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Determinants of generic drug substitution in the Czech Republic
Žílová, Pavlína ; Votápková, Jana (advisor) ; Bryndová, Lucie (referee)
This study uses logistic regression to estimate the probability of choosing the brand-name drug despite the presence of cheaper generics given patient and drug characteristics in the Czech pharmaceutical market in the period 2009-2013. Results of the analysis may help guide policies to decrease pharmaceutical costs. In order to motivate people who are more likely to choose the original version of drug, policy makers may impose higher copayments and lower subsidies on the original drugs which they use. Additionally, two supplementary analyses were applied to sub-sectors of the pharmaceutical market: antihypertensive drugs and antibiotics. Fixed effects logistic regression is employed to test the robustness of the results.
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The Effect of the Introduction of Fee-For-Service on the Demand for Outpatient Care
Žílová, Pavlína ; Votápková, Jana (advisor) ; Pavloková, Kateřina (referee)
The thesis estimates the effect of the 2008 introduction of regulatory fees for outpatient visits by using 2009 health reform, abolition of co-payments for children, as a natural experiment. To estimate this effect we use micro-level data from EU-SILC survey and two different econometric models - Multinomial logit (MNL) and Zero-inflated negative binomial (ZINB). As co-payments for examination were abolished only for children, we use children as a treatment group and adult part of the population as a control group in difference-in-differences approach. We found an insignificant effect, i.e. introduction of user charges was ineffective in reducing number of doctor visits in Czech Republic. Another important result from this analysis is the significant role of the socio-economic characteristics, associated with the tendency of health-care utilization.
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Determinants of generic drug substitution in the Czech Republic
Žílová, Pavlína ; Votápková, Jana (advisor) ; Bryndová, Lucie (referee)
This study uses logistic regression to estimate the probability of choosing the brand-name drug despite the presence of cheaper generics given patient and drug characteristics in the Czech pharmaceutical market in the period 2009-2013. Results of the analysis may help guide policies to decrease pharmaceutical costs. In order to motivate people who are more likely to choose the original version of drug, policy makers may impose higher copayments and lower subsidies on the original drugs which they use. Additionally, two supplementary analyses were applied to sub-sectors of the pharmaceutical market: antihypertensive drugs and antibiotics. Fixed effects logistic regression is employed to test the robustness of the results.
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The Effect of the Introduction of Fee-For-Service on the Demand for Outpatient Care
Žílová, Pavlína ; Votápková, Jana (advisor) ; Pavloková, Kateřina (referee)
The thesis estimates the effect of the 2008 introduction of regulatory fees for outpatient visits by using 2009 health reform, abolition of co-payments for children, as a natural experiment. To estimate this effect we use micro-level data from EU-SILC survey and two different econometric models - Multinomial logit (MNL) and Zero-inflated negative binomial (ZINB). As co-payments for examination were abolished only for children, we use children as a treatment group and adult part of the population as a control group in difference-in-differences approach. We found an insignificant effect, i.e. introduction of user charges was ineffective in reducing number of doctor visits in Czech Republic. Another important result from this analysis is the significant role of the socio-economic characteristics, associated with the tendency of health-care utilization.
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