Rozhodovanie o vstupe a konkurencia na trhu lekární: Prípadová štúdia voľnopredajných liekov a deregulácie vlastníctva
Authors:
Matúš Bilka; António Portugal Duarte; Martin Lábaj
Published in:
Čes. slov. Farm., 2023; 72, 11-20
Category:
Review Articles
doi:
https://doi.org/https://doi.org/10.5817/CSF2023-1-11
Overview
Táto štúdia poskytuje nové empirické dôkazy o zmenách v intenzite konkurencie a štruktúre trhu lekární po deregulácii vstupných podmienok. Štúdia skúma vývoj maloobchodného trhu lekární v Portugalsku, ktorý prešiel regulačnými zmenami v rokoch 2004 a 2007. V dôsledku týchto zmien boli predaj voľne predajných liekov a vlastníctvo lekární liberalizované, avšak obmedzenia vstupu súvisiace s veľkosťou trhu a umiestnením nových lekární ostali v platnosti v nezmenenej podobe.
Empirická stratégia vychádza z modelov vstupu, ktoré umožňujú porovnanie nevyhnutnej veľkosti trhu pre vstup tej-ktorej lekárne na trh pred a po zmenách v regulácii. Takéto porovnanie umožňuje zistiť, či sa konkurencia zintenzívnila s deregulovanými OTC liekmi.
Zo štúdie vyplynuli tri hlavné zistenia. Po prvé, nevyhnutná veľkosť trhu sa znížila bez ohľadu na počet lekární na tomto trhu, čo naznačuje, že priestor na realizáciu ziskov je širší ako pred dereguláciou. Po druhé, hoci vstupné prahy mali nižšiu hodnotu, ich relatívny nárast s každým ďalším konkurentom vstupujúcim na trh bol v roku 2020 strmší ako v roku 2004, čo naznačuje zintenzívnenie cenovej konkurencie. Po tretie, súčasné pravidlo 3500 pacientov na lekáreň je pravdepodobne príliš reštriktívne a lekárne by sa vedeli presadiť aj na menších trhoch.
Klíčová slova:
regulácia – model vstupu – trhová konkurencia – maloobchodné lekárne
Sources
1. OECD. Focus on health spending. Technical report. OECD Health Statistics. 2015.
2. Berenbrok L. A., Gabriel N., Coley K. C. Evaluation of frequency of encounters with primary care physicians vs visits to community pharmacies among Medicare beneficiaries. JAMA Netw Open 2020; 3(7).
3. Schaumans C., Verboven F. Entry and regulation: Evidence from health care professions. Rand. J. Econ. 2008; 39(4), 949–972.
4. Brooks J. M., Doucette W. R., Wan S., Klepser D. G. Retail pharmacy market structure and performance. Inquiry 2008, 45(1), 75–88.
5. Chen J. The effects of competition on prescription payments in retail pharmacy markets. South. Econ. J. 2019; 85(3), 865–898.
6. Heinsohn J. G., Flessa S. Competition in the German pharmacy market: An empirical analysis. BMC Hlth Serv. Res. 2013; 13, 407.
7. Stargardt T., Schreyogg J., Busse R. Pricing behaviour of pharmacies after market deregulation for OTC drugs: The case of Germany. Health Policy 2007; 84(1), 30–38.
8. Barbarisi I., Bruno G., Diglio A., Elizalde J., Piccolo C. A spatial analysis to evaluate the impact of deregulation policies in the pharmacy sector: Evidence from the case of Navarre. Health Policy 2019; 123(11), 1108–1115.
9. Fernandez A. I., Lara R. P., Ugalde M. C., Sisodia G. S. Distinctive competencies and competency-based management in regulated sectors: a methodological proposal applied to the pharmaceutical retail sector in Spain. J. Retail. Consum. Serv. 2018; 42, 29–36.
10. Vogler S., Arts D., Sandberger K. Impact of pharmacy deregulation and regulation in European countries. Gesundheit Österreich. Vienna, 2012.
11. Bresnahan T. F., Reiss P. C. Entry and competition in concentrated markets. J. Polit. Econ. 1991; 99(5), 977– 1009.
12. Nilsson I. Competition and market-entry into the Swedish pharmacy market: A study on municipality level between 2011–2016. Masters thesis, Umeå University, 2017.
13. Arentz O., Recker C., Vuong V. A., Wambach A. Entry in German pharmacy market. Otto-Wolff-Discussion Paper, 2016.
14. Aue R. Spatial effects of price regulations and competition. A dynamic approach to the German retail pharmacy market. University of Bonn and University of Mannheim, Germany, 2020.
15. Lábaj M., Silanič P., Weiss C., Yontcheva B. Market structure and competition in the healthcare industry: Results from a transition economy. Eur. J. Health Econ. 2018; 19(8), 1087–1110.
