Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/7226
DC FieldValueLanguage
dc.contributor.authorGonzález Lopez-Valcarcel, Beatrizen_US
dc.contributor.authorLibrero, Juliánen_US
dc.contributor.authorSanfélix-Gimeno, Gabrielen_US
dc.contributor.authorPeiró, Salvadoren_US
dc.contributor.otherValcarcel, Bea-
dc.contributor.otherSanfelix-Gimeno, Gabriel-
dc.contributor.otherPeiro, Salvador-
dc.contributor.otherLibrero, Julian-
dc.date.accessioned2012-03-28T14:38:15Z-
dc.date.accessioned2012-04-10T09:01:35Z-
dc.date.accessioned2018-03-08T13:15:38Z-
dc.date.available2012-04-10T09:01:35Z-
dc.date.available2018-03-08T13:15:38Z-
dc.date.issued2011en_US
dc.identifierhttp://dx.doi.org/10.1186/1472-6963-11-333-
dc.identifier.issn1472-6963en_US
dc.identifier.otherScopus-
dc.identifier.urihttp://hdl.handle.net/10553/7226-
dc.description.abstractBackground This study aims to design an empirical test on the sensitivity of the prescribing doctors to the price afforded for the patient, and to apply it to the population data of primary care dispensations for cardiovascular disease and mental illness in the Spanish National Health System (NHS). Implications for drug policies are discussed. Methods We used population data of 17 therapeutic groups of cardiovascular and mental illness drugs aggregated by health areas to obtain 1424 observations ((8 cardiovascular groups * 70 areas) + (9 psychotropics groups * 96 areas)). All drugs are free for pensioners. For non-pensioner patients 10 of the 17 therapeutic groups have a reduced copayment (RC) status of only 10% of the price with a ceiling of €2.64 per pack, while the remaining 7 groups have a full copayment (FC) rate of 40%. Differences in the average price among dispensations for pensioners and non-pensioners were modelled with multilevel regression models to test the following hypothesis: 1) in FC drugs there is a significant positive difference between the average prices of drugs prescribed to pensioners and non-pensioners; 2) in RC drugs there is no significant price differential between pensioner and non-pensioner patients; 3) the price differential of FC drugs prescribed to pensioners and non-pensioners is greater the higher the price of the drugs. Results The average monthly price of dispensations to pensioners and non-pensioners does not differ for RC drugs, but for FC drugs pensioners get more expensive dispensations than non-pensioners (estimated difference of €9.74 by DDD and month). There is a positive and significant effect of the drug price on the differential price between pensioners and non-pensioners. For FC drugs, each additional euro of the drug price increases the differential by nearly half a euro (0.492). We did not find any significant differences in the intensity of the price effect among FC therapeutic groups. Conclusions Doctors working in the Spanish NHS seem to be sensitive to the price that can be afforded by patients when they fill in prescriptions, although alternative hypothesis could also explain the results found.en_US
dc.languageengen_US
dc.relationPI 06/90515en_US
dc.relationPI07/90608en_US
dc.relation.ispartofBMC Health Services Researchen_US
dc.sourceBMC Health Services Research [EISSN 1472-6963], v. 11, 333, (Diciembre 2011)en_US
dc.subject32 Ciencias médicasen_US
dc.subject.otherAverage Priceen_US
dc.subject.otherNational Health Systemen_US
dc.subject.otherPrice Differentialen_US
dc.subject.otherAutonomous Communityen_US
dc.subject.otherTherapeutic Groupen_US
dc.titleAre prescribing doctors sensitive to the price that their patients have to pay in the Spanish National Health System?en_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/1472-6963-11-333en_US
dc.identifier.scopus84856294670-
dc.identifier.isi000299962600001-
dcterms.isPartOfBmc Health Services Research-
dcterms.sourceBmc Health Services Research[ISSN 1472-6963],v. 11-
dc.description.versionPeer Reviewed-
dc.language.rfc3066en-
dc.rights.holderGonzalez Lopez-Valcarcel et al.; licensee BioMed Central Ltd.-
dc.compliance.driver1-
dc.contributor.authorscopusid6507677112-
dc.contributor.authorscopusid6603600917-
dc.contributor.authorscopusid23009909100-
dc.contributor.authorscopusid7004791738-
dc.identifier.crisid455;-;-;--
dc.identifier.eissn1472-6963-
dc.relation.volume11en_US
dc.investigacionCiencias Sociales y Jurídicasen_US
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess-
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess-
dc.type2Artículoen_US
dc.identifier.wosWOS:000299962600001-
dc.contributor.daisngid7008994-
dc.contributor.daisngid1229412-
dc.contributor.daisngid963402-
dc.contributor.daisngid25768841-
dc.contributor.daisngid650724-
dc.contributor.daisngid211348-
dc.identifier.investigatorRIDA-9891-2010-
dc.identifier.investigatorRIDE-9140-2012-
dc.identifier.investigatorRIDH-5778-2017-
dc.identifier.investigatorRIDF-4947-2017-
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Lopez-Valcarcel, BG-
dc.contributor.wosstandardWOS:Librero, J-
dc.contributor.wosstandardWOS:Sanfelix-Gimeno, G-
dc.contributor.wosstandardWOS:Peiro, S-
dc.date.coverdateDiciembre 2011en_US
dc.identifier.supplementhttp://dx.doi.org/10.1186/1472-6963-11-333-
dc.identifier.supplement455;-;-;--
dc.identifier.ulpgcen_US
item.grantfulltextopen-
item.fulltextCon texto completo-
crisitem.author.deptEconomía de la salud y políticas públicas-
crisitem.author.deptDepartamento de Métodos Cuantitativos en Economía y Gestión-
crisitem.author.orcid0000-0002-5571-3257-
crisitem.author.parentorgDepartamento de Métodos Cuantitativos en Economía y Gestión-
crisitem.author.fullNameGonzález Lopez-Valcarcel, Beatriz-
Appears in Collections:Artículos
Thumbnail
Adobe PDF (375,35 kB)
XML (81,39 kB)
Show simple item record

SCOPUSTM   
Citations

7
checked on Apr 11, 2021

WEB OF SCIENCETM
Citations

6
checked on Apr 11, 2021

Page view(s)

116
checked on Apr 11, 2021

Download(s)

121
checked on Apr 11, 2021

Google ScholarTM

Check

Altmetric


Share



Export metadata



Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.