医生的处方决策对药品价格敏感吗?来自免费抗生素项目的证据

Are Physicians' Prescribing Decisions Sensitive to Drug Prices? Evidence from a Free‐antibiotics Program

Health Economics · 2013
被引 17
人大 A-

中文导读

利用美国首个商业免费抗生素项目作为自然实验,研究发现该项目导致抗生素处方总量增加,且医生转向使用项目覆盖的抗生素,尤其在低收入地区效果更强,表明医生处方受患者成本影响。

Abstract

This paper investigates whether patient-level factors, in particular cost considerations, affect the physicians' prescribing decisions. In the context of a natural experiment, we examine the effect of the first US commercial free-antibiotics program on retail antibiotic sales. We find an overall increase in antibiotic prescriptions under the program and substitutions to covered antibiotics from not-covered antibiotics. The shift away from not-covered antibiotics, particularly from those without covered equivalents, indicates a change in the physicians' prescribing decisions. We locate stronger program effects in low-income areas. Our findings, robust to a variety of specifications, are in contrast with previous literature.

抗生素处方决策药品价格敏感性免费抗生素项目处方替代行为