{"id":"https://openalex.org/W1998350760","doi":"https://doi.org/10.1377/hlthaff.20.5.43","title":"The Price Of Progress: Prescription Drugs In The Health Care Market","display_name":"The Price Of Progress: Prescription Drugs In The Health Care Market","publication_year":2001,"publication_date":"2001-09-01","ids":{"openalex":"https://openalex.org/W1998350760","doi":"https://doi.org/10.1377/hlthaff.20.5.43","mag":"1998350760","pmid":"https://pubmed.ncbi.nlm.nih.gov/11558720"},"language":"en","primary_location":{"id":"doi:10.1377/hlthaff.20.5.43","doi":"https://doi.org/10.1377/hlthaff.20.5.43","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.20.5.43","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5082275907","display_name":"J.D. Kleinke","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"J.D. Kleinke","raw_affiliation_strings":["Health Strategies Network, Denver, Colorado, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Strategies Network, Denver, Colorado, USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5082275907"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":24.3559,"has_fulltext":false,"cited_by_count":74,"citation_normalized_percentile":{"value":0.99356114,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"20","issue":"5","first_page":"43","last_page":"60"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.9843999743461609,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.9843999743461609,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.014700000174343586,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/prescription-drug-costs","display_name":"prescription drug costs","score":0.8029999732971191},{"id":"https://openalex.org/keywords/drug-pricing","display_name":"drug pricing","score":0.6309999823570251},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.6439999938011169},{"id":"https://openalex.org/keywords/price-controls","display_name":"price controls","score":0.6129999756813049},{"id":"https://openalex.org/keywords/utilization-control","display_name":"utilization control","score":0.9670000076293945},{"id":"https://openalex.org/keywords/health-insurance-reimbursement","display_name":"health insurance reimbursement","score":0.7139999866485596},{"id":"https://openalex.org/keywords/risk-sharing","display_name":"risk sharing","score":0.7919999957084656},{"id":"https://openalex.org/keywords/health-insurance-regulation","display_name":"health insurance regulation","score":0.6209999918937683},{"id":"https://openalex.org/keywords/health-care-market","display_name":"health care market","score":0.3310000002384186}],"concepts":[{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5878213047981262},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.5589329600334167},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.5500739812850952},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.49909543991088867},{"id":"https://openalex.org/C30772137","wikidata":"https://www.wikidata.org/wiki/Q5164762","display_name":"Consumption (sociology)","level":2,"score":0.48797982931137085},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.477530837059021},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.47549471259117126},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.4745270311832428},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4470745921134949},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.35555964708328247},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.3185137212276459},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.24277618527412415},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.20100989937782288},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.09274730086326599},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.0},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005252","descriptor_name":"Fees, Pharmaceutical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006264","descriptor_name":"Health Benefit Plans, Employee","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008483","descriptor_name":"Medical Assistance","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017850","descriptor_name":"Economics, Pharmaceutical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1377/hlthaff.20.5.43","doi":"https://doi.org/10.1377/hlthaff.20.5.43","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.20.5.43","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},{"id":"pmid:11558720","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/11558720","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health affairs (Project Hope)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W1526514260","https://openalex.org/W1992977251","https://openalex.org/W1996945712","https://openalex.org/W2000147226","https://openalex.org/W2017903824","https://openalex.org/W2066402688","https://openalex.org/W2072723372","https://openalex.org/W2085124978","https://openalex.org/W2098009865","https://openalex.org/W2110934868","https://openalex.org/W2118608668","https://openalex.org/W2125362621","https://openalex.org/W2164668529","https://openalex.org/W2168715671","https://openalex.org/W2170345251","https://openalex.org/W2339692629","https://openalex.org/W2398186209","https://openalex.org/W2402581026","https://openalex.org/W2563302062","https://openalex.org/W2890625279"],"related_works":["https://openalex.org/W2407562298","https://openalex.org/W2394518284","https://openalex.org/W2963775050","https://openalex.org/W3017022114","https://openalex.org/W2366237708","https://openalex.org/W2941518061","https://openalex.org/W2396315913","https://openalex.org/W2738782976","https://openalex.org/W4231826132","https://openalex.org/W7116740968"],"abstract_inverted_index":{"Pharmacy":[0],"costs":[1,53],"are":[2],"rising":[3],"in":[4,44,146],"excess":[5],"of":[6,66,73,81,96],"general":[7],"and":[8,17,22,30,84,104,119,123,129],"medical":[9,68,74,97,149],"cost":[10],"inflation,":[11],"leading":[12],"to":[13,36,70,134,137],"calls":[14],"for":[15,113],"price":[16],"utilization":[18],"controls":[19,26],"by":[20,106],"public":[21,85],"private":[23],"payers.":[24],"Such":[25],"would":[27,34],"be":[28,135],"ineffective":[29],"counterproductive":[31],"because":[32],"they":[33,76],"attempt":[35],"reverse":[37],"two":[38],"profound,":[39],"historic":[40],"phenomena":[41],"at":[42],"work":[43],"the":[45,64,71,79,142],"U.":[46],"S.":[47],"health":[48,86,127],"care":[49],"system.":[50],"The":[51,94],"added":[52],"associated":[54],"with":[55],"breakthrough":[56,148],"medicines":[57],"represent":[58,78],"a":[59,92],"major":[60],"structural":[61],"shift":[62],"from":[63],"provision":[65],"traditional":[67,101],"services":[69],"consumption":[72],"products;":[75],"also":[77],"creation":[80],"economic,":[82],"social,":[83],"utility":[87],"that":[88],"we":[89],"value":[90],"as":[91],"society.":[93],"balkanization":[95],"delivery,":[98],"institutionalized":[99],"under":[100],"reimbursement":[102],"strategies":[103],"galvanized":[105],"federal":[107],"law,":[108],"does":[109],"not":[110],"adequately":[111],"account":[112],"or":[114],"efficiently":[115],"accommodate":[116],"this":[117],"rotation":[118],"increased":[120],"utility.":[121],"Federal":[122],"state":[124],"laws":[125],"regulating":[126],"insurance":[128],"provider":[130],"risk":[131],"sharing":[132],"need":[133],"revamped":[136],"encourage":[138],"rather":[139],"than":[140],"constrain":[141],"social":[143],"progress":[144],"embodied":[145],"expensive,":[147],"technologies.":[150]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":8},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}