2026年10月1日(木) October 1 (Thu.), 2026 5:20PM-6:50PM
報告者/Presenter: 井深陽子/Yoko Ibuka (慶応義塾大学/Keio University)
Title: Paying More at Fixed Prices: Pharmacy Incentives and Drug Substitution (joint with Haruo Kakehi)
場所:2号館11階経済学部会議室B
Venue: 11th Floor, Bldg. No.2 Meeting Room B
幹事/Organizer:長谷部拓也/Takuya Hasebe
言語/Language:英語/English
要旨/Abstract: When regulated prices cannot clear shortages, non-price mechanisms determine who bears the cost. We study this in Japan’s drug market, where pharmacists choose among differently priced substitutes, exploiting a government-ordered suspension of a major generic manufacturer. Out-of-pocket spending rose by up to 21%, driven by temporary shifts to brand-name drugs and larger, persistent shifts to higher-priced generics. Pharmacists’ dispensing choices vary with financial incentives, yet the government’s pay-for-performance program rewards generic use rather than the use of lower-priced generics and cannot prevent within-generic cost increases. We evaluate targeted incentives that could reduce patient and total spending. We also find evidence of lower adherence and higher discontinuation, indicating disruptions to treatment continuity.
2026年11月5日(木) November 5 (Thu.), 2026 10:30AM-12:00PM
報告者/Presenter: Mia Hokovirta (University of Turku)
Title: TBA
場所:2号館11階経済学部会議室B
Venue: 11th Floor, Bldg. No.2 Meeting Room B
幹事/Organizer:長谷部拓也/Takuya Hasebe
言語/Language:英語/English
要旨/Abstract: TBA