Dubois, Pierre and Magnac, Thierry (2024) Optimal Intertemporal Curative Drug Expenses: The Case of Hepatitis C in France. Journal of Health Economics, vol. 94 (n° 102861). pp. 1-17.

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Identification Number : 10.1016/j.jhealeco.2024.102861

Abstract

We study intertemporal tradeoffs that health authorities face when considering the control of an epidemic using innovative curative medical treatments. We set up a dynamically controlled susceptible–infected–recovered (SIR) model for an epidemic in which patients can be asymptomatic, and we analyze the optimality conditions of the sequence of cure expenses decided by health authorities at the onset of the drug innovation process. We show that analytical conclusions are ambiguous because of their dependence on parameter values. As an application, we focus on the case study of hepatitis C, the treatment for which underwent a major upheaval when curative drugs were introduced in 2014. We calibrate our controlled SIR model using French data and simulate optimal policies. We show that the optimal policy entails some front loading of the intertemporal budget. The analysis demonstrates how beneficial intertemporal budgeting can be compared to non-forward-looking constant budget allocation.

Item Type: Article
Language: English
Date: March 2024
Refereed: Yes
Uncontrolled Keywords: pharmaceuticals, SIR model, controlled epidemic dynamics, optimal intertemporal policies, hepatitis C
JEL Classification: I12 - Health Production - Nutrition, Mortality, Morbidity, Suicide, Substance Abuse and Addiction, Disability, and Economic Behavior
I18 - Government Policy; Regulation; Public Health
Subjects: B- ECONOMIE ET FINANCE
Divisions: TSE-R (Toulouse)
Site: UT1
Date Deposited: 22 Feb 2024 14:20
Last Modified: 12 Mar 2024 14:00
OAI Identifier: oai:tse-fr.eu:129064
URI: https://publications.ut-capitole.fr/id/eprint/48610

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