Price and welfare effects of a pharmaceutical substitution reform

被引:17
作者
Granlund, David [1 ,2 ]
机构
[1] Umea Univ, Dept Econ, S-90187 Umea, Sweden
[2] Swedish Retail Inst HUI, S-10329 Stockholm, Sweden
关键词
Drugs; Generic competition; Equivalent variation; Demand estimation; GENERIC SUBSTITUTION; COMPETITION; ENTRY; EXPENDITURES; COUNTRIES; INDUSTRY; IMPACT;
D O I
10.1016/j.jhealeco.2010.08.003
中图分类号
F [经济];
学科分类号
02 ;
摘要
The price effects of the Swedish pharmaceutical substitution reform are analyzed using data for a panel of all pharmaceutical product sold in Sweden in 1997-2007 The price reduction due to the reform was estimated to average 10% and was found to be significantly larger for brand-name pharmaceuticals than for generics The results also imply that the reform amplified the effect that generic entry has on brand-name prices by a factor of 10 Results of a demand estimation imply that the price reductions increased total pharmaceutical consumption by 8% and consumer welfare by SEK 2 7 billion annually (C) 2010 Elsevier B V All rights reserved
引用
收藏
页码:856 / 865
页数:10
相关论文
共 26 条
[1]   ESTIMATES OF THE DEMAND FOR ETHICAL PHARMACEUTICAL DRUGS ACROSS COUNTRIES AND TIME [J].
ALEXANDER, DL ;
FLYNN, JE ;
LINKINS, LA .
APPLIED ECONOMICS, 1994, 26 (08) :821-826
[2]   What are the obstacles to generic substitution?: An assessment of the behaviour of prescribers, patients and pharmacies during the first year of generic substitution in Sweden [J].
Andersson, K ;
Sonesson, C ;
Petzold, M ;
Carlsten, A ;
Lönroth, K .
PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, 2005, 14 (05) :341-348
[3]   Impact of a generic substitution reform on patients' and society's expenditure for pharmaceuticals [J].
Andersson, Karolina ;
Bergstrom, Gina ;
Petzold, Max G. ;
Carlsten, Anders .
HEALTH POLICY, 2007, 81 (2-3) :376-384
[4]   Physicians' opinions and experiences of the pharmaceutical benefits reform [J].
Andersson, Karolina ;
Jorgensen, Tove ;
Carlsten, Anders .
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, 2006, 34 (06) :654-659
[5]  
Buzzelli C, 2006, J PHARM FINANC ECON, V5, P41, DOI DOI 10.1300/J371v15n01_06
[6]  
CAVES RE, 1991, BROOKINGS PAP ECO AC, P1
[7]   Estimating the effects of global patent protection in pharmaceuticals: A case study of quinolones in India [J].
Chaudhuri, Shubham ;
Goldberg, Pinelopi K. ;
Jia, Panle .
AMERICAN ECONOMIC REVIEW, 2006, 96 (05) :1477-1514
[8]   PRICING, PATENT LOSS AND THE MARKET FOR PHARMACEUTICALS [J].
FRANK, RG ;
SALKEVER, DS .
SOUTHERN ECONOMIC JOURNAL, 1992, 59 (02) :165-179
[9]   Generic entry and the pricing of pharmaceuticals [J].
Frank, RG ;
Salkever, DS .
JOURNAL OF ECONOMICS & MANAGEMENT STRATEGY, 1997, 6 (01) :75-90
[10]   Health care is an individual necessity and a national luxury: applying multilevel decision models to the analysis of health care expenditures [J].
Getzen, TE .
JOURNAL OF HEALTH ECONOMICS, 2000, 19 (02) :259-270