期刊
CLINICAL INFECTIOUS DISEASES
卷 71, 期 8, 页码 1994-1999出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/cid/ciaa153
关键词
antibiotic resistance; economic incentives; pull incentives; antimicrobials
资金
- health program of the European Union (2014-2020) [76129]
Antibiotic innovation is in serious jeopardy as companies continue to abandon the market due to a lack of profitability. Novel antibiotics must be used sparingly to hinder the spread of resistance, but small companies cannot survive on revenues that do not cover operational costs. When these companies either go bankrupt or move onto other therapeutic areas, these antibiotics may be no longer accessible to patients. Although significant research efforts have detailed incentives to stimulate antibiotic innovation, little attention has been paid to the financing of these incentives. In this article, we take a closer look at 4 potential financing models (diagnosis-related group carve-out, stewardship taxes, transferable exclusivity voucher, and a European-based pay or play model) and evaluate them from a European perspective. The attractiveness of these models and the willingness for countries to test them are currently being vetted through the European Joint Action on AMR and Healthcare-Associated Infections (EU-JAMRAI).
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