【卫生经济学】中国抗生素滥用的研究

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1 论文标题Using Audit Studies to Test for Physician Induced Demand: The Case of Antibiotic Abuse in China
2 作者信息
Janet Currie, Wanchuan Lin, Juanjuan Meng
3 出处和链接（比如，NBER working paper No.11000）
NBER Working Paper No. 18153 Issued in June 2012
抗生素滥用.pdf (328.43 KB)

2012-6-28 09:06:58 上传

4 摘要
The overuse of medical services including antibiotics is often blamed on Physician Induced Demand. But since this theory is about physician motivations, it is difficult to test. We conduct an audit study in which physician financial incentives, beliefs about what patients want, and desires to reciprocate for a small gift are systematically varied. We find that all of these treatments reduce antibiotics prescriptions, suggesting that antibiotics abuse in China is not driven by patients actively demanding antibiotics, by physicians believing that patients want antibiotics, or by physicians believing that antibiotics are in the best interests of their patients, but is largely driven by financial incentives. Our results also show that physician behavior can be significantly influenced by the receipt of a token gift, such as a pen.

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关键词：卫生经济学 抗生素滥用 卫生经济 抗生素 经济学 论文 经济学 链接 抗生素滥用 中国

本文通过对北京二级（20/26）和三级(40/48)医院（总共60）进行抽样调查。

我赛，应该是中国第一篇非常规范的做PID（SID Supplier Induced Demand）的文章吧！

Brdic 发表于 2012-6-29 07:42
我赛，应该是中国第一篇非常规范的做PID（SID Supplier Induced Demand）的文章吧！

没有引起大家的足够重视。希望业内人士多多发表意见。

抗生素滥用在中国是很严重的现象，这是中国现有的医疗政策环境下形成的，特别是私人诊所，不管什么病，打吊针都给你加点地塞米松（激素类），激素一般都可以很快缓解现有症状的；不管你炎症严不严重，都给你上最先进的抗生素，有病例就是因为滥用抗生素导致产生耐药性，从而导致到了大医院医生都是束手无策

选题非常棒，但是做的是小清新的味道。

谢谢楼主

至少会是篇JHE,林老师真是高产啊