Demand side cost-sharing and prescription drugs utilization: evidence from a quasi-natural experiment
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F67985998%3A_____%2F13%3A00440562" target="_blank" >RIV/67985998:_____/13:00440562 - isvavai.cz</a>
Result on the web
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DOI - Digital Object Identifier
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Alternative languages
Result language
angličtina
Original language name
Demand side cost-sharing and prescription drugs utilization: evidence from a quasi-natural experiment
Original language description
In this paper we investigate the effects of introduction of lump sum copayments on the utilization of prescription drugs by elderly patients. We make use of an unique dataset and analyze the policy change that implemented patient cost-sharing in the Czech Republic starting in 2008. After the introduction of copayments the number of prescriptions filled decreased by 29%. At the same time, however, total expenditures on prescription drugs dropped only in the first quarter of the post-introduction period and then returned to previous levels. This was partially due to behavioral responses of patients and physicians: strategic shift of prescription purchases to the time right before the introduction of reform, prescription of more packages on one prescription and an upward shift in the price composition of prescribed drugs. Moreover, patients in general decided to forego those types of drugs that did not cause immediate worsening of health status.
Czech name
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Czech description
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Classification
Type
D - Article in proceedings
CEP classification
AH - Economics
OECD FORD branch
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Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2013
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Article name in the collection
Impacts of Ageing on Public Finances and Labour Markets in EU Regions: Theoretical Models and Empirical Analyses
ISBN
978-80-7144-214-1
ISSN
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e-ISSN
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Number of pages
16
Pages from-to
170-185
Publisher name
The Institute of Economic Research of the Slovak Academy of Sciences
Place of publication
Bratislava
Event location
Smolenice
Event date
Oct 28, 2013
Type of event by nationality
EUR - Evropská akce
UT code for WoS article
000335871100014