Arbeitspapier

The importance of the first generic substitution: Evidence from Sweden

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. The impact of a first substitution is especially large among elderly patients. 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.

Sprache
Englisch

Erschienen in
Series: IFN Working Paper ; No. 1428

Klassifikation
Wirtschaft
Consumer Economics: Empirical Analysis
Analysis of Health Care Markets
Health Behavior
Thema
Generic Substitution
Pharmaceuticals
Health Care Costs

Ereignis
Geistige Schöpfung
(wer)
Janssen, Aljoscha
Granlund, David
Ereignis
Veröffentlichung
(wer)
Research Institute of Industrial Economics (IFN)
(wo)
Stockholm
(wann)
2022

Handle
Letzte Aktualisierung
10.03.2025, 11:44 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

  • Janssen, Aljoscha
  • Granlund, David
  • Research Institute of Industrial Economics (IFN)

Entstanden

  • 2022

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