| 来源类型 | Working papers |
| 规范类型 | 论文 |
| Antibiotic consumption and the role of dispensing physicians | |
| Filippini, Massimo; Heimsch, Fabian; Masiero, Giuliano | |
| 发表日期 | 2013 |
| 出版者 | USI Università della Svizzera italiana |
| 出版年 | 2013 |
| 语种 | 英语 |
| 摘要 | Regulation of prescription and dispensing of antibiotics has a twin purpose: to enhance access to antibiotic treatment and to reduce inappropriate use of drugs. Nevertheless, incentives on antibiotics to dispensing physicians may lead to inefficiencies. We model the interaction between competing physicians (with and without dispensing of drugs) and patients exposed to bacterial infections when antibiotic treatment generates spatial consumption externalities. Then, we empirically investigate the impact of dispensing practices on antibiotic consumption by means of combined spatial-lag and spatial-error econometric estimators for panel data (SARAR). The investigation exploits data from small geographic areas in a country where both regimes - with and without dispensing physicians - are possible. We find evidence that dispensing practices increase antibiotic use after controlling for determinants of demand and access, and spatial effects. This suggests that health authorities have a margin to adjust economic incentives on dispensing practices in order to reduce antibiotic misuse. |
| 主题 | Physician dispensing ; Prescribing behavior ; Antibiotic use |
| URL | https://www.research-collection.ethz.ch/handle/20.500.11850/73417 |
| 来源智库 | Centre for Energy Policy and Economics (Switzerland) |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/266579 |
| 推荐引用方式 GB/T 7714 | Filippini, Massimo,Heimsch, Fabian,Masiero, Giuliano. Antibiotic consumption and the role of dispensing physicians. 2013. |
| 条目包含的文件 | 条目无相关文件。 | |||||
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