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Pharmaceutical promotion and GP prescription behaviour
Frank Windmeijer1, Eric de Laat, Rudy Douven
1Centre for Microdata Methods and Practice, Institute for Fiscal Studies, London, UK. f.windmeijer@ifs.org.uk
Pharmaceutical promotion reduces general practitioners' (GPs) price sensitivity for ethical drugs. This study analyzed GP prescription data and promotion expenditures in the Netherlands, finding promotion negatively impacts price awareness.
Area of Science:
- Health Economics
- Pharmaceutical Marketing
- Medical Practice Management
Background:
- Promotional activities by pharmaceutical companies influence general practitioners' (GPs) prescribing habits.
- While promotion can inform, it may also decrease price sensitivity and maintain market share for higher-priced drugs.
Purpose of the Study:
- To empirically analyze the impact of pharmaceutical promotional activities on GPs' responses to ethical drugs.
- To investigate how promotion affects GPs' price sensitivity and prescribing behavior.
Main Methods:
- An econometric model was estimated using aggregate monthly GP prescription data and drug promotion expenditures (1994-1999).
- The model utilized panel data for 11 therapeutic markets in the Netherlands, controlling for drug-specific effects and habit persistence.
- Price effect identification was enhanced by the Pharmaceutical Prices Act of 1996.
Main Results:
- General practitioners exhibit low price sensitivity for ethical drugs.
- Promotional expenditures by pharmaceutical companies were found to adversely affect GPs' price sensitivity.
- Promotion appears to be a strategy for maintaining market share rather than reflecting therapeutic value.
Conclusions:
- Pharmaceutical promotion significantly diminishes GPs' sensitivity to drug prices.
- Interventions aimed at increasing price awareness among GPs may be necessary.
- The findings have implications for pharmaceutical market regulation and healthcare policy.
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