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
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Objekttyp
- Arbeitspapier
Beteiligte
- Janssen, Aljoscha
- Granlund, David
- Research Institute of Industrial Economics (IFN)
Entstanden
- 2022