GPs as citizens' agents: Prescription behavior and altruism

Olsen, Kim Rose, Gyrd-Hansen, Dorte, Boegh, Andreas and Hansen, Sofie Hartung (2009) GPs as citizens' agents: Prescription behavior and altruism. European Journal of Health Economics, 10 4: 399-407. doi:10.1007/s10198-008-0140-3

Author Olsen, Kim Rose
Gyrd-Hansen, Dorte
Boegh, Andreas
Hansen, Sofie Hartung
Title GPs as citizens' agents: Prescription behavior and altruism
Journal name European Journal of Health Economics   Check publisher's open access policy
ISSN 1618-7598
Publication date 2009-10
Sub-type Article (original research)
DOI 10.1007/s10198-008-0140-3
Volume 10
Issue 4
Start page 399
End page 407
Total pages 9
Place of publication Heidelberg, Germany
Publisher Springer
Language eng
Abstract To curb the heavily increasing drug budgets some Danish counties have introduced voluntary agreements between general practitioners (GPs) and health authorities. We extend the models of generic prescription by Hellerstein (Rand J Econ 29(1):108–136, 1998) and Lundin (J Health Econ 19:639–662, 2000) to allow for substitution between analogues and use difference-in-difference models to assess the effect on two drug groups (lipid-lowering and rheumatism drugs). For both drug groups we find evidence of a significant effect of the intervention. In the case of lipid-lowering drugs, we found a significant larger impact on GPs with low loyalty to the insurer and with indication of low prescription quality. In contrast we found that the intervention had a significantly lower impact on this group of GPs in the case of rheumatism drugs. We conclude that the effectiveness of the voluntary approach may partly be due to its indirect effect on GPs’ altruistic motivation, which makes the GPs and the authorities collude in a common agency role.
Keyword Physician behavior
Prescription drugs
Difference in difference
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: ERA 2012 Admin Only
School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 18 Oct 2011, 11:19:04 EST by System User on behalf of Medicine - Royal Brisbane and Women's Hospital