| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w25284 |
| 来源ID | Working 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 |
| URL | https://www.nber.org/papers/w25284 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/582958 |
| 推荐引用方式 GB/T 7714 | Carolina Lopez,Anja Sautmann,Simone Schaner. The Contribution of Patients and Providers to the Overuse of Prescription Drugs. 2018. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w25284.pdf（622KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。
