Download Copayments And The Demand For Prescription Drugs (Routledge by Domenico Esposito PDF

By Domenico Esposito

Expanding prescription drug cost-sharing via sufferers - within the type of expanding copayments - is among the such a lot amazing, and arguable, advancements within the health and wellbeing quarter over contemporary years. the precise nature and use of copayments via wellbeing and fitness care insurers is still sizzling subject of dialogue. This designated and meticulously researched examine is without doubt one of the first of its variety: its effects recommend that alterations in copayments impression selection, moving industry percentage for those medicines. Differential copayments for medically an identical choices is one technique insurers use to impact the alternative of 1 drug over one other while confronted with differing costs. Relative copayments for therapeutically an identical medications, imposed through insurers, are proven to have an important influence on shopper selection – the implication being that physicians are appearing in sufferers’ monetary, in addition to clinical curiosity. in contrast to a lot paintings during this sector, Copayments and the call for for prescribed drugs isn't really backed by way of any drug corporation; and its updated effects, demonstrated on an organization clinical foundation, are completely impartial. Its effects have purposes for the personal assurance and pharmaceutical sectors in addition to the general public area, and it'll be of significant curiosity to execs and researchers within the fields of overall healthiness economics, fiscal and healthcare policy-making, and microeconomics: its basic findings are particularly severe to the us public healthiness region that is at the cusp of offering a prescription drug gain to almost 40 million aged american citizens.

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Example text

A family of finite, nonempty choice sets from K is represented by B, S is the universe of vectors of measured characteristics of individuals, and P : K ϫ ␰ ϫS → [0,1] is a choice probability for any given alternative in a choice set B ʦ B. The index set is the set of drugs available to consumers and is assumed to be external to the actual choice process. The choice probability P(k | B, s) specifies the probability of choosing any option k ʦ K, given that a selection must be made from a choice set B ʦ B and the decisionmaker has characteristics s ʦ S.

6 The economics of prescription drug demand Prescription drug demand, like many empirically important economic decisions, involves a choice between discrete alternatives. Initially, the decision whether or not to begin a regimen of pharmaceutical treatment is a binary one. The choices are to treat a patient’s condition with prescription drugs or monitor it without them. While the decision to prescribe a drug is normally made by a physician, the agency relationship that exists between doctor and patient can be an imperfect one (as discussed in Chapter 5).

One example of a therapeutic interchange program for statins where cost-effectiveness plays a predominant role can be found in Grace et al. (2002). This study describes a Department of Defense program which switched existing statin users to preferred agents—cervistatin (Baycol) and simvastatin (Zocor)—within a specified time period. In the first year, this therapeutic interchange program saved $115 per patient in a population of more than 1,300 studied. The program subsequently removed Baycol from its preferred list when its serious adverse side effects were discovered.

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