临时父母利益对儿童抗生素使用的影响:来自自然现场实验的证据

Linnea Wickström Östervall, Annika Hahlin, Astrid Lundevall
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摘要

谨慎使用抗生素对于延缓耐药性的传播非常重要。本文分析了瑞典临时父母福利改革对儿童抗生素使用的影响。改革提高了这一福利的最高补偿。社会保障补偿的水平可能会影响患者或家长要求开抗生素处方的倾向,因为不那么慷慨的补偿会使旷工的成本更高,而且对抗生素的有效性普遍存在过度自信。利用市级数据,我们表明,改革导致儿童抗生素使用量减少了约5%。这一结果对其他经验策略相当稳健,表明福利政策可以产生重要的间接影响,应该加以考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of temporary parental benefit on children’s antibiotics use: Evidence from a natural field experiment
Prudent use of antibiotics is important to delay the spread of resistance. This paper analyses the effect on children’s antibiotics use of a reform of the temporary parental benefit in Sweden. The reform increased the maximum compensation for this benefit. The level of compensation for social security may affect the propensity of a patient or parent to push for a prescription for antibiotics, as a less generous compensation makes it more expensive to be absent from work and since there is widespread overconfidence in the effectiveness of antibiotics. Using municipality level data, we show that the reform resulted in a reduction in children’s antibiotics use by about five per cent. The result is fairly robust to alternative empirical strategies, suggesting that welfare policies can have important indirect effects that should be taken into account.
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