Profit-Seeking Behavior of Medical Providers and Generic Competition in the Pharmaceutical Market: Evidence from Taiwan

2013 ◽  
Vol 14 (1) ◽  
pp. 241-275
Author(s):  
Ya-Ming Liu ◽  
Chee-Ruey Hsieh
Keyword(s):  
Health Care ◽  
Market Share ◽  
Prescription Drugs ◽  
Empirical Finding ◽  
Pharmaceutical Market ◽  
Price Ratio ◽  
Medical Providers ◽  
Generic Competition ◽  
Generic Market ◽  
Seeking Behavior

Abstract Promoting competition between brand-name and generic drugs has long been recognized as an approach adopted to save on health care costs. However, there are substantial variations in the extent of the generic competition across countries. This study empirically estimates the determinants of the generic market share in Taiwan, where medical providers are in a position to profit directly from the sale of prescription drugs. Our empirical results point out that the profit-seeking behavior of medical providers plays an important and dominant role behind generic competition in the pharmaceutical market. As a result, there is a positive association between the generic-to-brand price ratio and the generic market share in Taiwan’s pharmaceutical market, which contrasts with the conventional empirical finding that the relationship between the generic-to-brand price ratio and generic market share is negative. An important implication of our study is that the profit-seeking behavior of medical providers undermines the policy effectiveness of using generic competition as the cost containment strategy in the health care market.

scholarly journals Impact of generic competition on market share and prices of cardiovascular medicines on the Bulgarian pharmaceutical market

2010 ◽  
Vol 19 (1) ◽  
pp. 91-100 ◽  
Author(s):  
Manoela M. Manova ◽  
Assena Stoimenova ◽  
Fabrice Clerfeuille ◽  
Guenka I. Petrova
Keyword(s):  
Market Share ◽  
Pharmaceutical Market ◽  
Generic Competition

Health-Seeking Behavior of Patients with Acute Coronary Syndrome and Their Family Caregivers

2018 ◽  
Vol 33 (6) ◽  
pp. 614-620
Author(s):  
Kumboyono Kumboyono ◽  
Jeki Refialdinata ◽  
Titin A Wihastuti ◽  
Septi D Rachmawati ◽  
Aditya N Aziz
Keyword(s):  
Health Care ◽  
Acute Coronary Syndrome ◽  
Family Caregivers ◽  
Prescription Drugs ◽  
Health Seeking ◽  
Publication Type ◽  
Health Seeking Behavior ◽  
Coronary Syndrome ◽  
Seeking Behavior ◽  
The Government

AbstractIntroductionAcute Coronary Syndrome (ACS) is a life-threatening condition. Immediate and proper treatment will decrease mortality rate. Patient awareness on ACS is still lacking and as the consequence, ACS patients do not seek immediate help.ProblemThe patients’ efforts to get rid of ACS symptoms.MethodsThe study was a descriptive, qualitative study in which a semi-structured, in-depth interview became the instrument. The respondents were 34 participants (including 17 ACS patients and 17 family caregivers). Data analysis was done by triangulation of data sources.ResultsThree themes were obtained, namely: (1) prefer traditional and self-treatment, for example (a) traditional medicine, (b) taking non-prescription drugs to overcome ACS symptoms, and (c) spontaneous action; (2) using available health resources and facilities that consisted of (a) getting initial treatment at home by nurses, (b) visiting a health center to take care of the symptoms, and (c) using non-ambulance service to visit the health centers; and (3) expectations on health care services to patients composed by sub-themes such as (a) the expectation to get information that supports the healing, and (b) the caring attitude of the heath professional.Conclusions:The results showed that in the prehospital setting when experiencing ACS symptoms, the patients try to overcome the symptoms independently. However, as the symptoms get worse, they utilize health facilities in different ways. At the time of obtaining health services, patients are satisfied with health professionals who show caring attitudes, explain the results of the examination, and provide health education on health care efforts. Thus, to prevent mortality and morbidity, it is important for a health professional to educate the public about ACS, including topics about ACS healthy lifestyles and potential threats if it is too late to get treatment. Furthermore, it is also important for the government to implement prehospital emergency services nation-wide.KumboyonoK, RefialdinataJ, WihastutiTA, RachmawatiSD, AzizAN. Health-seeking behavior of patients with Acute Coronary Syndrome and their family caregivers. Prehosp Disaster Med. 2018;33(6):614–620.

scholarly journals Does NICE influence the adoption and uptake of generics in the UK?

