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A locational analysis of deregulation policies in the Spanish retail pharmaceutical sector

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  • Bruno, Giuseppe
  • Cavola, Manuel
  • Diglio, Antonio
  • Elizalde, Javier
  • Piccolo, Carmela

Abstract

The retail pharmaceutical sector has been characterized in the last decades by profound deregulation policies, aiming at fostering the entry process of new competitors in the market to improve users' access and quality of services. This paper explores the effects of such reforms in the Navarre Region (Spain), where the existing entry restrictions were relaxed in 2000. Using a GIS-based methodology and very disaggregated real data, we show that the massive entry of new pharmacies improved users' access in urban and rural areas but led to intense agglomeration of competitors within limited distances, thus failing to result in a more fair spatial competition. We then propose solving a mathematical programming model that can support policy-makers for an ex-ante assessment of the (spatial) effects determined by changing regulatory frameworks. Results from our computational experiments demonstrate that, if adequately oriented at guaranteeing predefined minimum profitability to new entrants, spatial deregulation policies may result in win-win scenarios for both users and pharmacies. Indeed, the obtained solutions (almost) perfectly replicate the current accessibility conditions while ensuring more equitable market shares’ distribution.

Suggested Citation

  • Bruno, Giuseppe & Cavola, Manuel & Diglio, Antonio & Elizalde, Javier & Piccolo, Carmela, 2022. "A locational analysis of deregulation policies in the Spanish retail pharmaceutical sector," Socio-Economic Planning Sciences, Elsevier, vol. 82(PA).
  • Handle: RePEc:eee:soceps:v:82:y:2022:i:pa:s0038012122000118
    DOI: 10.1016/j.seps.2022.101233
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    References listed on IDEAS

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    1. Vogler, Sabine & Habimana, Katharina & Arts, Danielle, 2014. "Does deregulation in community pharmacy impact accessibility of medicines, quality of pharmacy services and costs? Evidence from nine European countries," Health Policy, Elsevier, vol. 117(3), pages 311-327.
    2. Yang, Nan & Shen, Liyin & Shu, Tianheng & Liao, Shiju & Peng, Yi & Wang, Jinhuan, 2021. "An integrative method for analyzing spatial accessibility in the hierarchical diagnosis and treatment system in China," Social Science & Medicine, Elsevier, vol. 270(C).
    3. Anell, Anders, 2005. "Deregulating the pharmacy market: the case of Iceland and Norway," Health Policy, Elsevier, vol. 75(1), pages 9-17, December.
    4. Carreras, Miquel & Serra, Daniel, 1999. "On optimal location with threshold requirements," Socio-Economic Planning Sciences, Elsevier, vol. 33(2), pages 91-103, June.
    5. Oded Berman & Zvi Drezner & Arie Tamir & George Wesolowsky, 2009. "Optimal location with equitable loads," Annals of Operations Research, Springer, vol. 167(1), pages 307-325, March.
    6. Bruno, Giuseppe & Cavola, Manuel & Diglio, Antonio & Piccolo, Carmela & Pipicelli, Eduardo, 2021. "Strategies to reduce postal network access points: from demographic to spatial distribution criteria," Utilities Policy, Elsevier, vol. 69(C).
    7. Xiao, Yixiong & Chen, Xiang & Li, Qiang & Jia, Pengfei & Li, Luning & Chen, Zhifen, 2021. "Towards healthy China 2030: Modeling health care accessibility with patient referral," Social Science & Medicine, Elsevier, vol. 276(C).
    8. Barbarisi, Ilaria & Bruno, Giuseppe & Diglio, Antonio & Elizalde, Javier & Piccolo, Carmela, 2019. "A spatial analysis to evaluate the impact of deregulation policies in the pharmacy sector: Evidence from the case of Navarre," Health Policy, Elsevier, vol. 123(11), pages 1108-1115.
    9. Neutens, Tijs, 2015. "Accessibility, equity and health care: review and research directions for transport geographers," Journal of Transport Geography, Elsevier, vol. 43(C), pages 14-27.
    10. Gallone, Emma Luisa & Ravetto Enri, Lorenzo & Pignata, Irene & Baratta, Francesca & Brusa, Paola, 2020. "The 2017 deregulation of pharmacies in Italy: Introducing non-pharmacist ownership," Health Policy, Elsevier, vol. 124(12), pages 1281-1286.
    11. Rudholm, Niklas, 2008. "Entry of new pharmacies in the deregulated Norwegian pharmaceuticals market--Consequences for costs and availability," Health Policy, Elsevier, vol. 87(2), pages 258-263, August.
    12. Bruno, Giuseppe & Cavola, Manuel & Diglio, Antonio & Piccolo, Carmela, 2020. "Improving spatial accessibility to regional health systems through facility capacity management," Socio-Economic Planning Sciences, Elsevier, vol. 71(C).
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