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Statements

Subject Item
n2:RIV%2F67985998%3A_____%2F13%3A00440562%21RIV15-AV0-67985998
rdf:type
skos:Concept n11:Vysledek
dcterms: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. 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.
dcterms:title
Demand side cost-sharing and prescription drugs utilization: evidence from a quasi-natural experiment Demand side cost-sharing and prescription drugs utilization: evidence from a quasi-natural experiment
skos:prefLabel
Demand side cost-sharing and prescription drugs utilization: evidence from a quasi-natural experiment Demand side cost-sharing and prescription drugs utilization: evidence from a quasi-natural experiment
skos:notation
RIV/67985998:_____/13:00440562!RIV15-AV0-67985998
n3:aktivita
n16:I
n3:aktivity
I
n3:dodaniDat
n14:2015
n3:domaciTvurceVysledku
n7:9863435 n7:4308204
n3:druhVysledku
n10:D
n3:duvernostUdaju
n17:S
n3:entitaPredkladatele
n8:predkladatel
n3:idSjednocenehoVysledku
68301
n3:idVysledku
RIV/67985998:_____/13:00440562
n3:jazykVysledku
n12:eng
n3:klicovaSlova
health insurance; moral hazard; cost sharing
n3:klicoveSlovo
n6:moral%20hazard n6:cost%20sharing n6:health%20insurance
n3:kontrolniKodProRIV
[ED6A8E9135B0]
n3:mistoKonaniAkce
Smolenice
n3:mistoVydani
Bratislava
n3:nazevZdroje
Impacts of Ageing on Public Finances and Labour Markets in EU Regions: Theoretical Models and Empirical Analyses
n3:obor
n4:AH
n3:pocetDomacichTvurcuVysledku
2
n3:pocetTvurcuVysledku
2
n3:rokUplatneniVysledku
n14:2013
n3:tvurceVysledku
Zděnek, Michal Hromádková, Eva
n3:typAkce
n18:EUR
n3:wos
000335871100014
n3:zahajeniAkce
2013-10-28+01:00
s:numberOfPages
16
n13:hasPublisher
The Institute of Economic Research of the Slovak Academy of Sciences
n19:isbn
978-80-7144-214-1