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      Access and Unmet Needs of Orphan Drugs in 194 Countries and 6 Areas: A Global Policy Review With Content Analysis.

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          Abstract

          Three hundred million people living with rare diseases worldwide are disproportionately deprived of in-time diagnosis and treatment compared with other patients. This review provides an overview of global policies that optimize development, licensing, pricing, and reimbursement of orphan drugs.

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          Author and article information

          Journal
          Value Health
          Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
          Elsevier BV
          1524-4733
          1098-3015
          December 2020
          : 23
          : 12
          Affiliations
          [1 ] Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
          [2 ] International Society of Pharmacovigilance, London, United Kingdom.
          [3 ] Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom; Modelling and Economics Unit, National Infections Service, Public Health England, London, United Kingdom; School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
          [4 ] National Rare Diseases Registry System of China, Beijing, China; Rare Diseases Research Center, Chinese Academy of Medical Sciences, Beijing, China.
          [5 ] Rare Diseases Research Center, Chinese Academy of Medical Sciences, Beijing, China; Peking Union Medical College Hospital, Beijing, China.
          [6 ] Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
          [7 ] Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong; Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong; Department of Social Work and Social Administration, Faculty of Social Sciences, The University of Hong Kong, Hong Kong.
          [8 ] Department of Social Work and Social Administration, Faculty of Social Sciences, The University of Hong Kong, Hong Kong; Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong.
          [9 ] Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong; Centre for Medicines Optimisation Research and Education, Research Department of Policy and Practice, University College London School of Pharmacy and University College London Hospital, London, United Kingdom.
          [10 ] Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong. Electronic address: patricip@hku.hk.
          [11 ] Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong; Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong; Department of Social Work and Social Administration, Faculty of Social Sciences, The University of Hong Kong, Hong Kong. Electronic address: sxueli@hku.hk.
          Article
          S1098-3015(20)34413-2
          10.1016/j.jval.2020.06.020
          33248513
          3dd4a78a-85f0-4f62-9a02-7e41c3cbf0f0
          Copyright © 2020 ISPOR–The Professional Society for Health Economics and Outcomes Research. Published by Elsevier Inc. All rights reserved.
          History

          drug regulatory,health equity,orphan drug policy,rare diseases,treatment access

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