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Please use this identifier to cite or link to this item: http://hdl.handle.net/2108/36

Title: Cost to the patient or cost to the healthcare system? Which one matters the most for GP prescribing decisions? A UK-Italy comparison
Authors: Atella, Vincenzo
Hassell, Karen
Schafheutle, Ellen
Weiss, Marjorie C.
Noyce, Peter R.
Keywords: patient charges
health care system
decision-making
prescribing
Issue Date: Jan-2003
Series/Report no.: CEIS Tor Vergata Research Paper
1
Abstract: Charges for health services help contain healthcare costs. Despite showing that medicine consumption decreases when charges are increased research has not yet identified how doctors 'manage' the charge system to help patients who cannot afford treatment. This paper describes how the charge system influences the prescribing decisions of Italian and UK physicians. The data are from the qualitative stage of a multi-stage study exploring cost related influences on GP and patient decision-making regarding medicine use. The analysis presented is based on transcripts of focus groups conducted with general practitioners. To help patients who have difficulties affording their medication Italian GPs rely on a smaller number of cost reduction strategies compared to their UK counterparts. They use 'samples' left by pharmaceutical companies, or diagnose patients with pathologies that allow exemption. Occasionally they recommend some delay or change therapy to a cheaper but less effective alternativ...
URI: http://hdl.handle.net/2108/36
Appears in Collections:Research papers
Health economics studies

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