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A spatial analysis to evaluate the impact of deregulation policies in the pharmacy sector: Evidence from the case of Navarre

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  • Barbarisi, Ilaria
  • Bruno, Giuseppe
  • Diglio, Antonio
  • Elizalde, Javier
  • Piccolo, Carmela

Abstract

Community pharmacies represent unusual enterprises as their main function is intrinsically related to the provision of healthcare services. Hence, market competition in this sector needs to be regulated, in order to ensure equitable accessibility, efficiency and quality of services. However, recently a general deregulation trend may be observed in Europe. In this paper, we focus on location restrictions, i.e. on demographic and geographic constraints to open new pharmacies, and we evaluate the impact of their relaxation. In particular, we analyze the case of the city of Pamplona (ES), where a striking increase in the number of pharmacies occurred, after the introduction of a new regulatory system in 2000. We evaluate, thanks to an in-depth spatial analysis, the evolution of the system to date and the effects produced on the consumers, in terms of accessibility, and on the competitors, in terms of market shares distribution. By comparing the obtained results with the ones related to the case of a second Spanish city, characterized by more strict restrictions, it emerges that the deregulation risks to produce a limited improvement in terms of accessibility and to exacerbate differences among consumers. Moreover, an increasing number of competitors does not necessarily imply a more equitable distribution of market shares, thus putting at risk the desired effects in terms of cost reduction and service quality improvement.

Suggested Citation

  • Barbarisi, Ilaria & Bruno, Giuseppe & Diglio, Antonio & Elizalde, Javier & Piccolo, Carmela, 2019. "A spatial analysis to evaluate the impact of deregulation policies in the pharmacy sector: Evidence from the case of Navarre," Health Policy, Elsevier, vol. 123(11), pages 1108-1115.
    • Handle: RePEc:eee:hepoli:v:123:y:2019:i:11:p:1108-1115
    DOI: 10.1016/j.healthpol.2019.08.010
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    References listed on IDEAS

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    1. Vogler, Sabine & Habimana, Katharina & Arts, Danielle, 2014. "Does deregulation in community pharmacy impact accessibility of medicines, quality of pharmacy services and costs? Evidence from nine European countries," Health Policy, Elsevier, vol. 117(3), pages 311-327.
    2. Paul Gorecki, 2011. "Do you believe in magic? Improving the quality of pharmacy services through restricting entry and aspirational contracts, the Irish experience," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(6), pages 521-531, December.
    3. Lluch, Maria & Kanavos, Panos, 2010. "Impact of regulation of Community Pharmacies on efficiency, access and equity. Evidence from the UK and Spain," Health Policy, Elsevier, vol. 95(2-3), pages 245-254, May.
    4. Kilinc, Mehmet Serdar & Milburn, Ashlea Bennett & Heier Stamm, Jessica L., 2017. "Measuring potential spatial accessibility of home healthcare services," Socio-Economic Planning Sciences, Elsevier, vol. 59(C), pages 13-25.
    5. Anell, Anders, 2005. "Deregulating the pharmacy market: the case of Iceland and Norway," Health Policy, Elsevier, vol. 75(1), pages 9-17, December.
    6. Mossialos, Elias & Mrazek, Monique F., 2003. "The regulation of pharmacies in six countries: report prepared for the Office of Fair Trading," LSE Research Online Documents on Economics 22505, London School of Economics and Political Science, LSE Library.
    7. Neutens, Tijs, 2015. "Accessibility, equity and health care: review and research directions for transport geographers," Journal of Transport Geography, Elsevier, vol. 43(C), pages 14-27.
    8. Rudholm, Niklas, 2008. "Entry of new pharmacies in the deregulated Norwegian pharmaceuticals market--Consequences for costs and availability," Health Policy, Elsevier, vol. 87(2), pages 258-263, August.
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    Cited by:

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    2. Bruno, Giuseppe & Cavola, Manuel & Diglio, Antonio & Piccolo, Carmela & Pipicelli, Eduardo, 2021. "Strategies to reduce postal network access points: from demographic to spatial distribution criteria," Utilities Policy, Elsevier, vol. 69(C).
    3. Bruno, Giuseppe & Cavola, Manuel & Diglio, Antonio & Piccolo, Carmela, 2020. "Improving spatial accessibility to regional health systems through facility capacity management," Socio-Economic Planning Sciences, Elsevier, vol. 71(C).
    4. Bruno, Giuseppe & Cavola, Manuel & Diglio, Antonio & Elizalde, Javier & Piccolo, Carmela, 2022. "A locational analysis of deregulation policies in the Spanish retail pharmaceutical sector," Socio-Economic Planning Sciences, Elsevier, vol. 82(PA).
    5. Giuseppe Bruno & Manuel Cavola & Antonio Diglio & Carmela Piccolo, 2022. "Geographical accessibility to upper secondary education: an Italian regional case study," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 69(2), pages 511-536, October.
    6. Mirosław Krzyśko & Waldemar Wołyńki & Marcin Szymkowiak & Andrzej Wojtyła, 2021. "A Spatio-Temporal Analysis of the Health Situation in Poland Based on Functional Discriminant Coordinates," IJERPH, MDPI, vol. 18(3), pages 1-17, January.
    7. Gallone, Emma Luisa & Ravetto Enri, Lorenzo & Pignata, Irene & Baratta, Francesca & Brusa, Paola, 2020. "The 2017 deregulation of pharmacies in Italy: Introducing non-pharmacist ownership," Health Policy, Elsevier, vol. 124(12), pages 1281-1286.
    8. Vilhelmson, Bertil & Elldér, Erik, 2021. "Realizing proximity in times of deregulation and densification: Evaluating urban change from a welfare regime perspective," Journal of Transport Geography, Elsevier, vol. 94(C).

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