New Zealanders championing their favourite native bird in Forest & Bird’s annual Bird of the Year competition, which kicks off today.. More>>


Get More From Scoop



Search Scoop  
Powered by Vodafone
NZ independent news