From: Determinants of generic drug substitution in Switzerland
 | Frequency | Substitution rate | Odds ratio | 95%CI |
---|---|---|---|---|
OUTCOME VARIABLE Use of a generic drug (yes = 1, no = 0) | 0.313 | Â | Â | Â |
CANTONS | Â | Â | Â | Â |
   Aargau (reference) | 0.372 | 0.433 |  |  |
   Vaud | 0.329 | 0.350 | 0.706 | [0.689, 0.722] |
   Ticino | 0.299 | 0.124 | 0.186 | [0.181, 0.192] |
PATIENTS' VARIABLES Female: | Â | Â | Â | Â |
   no (reference) | 0.378 | 0.317 |  |  |
   yes | 0.622 | 0.311 | 0.972 | [0.952, 0.993] |
Age: | Â | Â | Â | Â |
   0-19 | 0.100 | 0.411 | 2.057 | [1.986, 2.131] |
   20-39 | 0.158 | 0.410 | 2.050 | [1.989, 2.112] |
   40-59 | 0.250 | 0.344 | 1.543 | [1.502, 1.585] |
   60-79 (reference) | 0.356 | 0.254 |  |  |
   80+ | 0.136 | 0.228 | 0.868 | [0.838, 0.900] |
Optional health insurance deductible: | Â | Â | Â | Â |
   no (reference) | 0.619 | 0.344 |  |  |
   yes | 0.381 | 0.264 | 0.685 | [0.671,. 0.700] |
Out-of-pocket participation: | Â | Â | Â | Â |
   no (reference) | 0.396 | 0.241 |  |  |
   yes | 0.604 | 0.361 | 1.777 | [1.740, 1.816] |
Treatment complexity: | Â | Â | Â | Â |
   1-5 drugs | 0.215 | 0.424 | 1.429 | [1.390, 1.469] |
   6-10 drugs (reference) | 0.290 | 0.340 |  |  |
   11-15 drugs | 0.223 | 0.280 | 0.757 | [0.735, 0.779] |
   16-20 drugs | 0.139 | 0.246 | 0.634 | [0.613, 0.657] |
   21+ drugs | 0.133 | 0.202 | 0.491 | [0.473, 0.509] |
PHYSICIANS' VARIABLES Specialist prescriber: | Â | Â | Â | Â |
   no (reference) | 0.777 | 0.314 |  |  |
   yes | 0.223 | 0.310 | 0.978 | [0.955, 1.003] |
Hospital prescriber: | Â | Â | Â | Â |
   no (reference) | 0.880 | 0.325 |  |  |
   yes | 0.120 | 0.225 | 0.603 | [0.583,.0.624] |
SUBSTITUTION GROUPS' VARIABLES Number of generics | Â | Â | Â | Â |
   1-2 (reference) | 0.333 | 0.153 |  |  |
   3-4 | 0.260 | 0.374 | 3.322 | [3.225, 3.422] |
   5-6 | 0.298 | 0.415 | 3.934 | [3.823, 4.049] |
   7+ | 0.110 | 0.382 | 3.430 | [3.305, 3.559] |
Number of treated patients: | Â | Â | Â | Â |
   1-1000 (reference) | 0.361 | 0.263 |  |  |
   1001-2000 | 0.259 | 0.322 | 1.334 | [1.299, 1.370] |
   2001-3000 | 0.122 | 0.223 | 0.803 | [0.774, 0.834] |
   3001+ | 0.257 | 0.418 | 2.017 | [1.965, 2.070] |
Price of brand medication: | Â | Â | Â | Â |
   1st quintile | 0.189 | 0.327 | 1.000 | [0.969, 1.031] |
   2nd quintile | 0.165 | 0.251 | 0.689 | [0.666, 0.713] |
   3rd quintile (reference) | 0.239 | 0.327 |  |  |
   4th quintile | 0.187 | 0.328 | 1.002 | [0.972, 1.034] |
   5th quintile | 0.220 | 0.321 | 0.972 | [0.943,.1.001] |
Relative price difference: | Â | Â | Â | Â |
   1st quintile | 0.188 | 0.200 | 0.599 | [0.578, 0.620] |
   2nd quintile | 0.200 | 0.347 | 1.267 | [1.227, 1.308] |
   3rd quintile (reference) | 0.206 | 0.295 |  |  |
   4th quintile | 0.204 | 0.301 | 1.029 | [0.996, 1.062] |
   5th quintile | 0.203 | 0.416 | 1.701 | [1.649, 1.754] |
Administration mode: | Â | Â | Â | Â |
   Oral (reference) | 0.839 | 0.328 |  |  |
   Topic | 0.095 | 0.285 | 0.817 | [0.788, 0.847] |
   Inhalation, nasal & ophthalmic | 0.032 | 0.046 | 0.099 | [0.087, 0.112] |
   Parenteral, rectal & vaginal | 0.034 | 0.273 | 0.769 | [0.726, 0.815] |
Original with special galenic form: | Â | Â | Â | Â |
   no (reference) | 0.862 | 0.338 |  |  |
   yes | 0.138 | 0.160 | 0.373 | [0.359, 0.386] |
At least one drug sold under license: | Â | Â | Â | Â |
   no (reference) | 0.818 | 0.316 |  |  |
   yes | 0.182 | 0.300 | 0.929 | [0.904, 0.954] |
Multiple package sizes: | Â | Â | Â | Â |
   no (reference) | 0.575 | 0.294 |  |  |
   yes | 0.425 | 0.339 | 1.232 | [1.207, 1.258] |
Observations | 173,212 | Â | Â | Â |