title: An unhealthy public-private tension: pharmacy ownership, prescribing, and spending in the Philippines.
abstract: Physicians' links with pharmacies may create perverse financial incentives to overprescribe, prescribe products with higher profit margins, and direct patients to their pharmacy. Interviews with pharmacy customers in the Philippines show that those who use pharmacies linked to public-sector physicians had 5.4 greater odds of having a prescription from such physicians and spent 49.3 percent more than customers using other pharmacies. For customers purchasing brand-name medicines, switching to generics would reduce drug spending by 58 percent. Controlling out-of-pocket spending on drugs requires policies to control financial links between doctors and pharmacies, as well as tighter regulation of nongeneric prescribing.
authors: London School of Hygiene and Tropical Medicine, United Kingdom. chrisdjames@fastem.com
authors: Chris D
authors: CD
authors: James
authors: John
authors: J
authors: Peabody
authors: Orville
authors: O
authors: Solon
authors: Stella
authors: S
authors: Quimbo
authors: Kara
authors: K
authors: Hanson
mesh_terms: D017046:Cost Savings; D011307:Drug Prescriptions / Q000191:economics; D016568:Drugs, Generic / Q000191:economics; D006801:Humans; D007407:Interviews as Topic; D017060:Patient Satisfaction; D010594:Pharmacies; D010679:Philippines; D010818:Practice Patterns, Physicians' / Q000191:economics* / Q000941:ethics; D055818:Public-Private Sector Partnerships / Q000191:economics
chemical_list: D016568:Drugs, Generic