After a rapid and continuous increase in the number of dispensed prescriptions in Spain during the last decade, the total number of prescriptions has been dramatically cut by nearly a quarter
after 10 months of the “three payment” reforms in Catalonia, and by more than one seventh in 14 out of 17 Spanish regions.
Jaume Puig-Junoy, Santiago Rodríguez-Feijoó, Beatriz G López-Valcárcel
WORKING PAPER CRES-UPF 201307-76
The purpose of this analysis is to present the first attempt to provide accurate estimates of the overall impact at the regional level of a cost sharing reform on pharmaceutical prescriptions with regional variants established in Spain since July 2012 in the framework of heavy austerity reforms on public financing. We estimated the reform´s impact on the quantity of dispensed medicines during the first ten months after its establishment. The evidence on this impact is also of high interest for those many European countries that since 2008 have applied heavy cuts to public health financing through high copayments or coinsurance rates on drug prescriptions
dispensed in pharmacies.
Figure 2: Estimated impact of the cost sharing measures adopted in July 2012 during the first 10 months (June 2012 to March 2013)
Percentage of reduction in the number of prescriptions