A Taste of Their Own Medicine: Guideline Adherence and Access to Expertise

IF 8.1 1区 经济学 Q1 ECONOMICS American Economic Review-Insights Pub Date : 2021-10-01 DOI:10.3386/w29356
Amy N. Finkelstein, Petra Persson, M. Polyakova, Jesse Shapiro
{"title":"A Taste of Their Own Medicine: Guideline Adherence and Access to Expertise","authors":"Amy N. Finkelstein, Petra Persson, M. Polyakova, Jesse Shapiro","doi":"10.3386/w29356","DOIUrl":null,"url":null,"abstract":"We use administrative data from Sweden to study adherence to 63 medication-related guidelines. We compare the adherence of patients without personal access to medical expertise to that of patients with access, namely doctors and their close relatives. We estimate that observably similar patients with access to expertise have 3.8 percentage points lower adherence, relative to a baseline adherence rate of 54.4 percent among those without access. Our findings suggest an important role in nonadherence for factors other than those, such as ignorance, poor communication, and complexity, that would be expected to diminish with access to expertise.(JEL D82, D83, I11, I12, I18)","PeriodicalId":29954,"journal":{"name":"American Economic Review-Insights","volume":" ","pages":""},"PeriodicalIF":8.1000,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"8","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Economic Review-Insights","FirstCategoryId":"96","ListUrlMain":"https://doi.org/10.3386/w29356","RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ECONOMICS","Score":null,"Total":0}
引用次数: 8

Abstract

We use administrative data from Sweden to study adherence to 63 medication-related guidelines. We compare the adherence of patients without personal access to medical expertise to that of patients with access, namely doctors and their close relatives. We estimate that observably similar patients with access to expertise have 3.8 percentage points lower adherence, relative to a baseline adherence rate of 54.4 percent among those without access. Our findings suggest an important role in nonadherence for factors other than those, such as ignorance, poor communication, and complexity, that would be expected to diminish with access to expertise.(JEL D82, D83, I11, I12, I18)
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
品尝自己的药物:遵循指南和获得专业知识
我们使用瑞典的管理数据来研究63项药物相关指南的依从性。我们比较了无法亲自获得医疗专业知识的患者与有机会获得医疗专业技能的患者(即医生及其近亲)的依从性。我们估计,与那些无法获得专业知识的患者54.4%的基线依从率相比,具有显著相似专业知识的类似患者的依从性降低了3.8个百分点。我们的研究结果表明,除了无知、沟通不良和复杂性等因素之外,其他因素在不遵守中发挥着重要作用,而这些因素预计会随着获得专业知识而减少。(JEL D82,D83,I11,I12,I18)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
27
期刊介绍: The journal American Economic Review: Insights (AER: Insights) is a publication that caters to a wide audience interested in economics. It shares the same standards of quality and significance as the American Economic Review (AER) but focuses specifically on papers that offer important insights communicated concisely. AER: Insights releases four issues annually, covering a diverse range of topics in economics.
期刊最新文献
Finance, Managerial Inputs, and Misallocation The Educational Consequences of Remote and Hybrid Instruction during the Pandemic Reducing Frictions in Health Care Access: The ActionHealthNYC Experiment for Undocumented Immigrants Decision Theory and Stochastic Growth Isolating Personal Knowledge Spillovers: Coinventor Deaths and Spatial Citation Differentials
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1