Generic substitution, financial interests, and imperfect agency

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Policy makers around the world seek to encourage generic substitution. In this paper, the importance of prescribing physicians' imperfect agency is tested using the fact that some Swiss jurisdictions allow physicians to dispense drugs on their own account (physician dispensing, PD) while others disallow it. We estimate a model of physician drug choice with the help of drug claim data, finding a significant positive association between PD and the use of generics. While this points to imperfect agency, generics are prescribed more often to patients with high copayments or low incomes.

Original languageEnglish
JournalInternational Journal of Health Care Finance and Economics
Volume13
Issue number2
Pages (from-to)115-138
Number of pages24
DOIs
Publication statusPublished - 01.06.2013

    Research areas

  • Management studies
  • Brand-name drugs, Drug dispensing, Generic substitution, Physician agency, Prescribing behavior

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