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Unintended effects of a cost-containment policy: Results of a natural experiment in Germany

Author

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  • Schöffski, Oliver
  • von der Schulenburg, J. Matthias Graf

Abstract

In this paper empirical evidence for substitution processes caused by the budget for drugs prescribed by office-based physicians is provided. Due to substitution processes in a natural experiment the number of referrals and hospital admissions increased significantly after the introduction of a drug budget in Germany. This leads to additional direct and indirect cost for the health care system.

Suggested Citation

  • Schöffski, Oliver & von der Schulenburg, J. Matthias Graf, 1997. "Unintended effects of a cost-containment policy: Results of a natural experiment in Germany," Social Science & Medicine, Elsevier, vol. 45(10), pages 1537-1539, November.
    • Handle: RePEc:eee:socmed:v:45:y:1997:i:10:p:1537-1539
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    Citations

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    Cited by:

    1. Delnoij, Diana & Brenner, Gerhard, 2000. "Importing budget systems from other countries: what can we learn from the German drug budget and the British GP fundholding?," Health Policy, Elsevier, vol. 52(3), pages 157-169, July.
    2. Bergstrom, Gina & Karlberg, Ingvar, 2007. "Decentralized responsibility for costs of outpatient prescription pharmaceuticals in Sweden: Assessment of models for decentralized financing of subsidies from a management perspective," Health Policy, Elsevier, vol. 81(2-3), pages 358-367, May.
    3. Soderlund, Neil, 1998. "Possible objectives and resulting entitlements of essential health care packages," Health Policy, Elsevier, vol. 45(3), pages 195-208, September.

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