16. Lábaj M., Mandžák P. Entry and competition of healthcare providers in Slovakia: A spatial analysis. University of Economics in Bratislava, Department of Economic Policy Working Paper Series No. 23. 2020.
17. Mandžák P. Market structure, entry, and competition in transition economies. Dissertation, University of Economics in Bratislava, Faculty of National Economy, 2020.
18. Decree Law No. 307/2007, of 31 August. Legislação Farmacêutica Compilada. Ministry of Health, 2007.
19. De Almeida Simoes J., Figueiredo Augusto G., Fronteira I., Hernández-Quevedo C. Portugal: Health system review. Health syst. Transit. 2017; 19(2), 1–184.
20. Padeiro M. Geographical accessibility to community pharmacies by the elderly in metropolitan Lisbon. Res. Social Adm. Pharm. 2018; 14(7), 653–662.
21. European Commission. Portugal: Memorandum of understanding on specific economic policy conditionality, 2011.
22. Ferraz R., Duarte A. P. Economic growth and public indebtedness in the last four decades: Is Portugal different from the other PIIGS’ economies? Naše gospodarstvo/ Our Economy 2015; 61(6), 3–11.
23. Decree No. 195-C/2015 of 30 July 2015.
24. Barros P. P. Pharmaceutical market reforms in Portugal under the Memorandum of Understanding. Eurohealth 2012; 18(1), 33–36.
25. Ferreira B. R. The evolution of community pharmacy in Portugal: The case of Grupo Holon. MSc thesis, Católica- Lisbon School of Business and Economics, 2016.
26. Oliveira M. D., Pinto C. G. Health care reform in Portugal: An evaluation of the NHS experience. Health Econ. 2005; 14, 203–220.
27. Decree Law No. 112/2011, of 29 November. Legislação Farmacêutica Compilada. Ministry of Health, 2011.
28. Infarmed. The pharmaceutical industry in figures. Lisbon: Instituto Nacional da Farmácia e do Medicamento, 2016.
29. Donato A. A., Pita J. R., Batel-Marquez F. Development of medicines consumption in Portugal before and during the financial crisis. Eur. J. Public. Health 2021; 31(5), 974–979.
30. Martins A. P., Goncalves E., Marcelo A., Vilao S., Silva J. A. Pharmacy medicines not subject to medical prescription in Portugal: An underused access opportunity? Acta Med. Port. 2016; 29(9), 542–548.
31. Gomes M., Queirós S. I., Romano S., Mendes Z., Duarte P. Dynamic and regulated competition in the Portuguese pharmacy market. Rev. Port. Farmacoter. 2017; 9(4), 21–29.
32. Moura A., Barros P. P. Entry and price competition in the over‐the‐counter drug market after deregulation: Evidence from Portugal. Health Econ. 2020; 29(8), 865–877.
33. Borralho J., Gregório J. “Each one has their own role”: Exploratory study on consumers’ perceptions about nutritionists services provided in community pharmacies. Res. Social Adm. Pharm. 2021; 17(2), 475–479.
34. Kirkdale C. L., et al. Implementation of flu vaccination in community pharmacies: Understanding the barriers and enablers. Ann. Pharm. fr. 2017; 75(1), 9–16.
35. Rosado H., Bates I. An overview of current pharmacy impact on immunisation: A global report. International Pharmaceutical Federation, 2016.
36. Condinho M., Fernández-Llimos F., Figueiredo I. V., Sinogas C. Smoking cessation in a community pharmacy: Preliminary results of a pharmaceutical care programme. Vitae 2015; 22(1), 42–46.
37. Condinho M., Ramalhinho I., Sinogas C. Smoking cessation at the community pharmacy: Determinants of success from a real-life practice. Pharmacy 2021; 9(3), 143–153.
38. Martins L., Queirós S. Competition among pharmacies and the typology of services delivered: The Portuguese case. Health Policy 2015; 119(5), 640–647.
39. Gregório J., Russo G., Lapao L. V. Pharmaceutical services cost analysis using time-driven activity-based costing: A contribution to improve community pharmacies’ management. Res. Social Adm. Pharm. 2016; 12(3), 475–485.
40. Gregório J., Cavaco A., Lapao L. V. A scenario-planning approach to human resources for health: The case of community pharmacists in Portugal. Hum. Resour. Health 2014; 12, 58.
41. Pordata. Base de dados Portugal Contemporâneo, 2021.
42. Teixeira I., Mendes Z., Geurreiro J. P., Costa S. Troika in Portugal: Pharmaceutical sector from paper to reality. Value in Health 2013; 16(7), A456.
43. Grega D., Ambrus T., Matejovič A., Šutorová M., Kolář J. Analysis of the effectiveness of the pharmacy network. Farmacia 2021; 69(4).
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Pharmacy Clinical pharmacologyArticle was published in
Czech and Slovak Pharmacy
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