2020 ◽  
Author(s):  
Victoria Serra-Sastre ◽  
Simona Bianchi ◽  
Jorge Mestre-Ferrandiz ◽  
Phill O’Neill
Keyword(s):  
Market Share ◽  
Market Size ◽  
Special Focus ◽  
Generic Competition ◽  
Generic Entry ◽  
Leading Role ◽  
State Dependent ◽  
Generic Market ◽  
The Uk

AbstractThe aim of this paper is to examine generic competition in the UK, with a special focus on the role of Health Technology Assessment (HTA) on generic market entry and diffusion. In the UK, where no direct price regulation on pharmaceuticals exists, HTA has a leading role for recommending the use of medicines providing a non-regulatory aspect that may influence the dynamics in the generic market. The paper focuses on the role of Technology Appraisals issued by the National Institute for Health and Care Excellence (NICE). We follow a two-step approach. First, we examine the probability of generic entry. Second, conditional on generic entry, we examine the determinants of generic market share. We use data from IQVIA British Pharmaceutical Index (BPI) for the primary care market for 60 products that lost patent between 2003 and 2012. Our results suggest that market size remains one of the main drivers of generic entry. After controlling for market size, intermolecular substitution and difficulty of manufacturing increase the likelihood of generic entry. After generic entry, our estimates suggest that generic market share is highly state dependent. Our findings also suggest that while NICE recommendations do influence generic uptake, there is only marginal evidence they affect generic entry.

scholarly journals Understanding profit margins of medical providers from prescription drugs: evidence from Taiwan

2019 ◽  
Vol 12 (4) ◽  
pp. 272-280
Author(s):  
Ya-Ming  Liu
Keyword(s):  
Prescription Drugs ◽  
Financial Incentives ◽  
Generic Drugs ◽  
Drug Market ◽  
Pharmaceutical Products ◽  
Pharmaceutical Market ◽  
Research Database ◽  
Medical Providers ◽  
Data Set ◽  
Profit Margins

Abstract Background This study empirically estimates the magnitude and associated determinants of profit margins that medical providers earn from prescription drugs based on Taiwan’s pharmaceutical market. Methods Our main data set is from the population-based claims data compiled by the National Health Insurance Research Database covering three waves of price adjustment: July–December 2004, October 2007–September 2008 and October 2009–September 2010. Only drugs whose reimbursement prices were adjusted using the R-zone formula were used as samples for this study. By calculating the difference between retail and wholesale prices for 796 pharmaceutical products, we can estimate the profit margin determinants using the regression model. Results We found evidence that suppliers of generic drugs tend to offer larger discounts to medical providers than suppliers of brand-name drugs. In addition, the countervailing power of wholesale pharmaceuticals, as measured by the discount rate offered by pharmaceutical manufacturers, is positively associated with the degree of competition within the pharmaceutical market and the size of the market itself. Conclusions Our findings imply that the profit-seeking behaviour exhibited by medical providers is the engine of competitive forces in Taiwan’s prescription drug market. This creates financial incentives for them, which in turn influences their choices of prescription drugs.

scholarly journals Hearing Loss and Help-Seeking Behavior

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 797-797
Author(s):  
Nicholas Reed
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Help Seeking ◽  
Health Care Quality ◽  
Medicare Beneficiary ◽  
Care Quality ◽  
The Past ◽  
Help Seeking Behaviour ◽  
Seeking Behavior ◽  
Future Work

