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来源类型Working Paper
规范类型报告
DOI10.3386/w25284
来源IDWorking Paper 25284
The Contribution of Patients and Providers to the Overuse of Prescription Drugs
Carolina Lopez; Anja Sautmann; Simone Schaner
发表日期2018-11-26
出版年2018
语种英语
摘要Overuse of medical care is often attributed to an informed expert problem, whereby doctors induce patients to purchase unnecessary treatments. Alternatively, patients may drive overuse of medications by exerting pressure on doctors to overprescribe, undermining the doctor's gatekeeping function for prescription medications. We develop a theoretical framework and designed a randomized trial to identify the importance of patients in driving overuse of antimalarials in community health clinics in Mali. Holding doctors' financial incentives constant, we vary patients' information about the availability of a discount for standard malaria treatment. We find evidence of patient-driven demand: directly informing patients about the price reduction, instead of allowing doctors to choose whether to share this information, increases use of the discount by 35 percent and overall rates of antimalarial use by 11 percent. This increase is driven by patients least likely to have malaria, leading to a worse match between treatment and cause of illness. We find no evidence that doctors use their information advantage to sell more powerful malaria treatment or increase revenue.
主题Health, Education, and Welfare ; Health ; Development and Growth ; Development
URLhttps://www.nber.org/papers/w25284
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/582958
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Carolina Lopez,Anja Sautmann,Simone Schaner. The Contribution of Patients and Providers to the Overuse of Prescription Drugs. 2018.
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