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The Australian Pharmaceutical Benefits Scheme

David A. Henry, MB, FRCP; Suzanne R. Hill, MBBS, PhD, FAFPHM; Anthony Harris, MA, MSc

JAMA. 2005;294:2630-2632.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this issue of JAMA, Pearson and Rawlins¹ describe the work of the National Institute for Health and Clinical Excellence (NICE), the main health technology assessment agency in the United Kingdom. NICE provides comprehensive advice, including assessment of efficacy and comparative cost-effectiveness of medical interventions and publishes clinical guidelines.² This ambitious project is the most prominent and far reaching of a number of international initiatives, including health technology assessment programs in Canada and Spain^3-4 and pharmaceutical cost-effectiveness evaluations linked to reimbursement decisions in Australia, the Netherlands, and Canada.^5-7 The relevance to the United States has increased with the Medicare Prescription Drug Improvement and Modernization Act of 2003.⁸ This act introduces a voluntary program of prescription drug coverage but the US government will not get directly involved in price negotiation, leaving implementation of the drug . . . [Full Text of this Article]

Australian Pharmaceutical Benefits Scheme

Independence From Government

Relationship With the Pharmaceutical Industry

Transparency

Methodology

Cost-effectiveness Ratios and Budgets

Criticisms

Author Affiliations: School of Medicine and Public Health, University of Newcastle, New South Wales (Drs Henry and Hill) and Centre for Health Economics, Monash University, Victoria (Dr Harris), Australia.

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