Literature DB >> 9351143

Unintended effects of a cost-containment policy: results of a natural experiment in Germany.

O Schöffski1, J M Graf von der Schulenburg.   

Abstract

In this paper empirical evidence for substitution processes caused by the budget for drugs prescribed by office-based physicians is provided. Due to substitution processes in a natural experiment the number of referrals and hospital admissions increased significantly after the introduction of a drug budget in Germany. This leads to additional direct and indirect cost for the health care system.

Mesh：

Year:  1997        PMID： 9351143     DOI： 10.1016/s0277-9536(97)00090-7

Source DB:  PubMed          Journal:  Soc Sci Med        ISSN： 0277-9536            Impact factor:   4.634


  4 in total

Review 1.  A systematic review of the effect of primary care-based service innovations on quality and patterns of referral to specialist secondary care.

Authors:  Alex Faulkner; Nicola Mills; David Bainton; Kate Baxter; Paul Kinnersley; Tim J Peters; Deborah Sharp
Journal:  Br J Gen Pract       Date:  2003-11       Impact factor: 5.386

Review 2.  An overview of reviews evaluating the effectiveness of financial incentives in changing healthcare professional behaviours and patient outcomes.

Authors:  Gerd Flodgren; Martin P Eccles; Sasha Shepperd; Anthony Scott; Elena Parmelli; Fiona R Beyer
Journal:  Cochrane Database Syst Rev       Date:  2011-07-06

3.  The effects of drug market regulation on pharmaceutical prices in Europe: overview and evidence from the market of ACE inhibitors.

Authors:  Fritz von der Schulenburg; Sotiris Vandoros; Panos Kanavos
Journal:  Health Econ Rev       Date:  2011-11-21

4.  Provider payments and patient charges as policy tools for cost-containment: How successful are they in high-income countries?

Authors:  Guy Carrin; Piya Hanvoravongchai
Journal:  Hum Resour Health       Date:  2003-07-31
  4 in total

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