Health Econ. 2004 Nov;13(11):1081-9.

Co-payments for prescription drugs and the demand for doctor visits--evidence from a natural experiment.

Source

Department of Economics, University of Zurich, Switzerland. winkelmann@sts.unizh.ch

Abstract

The German health care reform of 1997 provides a natural experiment for evaluating the price sensitivity of demand for physicians' services. As a part of the reform, co-payments for prescription drugs were increased step up to 200%. However, certain groups of people were exempted from the increase, providing a natural control group against which the changed demand for physicians' services of the treated, those subject to increased co-payments, can be assessed. The differences-in-differences estimates indicate that increased co-payments reduced the number of doctor visits by about 10% on an average.

2004 John Wiley & Sons, Ltd.

PMID:: 15386685; [PubMed - indexed for MEDLINE]

LinkOut - more resources

Full Text Sources

Other Literature Sources

Libraries

LinkOut Holdings

Supplemental Content

Save items

Related citations in PubMed

The demand for physician services. Evidence from a natural experiment. [J Health Econ. 2003]
The demand for physician services. Evidence from a natural experiment.
Cockx B, Brasseur C. J Health Econ. 2003 Nov; 22(6):881-913.
Adverse events associated with prescription drug cost-sharing among poor and elderly persons. [JAMA. 2001]
Adverse events associated with prescription drug cost-sharing among poor and elderly persons.
Tamblyn R, Laprise R, Hanley JA, Abrahamowicz M, Scott S, Mayo N, Hurley J, Grad R, Latimer E, Perreault R, et al. JAMA. 2001 Jan 24-31; 285(4):421-9.
Relationship of the use and costs of physician office visits and prescription drugs to travel distance and increases in member cost share. [J Manag Care Pharm. 2006]
Relationship of the use and costs of physician office visits and prescription drugs to travel distance and increases in member cost share.
Cecil WT, Barnes J, Shea T, Coulter SL. J Manag Care Pharm. 2006 Oct; 12(8):665-76.
Review Pharmaceutical policies: effects of cap and co-payment on rational drug use. [Cochrane Database Syst Rev. 2008]
Review Pharmaceutical policies: effects of cap and co-payment on rational drug use.
Austvoll-Dahlgren A, Aaserud M, Vist G, Ramsay C, Oxman AD, Sturm H, Kösters JP, Vernby A. Cochrane Database Syst Rev. 2008 Jan 23; (1):CD007017. Epub 2008 Jan 23.
Review Prescription drug cost sharing: associations with medication and medical utilization and spending and health. [JAMA. 2007]
Review Prescription drug cost sharing: associations with medication and medical utilization and spending and health.
Goldman DP, Joyce GF, Zheng Y. JAMA. 2007 Jul 4; 298(1):61-9.

See reviews... See all...

Cited by 3 PubMed Central articles

Ethical issues in implementation research: a discussion of the problems in achieving informed consent. [Implement Sci. 2008]
Ethical issues in implementation research: a discussion of the problems in achieving informed consent.
Hutton JL, Eccles MP, Grimshaw JM. Implement Sci. 2008 Dec 17; 3:52. Epub 2008 Dec 17.
What impact do prescription drug charges have on efficiency and equity? Evidence from high-income countries. [Int J Equity Health. 2008]
What impact do prescription drug charges have on efficiency and equity? Evidence from high-income countries.
Gemmill MC, Thomson S, Mossialos E. Int J Equity Health. 2008 May 2; 7:12. Epub 2008 May 2.
Patient cost sharing and physician visits by socioeconomic position: findings in three Western European countries. [J Epidemiol Community Health. ...]
Patient cost sharing and physician visits by socioeconomic position: findings in three Western European countries.
Lostao L, Regidor E, Geyer S, Aïach P. J Epidemiol Community Health. 2007 May; 61(5):416-20.

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Co-payments for prescription drugs and the demand for doctor visits--evidence fr...
Co-payments for prescription drugs and the demand for doctor visits--evidence from a natural experiment.
Health Econ. 2004 Nov ;13(11):1081-9.

PubMed
Understanding physicians' decision to perform a clinical examination on an HIV s...
Understanding physicians' decision to perform a clinical examination on an HIV seropositive patient.
Med Care. 1992 Mar ;30(3):199-207.

PubMed
Mapping the field: a bibliometric analysis of the research utilization literatur...
Mapping the field: a bibliometric analysis of the research utilization literature in nursing.
Nurs Res. 2004 Sep-Oct ;53(5):293-303.

PubMed
Quality of nursing worklife issues--a unifying framework.
Quality of nursing worklife issues--a unifying framework.
Can J Nurs Adm. 1992 May-Jun ;5(2):12-6.

PubMed
Physicians' views on joint treatment guidelines for primary and secondary care.
Physicians' views on joint treatment guidelines for primary and secondary care.
Int J Qual Health Care. 2004 Jun ;16(3):229-36.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to:

Co-payments for prescription drugs and the demand for doctor visits--evidence from a natural experiment.

Source

Abstract

Publication Types, MeSH Terms, Substances

Publication Types

MeSH Terms

Substances

LinkOut - more resources

Full Text Sources

Other Literature Sources

Libraries

Supplemental Content

Save items

Related citations in PubMed

Cited by 3 PubMed Central articles

Related information

Recent activity

Simple NCBI Directory

Getting Started

Resources

Popular

Featured

NCBI Information