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dc.contributor.authorCrea, Giovanni
dc.contributor.authorGalizzi, Matteo M
dc.contributor.authorLinnosmaa, Ismo
dc.contributor.authorMiraldo, Marisa
dc.date.accessioned2019-04-29T09:03:07Z
dc.date.available2019-04-29T09:03:07Z
dc.date.issued2019
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/7576
dc.description.abstractWe test the physicians’ altruism and moral hazard hypotheses using a national panel register containing all 2003–2010 statins prescriptions in Finland. We estimate the likelihood that physicians prescribe generic versus branded versions of statins as a function of the shares of the difference between what patients have to pay out of their pocket and what is covered by the insurance, controlling for patient, physician, and drug characteristics. We find that the estimated coefficients and the average marginal effects associated with moral hazard and altruism are nearly zero, and are orders of magnitude smaller than the ones associated with other explanatory factors such as the prescriptions’ year and the physician specialization. When the analysis distinctly accounts for both the patient and the insurer shares of expenditure, the estimated coefficients directly reject the altruism and moral hazard hypotheses. Instead, we find strong and robust evidence of habits persistence in prescribing branded drugs.
dc.language.isoenglanti
dc.publisherElsevier BV
dc.relation.ispartofseriesJournal of health economics
dc.relation.urihttp://dx.doi.org/10.1016/j.jhealeco.2019.03.006
dc.rightsCC BY-NC-ND https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectpharmaceuticals
dc.subjectmoral hazard
dc.subjectphysician altruism
dc.subjecthabits persistence
dc.titlePhysician altruism and moral hazard: (no) evidence from Finnish national prescriptions data
dc.description.versionfinal draft
dc.contributor.departmentSosiaali- ja terveysjohtamisen laitos / Toiminta
uef.solecris.id61804072en
dc.type.publicationTieteelliset aikakauslehtiartikkelit
dc.rights.accessrights© Elsevier B.V.
dc.relation.doi10.1016/j.jhealeco.2019.03.006
dc.description.reviewstatuspeerReviewed
dc.format.pagerange153-169
dc.publisher.countryAlankomaat
dc.relation.issn0167-6296
dc.relation.volume65
dc.rights.accesslevelopenAccess
dc.type.okmA1
uef.solecris.openaccessEi


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