Abstract Hearing Loss (HL) is common among older adults and is associated with poor health care quality outcomes include 30-day readmissions, length of stay, poorer satisfaction, and increased medical expenditures. These associations may manifest in changes in help-seeking behaviour. In the 2015 Current Medicare Beneficiary Study (MCBS) (n=10848; weighted sample=46.3 million), participants reported whether they knowingly had avoided seeking care in the past year and self-reported HL was measured as degree of trouble (none, a little, or a lot) hearing when using a hearing aid if applicable. In a model adjusted for demographic, socioeconomic, and health factors, those with a little trouble (OR= 1.612; 95% CI= 1.334-1.947; P<0.001) and a lot of trouble hearing (OR= 2.011; 95% CI= 1.443-2.801; P<0.001) had 61.2% and 101.1% higher odds of avoiding health care over the past year relative to participants with no trouble hearing. Future work should examine whether hearing care modifies this association.

The Diversion of Prescription Drugs by Health Care Workers in Cincinnati, Ohio

2006 ◽  
Vol 41 (2) ◽  
pp. 255-264 ◽  
Author(s):  
James A. Inciardi ◽  
Hilary L. Surratt ◽  
Steven P. Kurtz ◽  
John J. Burke
Keyword(s):  
Health Care ◽  
Prescription Drugs ◽  
Health Care Workers ◽  
Care Workers

scholarly journals Determinants of treatment-seeking behavior during self-reported febrile illness episodes using the socio-ecological model in Kilombero District, Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Caroline M. Mburu ◽  
Salome A. Bukachi ◽  
Khamati Shilabukha ◽  
Kathrin H. Tokpa ◽  
Mangi Ezekiel ◽  
...  
Keyword(s):  
Health Care ◽  
Ecological Model ◽  
Febrile Illness ◽  
Sub Saharan Africa ◽  
Differential Diagnostics ◽  
Treatment Seeking ◽  
Zoonotic Infections ◽  
Appropriate Treatment ◽  
Seeking Behavior ◽  
Tract Infections

Abstract Background Febrile diseases in Sub-Saharan Africa cause acute and chronic illness. Co-infections are common and these diseases have a complex etiology that includes zoonoses. For the implementation of appropriate treatment and control strategies, determinants of lay treatment-seeking behavior by the affected communities need to be understood. The objective of this study was to explore, using the socio-ecological model, the determinants of treatment-seeking actions among self-identified febrile illness cases in the Kilombero District of Tanzania. Methods Thirty-nine in-depth interviews were conducted with 28 men and 11 women in three villages in Kilombero district. These villages were purposively selected due to malaria endemicity in the area, animal husbandry practices, and proximity to livestock-wildlife interaction, all risk factors for contracting febrile zoonotic infections. Thematic analysis was conducted on the interviews to identify the key determinants of treatment-seeking actions. Results Study participants attributed febrile illnesses to malaria, typhoid and urinary tract infections. Treatment-seeking behavior was an iterative process, influenced by individual, socio-cultural, ecological and policy factors. Age, expendable income, previous history with a febrile illness, perceptions on disease severity, seasonal livelihood activities and access to timely healthcare were some of the determinants. Self-treatment with pharmaceutical drugs and herbs was usually the initial course of action. Formal healthcare was sought only when self-treatment failed and traditional healers were consulted after the perceived failure of conventional treatment. Delays in seeking appropriate health care and the consultation of medically unqualified individuals was very common. Conclusion The results imply that treatment-seeking behavior is shaped by multiple factors across all levels of the socio-ecological model. Public policy efforts need to focus on facilitating prompt health care seeking through community education on the complicated etiology of febrile illnesses. Improved access to timely treatment and better differential diagnostics by health professionals are essential to ensure correct and appropriate treatment and to reduce reliance of patients on unqualified persons.

Sign in / Sign up

Export Citation Format

Share Document