Pathway framework 8 of 8

Setting the Rules of Access

How to get a medicine to patients by following it through approval and pricing

Do you want to learn how public bodies decide which medicines and prevention measures reach people, and at what price? You follow a new medicine through approval and pricing, then learn how to measure whether the gains from health policy reach the people who need them most.

4 steps

This framework organises the concepts covered at each step of the pathway on the Knowledge Map.

Before you start

Concepts from other branches of the Knowledge Tree that this pathway builds on.

  1. Step 1

    Drug development and regulation

    How a new medicine gains approval and how its safety is watched once patients use it, including faster routes for serious conditions.

    8 concepts

    Why start here

    The pathway starts with drug development and regulation, because a medicine must be approved before anyone can set its price or judge its value.

    Also on the Deciding What to Fund pathway

  2. Step 2

    Pricing and market access

    How the price of a medicine is set and agreed with payers, and the deals that let patients get it when the cost is high or paid over time.

    5 concepts

    Why this comes next

    Once a medicine is approved, its price and the terms of payment decide whether patients can get it, so pricing follows regulation.

  3. Step 3

    Public health and prevention policy

    How governments use measures such as vaccination programmes and limits on alcohol to prevent illness across a whole population.

    2 concepts

    Why this comes next

    Not all health policy concerns single medicines, so the pathway widens to measures that act on a whole population before people fall ill.

  4. Step 4

    Equity and inequality

    How differences in health and in access to care are measured, which of them count as unfair, and how an evaluation can show who gains and who loses.

    26 concepts

    Why this comes next

    With medicines and prevention policy in place, the last step asks whether their gains are shared fairly, which needs its own measures and methods.

    Also on the Follow the Money pathway

Where to go next

Branches that take these methods further.