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Are private physicians more likely to veto generic substitution of prescribed pharmaceuticals?
Umeå University, Faculty of Social Sciences, Department of Economics.
2009 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 69, no 11, 1643-1650 p.Article in journal (Refereed) Published
Abstract [en]

Physicians' decisions whether or not to veto generic substitution were analyzed using a sample of 350,000 pharmaceutical prescriptions from the county of Västerbotten, Sweden. The primary purpose was to test if physicians working at private practices were more likely to oppose substitution than county-employed physicians working on salary. It was found that private physicians were 50-80% more likely to veto substitution. Also, the probability of a veto was found to be increased as patients' copayments decreased. This might indicate moral hazard in insurance, though other explanations are plausible.

Place, publisher, year, edition, pages
2009. Vol. 69, no 11, 1643-1650 p.
Keyword [en]
doctors, salary, fee for service, moral hazard, prescriptions, drugs
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Research subject
URN: urn:nbn:se:umu:diva-30455DOI: 10.1016/j.socscimed.2009.09.016ISI: 000272424600012OAI: diva2:283477
Available from: 2009-12-28 Created: 2009-12-28 Last updated: 2014-10-09Bibliographically approved

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