Does Physician Dispensing Increase Drug Expenditures? Empirical Evidence from Switzerland

B-Tier
Journal: Health Economics
Year: 2016
Volume: 25
Issue: 1
Pages: 71-90

Score contribution per author:

1.005 = (α=2.01 / 2 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

This paper analyzes whether the opportunity for physicians to dispense drugs increases healthcare expenditures. We study the case of Switzerland, where dispensing physicians face financial incentives to overprescribe and sell more expensive pharmaceuticals. Using comprehensive physician‐level data, we exploit the regional variation in the dispensing regime to estimate causal effects. The empirical strategy consists of a doubly‐robust estimation that combines inverse probability weighting with regression. Our main finding suggests that dispensing leads to higher drug costs on the order of 34% per patient. Copyright © 2014 John Wiley & Sons, Ltd.

Technical Details

RePEc Handle
repec:wly:hlthec:v:25:y:2016:i:1:p:71-90
Journal Field
Health
Author Count
2
Added to Database
2026-01-25