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The importance of t...
The importance of the first generic substitution : Evidence from Sweden
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- Janssen, Aljoscha (author)
- Singapore Management University, Department of Economics, 90 Stamford Rd, Singapore
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- Granlund, David, 1979- (author)
- Umeå universitet,Nationalekonomi
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- English.
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In: Journal of Economic Behavior and Organization. - : Elsevier. - 0167-2681 .- 1879-1751. ; 213, s. 1-25
- Related links:
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Abstract
Subject headings
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- We analyze changes in the willingness to substitute from prescribed pharmaceuticals to more affordable generic equivalents in response to the first experience with a substitution. Using Swedish individual-level data of prescribed and dispensed pharmaceuticals, we employ a dynamic event study and an instrumental variable approach to show that an initial substitution reduces the probability of opposing subsequent substitutions by 39 percentage points. We recommend that policy-makers target patients with a history of opposed substitution and offer additional discounts to promote substitution as long-term savings outweigh one-time costs.
Subject headings
- SAMHÄLLSVETENSKAP -- Ekonomi och näringsliv -- Nationalekonomi (hsv//swe)
- SOCIAL SCIENCES -- Economics and Business -- Economics (hsv//eng)
Keyword
- Generic substitution
- Health care costs
- Pharmaceuticals
Publication and Content Type
- ref (subject category)
- art (subject category)
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