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

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)

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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。

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American Economic Review-Insights ECONOMICS-

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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.