alexa An Unhealthy Public-Private Tension: Pharmacy Ownership, Prescribing, And Spending In The Philippines
Business & Management

Business & Management

Journal of Accounting & Marketing

Author(s): Chris D James John Peabo

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Physicians' links with pharmacies may create perverse financial incentives to overprescribe, prescribe products with higher profit margins, and direct patients to their pharmacy. Interviews with pharmacy customers in the Philippines show that those who use pharmacies linked to public-sector physicians had 5.4 greater odds of having a prescription from such physicians and spent 49.3 percent more than customers using other pharmacies. For customers purchasing brand-name medicines, switching to generics would reduce drug spending by 58 percent. Controlling out-of-pocket spending on drugs requires policies to control financial links between doctors and pharmacies, as well as tighter regulation of nongeneric prescribing.

This article was published in Health Aff (Millwood) and referenced in Journal of Accounting & Marketing

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