改革引发的竞争:评估对瑞士药房和药品总成本的影响
1KOF Swiss Economic Institute, ETH Zurich, Leonhardstrasse 21, 8092 Zurich, Switzerland.
Journal of health economics
|January 24, 2026
概括
在瑞士,医生开药量增加导致药房市场份额大幅下降,尤其是仿制药. 这一竞争改革最终提高了社会药品成本,尽管药房在医疗服务方面实现了多元化.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 市场竞争分析市场竞争分析
背景情况:
- 医生自我处方改革可以改变制药市场的动态.
- 了解竞争加剧对药房的影响对于医疗保健政策至关重要.
- 之前的研究还没有完全量化医生药物开放的经济后果.
研究的目的:
- 分析医生自开药对药房市场份额和利能力的影响.
- 调查药店如何适应竞争加剧的业务模式.
- 估计改革对社会药物成本的整体影响.
主要方法:
- 使用差异差异估计方法.
- 将详细的药房销售数据与调查数据合并.
- 整合了行政医生数据以评估药物成本.
主要成果:
- 药房在处方药收入和利方面经历了重大和永久性的损失.
- 这种下降主要集中在治疗急性疾病的药物上,并且影响了仿制药的销售,而不是品牌药物.
- 改革导致社会每年增加约1950万瑞士法郎的药物成本.
- 药房作为一种竞争性的回应,多元化了健康服务.
结论:
- 医生自行开放的竞争增加对药房收入和利能力产生了负面影响.
- 虽然药房通过提供医疗服务来适应,但整体经济效应可能会增加社会药物成本.
- 允许医生开药的政策干预措施需要仔细考虑其更广泛的经济影响.
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