CONCENTRATION AND DRUG PRICES IN THE RETAIL MARKET FOR MALARIA TREATMENT IN RURAL TANZANIA
CONCENTRATION AND DRUG PRICES IN THE RETAIL MARKET FOR MALARIA TREATMENT IN RURAL TANZANIA
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DOI：
10.1002/hec.1473
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发表时间：
2009-06-01
期刊：
影响因子：
2.1
通讯作者：
Mills, Anne
中科院分区：
文献类型：
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作者：
Goodman, Catherine;Kachur, S. Patrick;Mills, Anne
在发展中国家的门诊护理市场中，市场集中度的影响很少被研究，其中零售部门往往占治疗的很大比例。本研究开始通过对坦桑尼亚三个地区农村地区疟疾治疗消费市场的分析来解决这一差距。我们开发了调查市场定义、销量和集中度的方法，并利用这些方法来探讨抗疟药物零售价格与竞争之间的关系。就抗疟药物销售而言，市场在地理上存在强烈的分割性且高度集中。抗疟药价格与市场集中度呈正相关。抗疟药物价格高昂可能是寻求治疗者获得适当治疗比例较低的一个重要因素。有人建议零售部门分发补贴抗疟药物，以提高有效治疗的覆盖范围，但这一分析表明，当地市场力量可能会阻止此类补贴转嫁给农村消费者。政策制定者应考虑通过降低抗疟药供应商的集中度和建议零售价格水平来维持较低零售价格的可能性。版权所有 (C) 2009 John Wiley & Sons, Ltd.
The impact of market concentration has been little studied in markets for ambulatory care in the developing world, where the retail sector often accounts for a high proportion of treatments. This study begins to address this gap through an analysis of the consumer market for malaria treatment in rural areas of three districts in Tanzania. We developed methods for investigating market definition, sales volumes and concentration, and used these to explore the relationship between antimalarial retail prices and competition.The market was strongly geographically segmented and highly concentrated in terms of antimalarial sales. Antimalarial prices were positively associated with market concentration. High antimalarial prices were likely to be an important factor in the low proportion of care-seekers obtaining appropriate treatment.Retail sector distribution of subsidised antimalarials has been proposed to increase the coverage of effective treatment, but this analysis indicates that local market power may prevent such subsidies from being passed on to rural customers. Policymakers should consider the potential to maintain lower retail prices by decreasing concentration among antimalarial providers and recommending retail price levels. Copyright (C) 2009 John Wiley & Sons, Ltd.