Barriers to biosimilar prescribing incentives in Spain

Biosimilars/Research | Posted 08/10/2021 post-comment0 Post your comment

Incentives contribute to the proper functioning of the broader contracts that regulate the relationships between healthcare systems and professionals. Likewise, incentives are an important element of clinical governance understood as healthcare services’ management at the micro-level, aimed at achieving better health outcomes for patients.

04 AA010978

In Spain, monetary and non-monetary incentives are sometimes used in the healthcare services, but not as frequently as in other countries. There are already several examples in European countries of initiatives for the promotion of biosimilars through different sorts of incentives, but not in Spain.

Hence, authors Lobo and Río-Álvarez carried out research aimed at identifying the barriers that incentives to prescribe biosimilars might encounter in Spain, with particular interest in incentives in the framework of clinical governance.

Both questions are intertwined. Barriers are presented from two perspectives. Firstly, based on the nature of the barrier:
1. the payment system for healthcare professionals
2. budget rigidity and excessive bureaucracy
3. little autonomy in the management of human resources
4. lack of clinical integration
5. absence of a legal framework for clinical governance
6. other governance-related barriers.

The second perspective is based on the stakeholders involved:
1. gaps in knowledge among physicians
2. misinformation and distrust among patients
3. trade unions opposition to productivity-related payments
4. lack of a clear position by professional associations
5. misalignment of the goals pursued by some healthcare professionals and the goals of the public system.

Finally, the authors advance several recommendations to overcome these barriers at the national level. These included:
1. continuing and intensifying efforts to inform and educate physicians on the pharmacological and clinical characteristics of biosimilars
2. informing patients about biosimilars
3. informing unions and professional corporations of the improvements that clinical governance schemes including incentives (especially those based on gain-sharing programmes) can bring about for the NHS, patients, and professional practice
4. Consensus and support from policymakers are required to implement a growing uptake of biosimilars mainly from the Department of Health but also from the Department of Finance as its endorsement of financial incentive programmes might be necessary.

They concluded that ‘in the long run, structural reforms of the Spanish NHS are required to overcome other barriers to biosimilar prescribing incentives in the context of clinical governance’. However, they also added that in the short term ‘there is room for new limited experiments, particularly with non-monetary incentives and the gain-sharing design, which will incite less opposition’.

Conflict of interest
The authors of the research paper [1] declared conflict of interest, including being an employee of the Spanish Biosimilar Medicines Association. For full details of the authors’ conflict of interest, see the research paper [1].

Abstracted by Félix Lobo, Professor 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 in Spain are invited to visit www.gabi-journal.net to view the following manuscript published in GaBI Journal:

Improving biosimilars uptake: experience gained in Madrid, Spain

GaBI Journal is indexed in Embase, Scopus, Emerging Sources Citation Index and more.

Readers interested in contributing a research or perspective paper to GaBI Journal – an independent, peer reviewed academic journal – please send us your submission here.

GaBI Journal Citation Impact
1.9 – CiteScore 2020 (calculated on 5 May 2021)
2.0 – CiteScoreTracker 2021 (Last updated on 4 September 2021)

Submit a manuscript to GaBI Journal

Related articles
Improving uptake of biosimilars in Spain

Biosimilar policies in Spain

LATIN AMERICAN FORUM

The new section of the ‘Latin American Forum’ on GaBI has been launched. The objective of this new section is to provide you with all the latest news and updates on developments of generic and biosimilar medicines in Latin America in Spanish.

View this week’s headline article: Requisitos de certificación de BPF en Chile, Cuba y Venezuela

Browse the news in the Latin American Forum!

Register to receive the GaBI Latin American Forum newsletter. Inform colleagues and friends of this new initiative.

LATIN AMERICAN FORUM

Se ha lanzado la nueva sección del ‘Foro Latinoamericano’ sobre GaBI. El objetivo de esta nueva sección es brindarle las últimas noticias y actualizaciones sobre desarrollos de medicamentos genéricos y biosimilares en América Latina en español.

Vea el artículo principal de esta semana: Requisitos de certificación de BPF en Chile, Cuba y Venezuela

Explore las noticias en el Foro Latinoamericano!

Regístrese para recibir el boletín informativo GaBI Foro Latinoamericano. Informe a colegas y amigos sobre esta nueva iniciativa. 

  

Reference
1. Lobo F, Río-Álvarez I. Barriers to biosimilar prescribing incentives in the context of clinical governance in Spain. Pharmaceuticals (Basel). 2021;14(3):283.

Permission granted to reproduce for personal and non-commercial use only. All other reproduction, copy or reprinting of all or part of any ‘Content’ found on this website is strictly prohibited without the prior consent of the publisher. Contact the publisher to obtain permission before redistributing.

Copyright – Unless otherwise stated all contents of this website are © 2021 Pro Pharma Communications International. All Rights Reserved.

comment icon Comments (0)
Post your comment
Related content
Biosimilars: Promises made. Promises kept?
ST002293
Biosimilars/Research Posted 19/11/2021
Most viewed articles
About GaBI
Home/About GaBI Posted 05/08/2009
EU guidelines for biosimilars
EMA logo 1 V13C15
Home/Guidelines Posted 08/10/2010