Quotation Vogler, Sabine and Österle, August and Mayer, Susanne. 2015. Inequalities in medicine use in Central Eastern Europe: an empirical investigation of socioeconomic determinants in eight countries. International Journal for Equity in Health 14 (124): S. 1-19.




Equitable access to essential medicines is a major challenge for policy-makers world-wide, including Central and Eastern European countries. This study analyses whether socioeconomic determinants influence the use of prescribed and non-prescribed medicines in eight Central and Eastern European countries (Bulgaria, Czech Republic, Hungary, Latvia, Poland, Romania, Slovenia, Slovakia). Further, the study discusses observed (in)equalities in medicine use in the context of the pharmaceutical policy framework and the implementation in these countries. The study is based on cross-sectional data from the first wave of the European Health Interview Survey (2007–2009). Multivariate logistic regression analyses were carried out to determine the association between socioeconomic status and medicine use (prescribed and non-prescribed medicines). This was supplemented by a pharmaceutical policy analysis based on indicators in four policy dimensions (sustainable funding, affordability, availability and accessibility, and rational selection and use of medicines). Overall, the analysis showed a gradient favouring individuals from higher socioeconomic groups in the consumption of non-prescribed medicines in the eight surveyed countries, and for prescribed medicines in three countries (Latvia, Poland, Romania). The pharmaceutical systems in the eight countries were, to varying degrees, characterized by a lack of (public) funding, thus resulting in high and growing shares of private financing (including co-payments for prescribed medicines), inefficiencies in the selection of medicines into reimbursement and limitations in medicines availability. Pharmaceutical policies aiming at reducing inequalities in medicine use require not only a consideration of the role of co-payments and other private expenditure but also adequate investment in medicines and transparent and clear processes regarding the inclusion of medicines into reimbursement.


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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Journal article
Journal International Journal for Equity in Health
Citation Index SSCI
Language English
Title Inequalities in medicine use in Central Eastern Europe: an empirical investigation of socioeconomic determinants in eight countries
Volume 14
Number 124
Year 2015
Page from 1
Page to 19
Reviewed? Y
URL http://equityhealthj.biomedcentral.com/articles/10.1186/s12939-015-0261-0
DOI http://dx.doi.org/10.1186/s12939-015-0261-0


Österle, August (Details)
Mayer, Susanne (Medical University of Vienna, Austria)
Vogler, Sabine (Austrian Public Health Institute, Austria)
Institute for Social Policy IN (Details)
Research areas (ÖSTAT Classification 'Statistik Austria')
3307 Pharmaceutics (Details)
5346 Economics of the health system (Details)
5911 Social policy (Details)
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