London School of Hygiene and Tropical Medicine, United Kingdom.
Health Aff (Millwood). 2009 Jul-Aug;28(4):1022-33. doi: 10.1377/hlthaff.28.4.1022.
Physicians' links with pharmacies may create perverse financial incentives to overprescribe, prescribe products with higher profit margins, and direct patients to their pharmacy. Interviews with pharmacy customers in the Philippines show that those who use pharmacies linked to public-sector physicians had 5.4 greater odds of having a prescription from such physicians and spent 49.3 percent more than customers using other pharmacies. For customers purchasing brand-name medicines, switching to generics would reduce drug spending by 58 percent. Controlling out-of-pocket spending on drugs requires policies to control financial links between doctors and pharmacies, as well as tighter regulation of nongeneric prescribing.
医生与药店的关系可能会产生不正当的财务激励，导致过度开药、开利润更高的产品，并引导患者到他们的药店。对菲律宾药店顾客的采访表明，那些使用与公共部门医生有关联的药店的人，从这些医生那里获得处方的可能性要高出 5.4 倍，花费也要高出 49.3%。对于购买品牌药的顾客来说，改用仿制药将使药品支出减少 58%。控制药品自付支出需要有政策来控制医生和药店之间的财务联系，并加强对非仿制药处方的监管。
