Scandinavian Working Papers in Economics
HomeAboutSeriesSubject/JEL codesAdvanced Search
Department of Economics, Lund University Working Papers, Department of Economics, Lund University

No 2015:36:
Can Pay-for-Performance to Primary Care Providers Stimulate Appropriate Use of Antibiotics?

Anders Anell (), Jens Dietrichson () and Lina Maria Ellegård ()

Abstract: Antibiotics resistance is a major threat to public health. We examine if pay-for-performance (P4P) to primary care providers stimulates appropriate prescription of antibiotics; specifically, if P4P induces a substitution of narrow-spectrum antibiotics for broad-spectrum antibiotics (which contribute more to resistance) in the treatment of children with respiratory tract infections (RTI). During 2006-2013, a subset of Swedish healthcare authorities introduced antibiotics-related P4P in their reimbursement schemes for care providers. We employ municipality-level data covering all purchases of RTI antibiotics in a difference-in-differences analysis, and find that P4P significantly increased the share of narrow-spectrum antibiotics. There were no signs that physicians tried to game the system by increasing overall antibiotics use.

Keywords: pay-for-performance; antibiotics resistance; primary care; (follow links to similar papers)

JEL-Codes: D23; H73; I11; I18; J33; J38; (follow links to similar papers)

42 pages, December 15, 2015, Revised June 29, 2016

Before downloading any of the electronic versions below you should read our statement on copyright.
Download GhostScript for viewing Postscript files and the Acrobat Reader for viewing and printing pdf files.

Full text versions of the paper:

wp15_36.pdf    PDF-file
Download Statistics
This paper is forthcoming as:
Anell, Anders, Jens Dietrichson and Lina Maria Ellegård, 'Can Pay-for-Performance to Primary Care Providers Stimulate Appropriate Use of Antibiotics?', Health Economics.

Questions (including download problems) about the papers in this series should be directed to David Edgerton ()
Report other problems with accessing this service to Sune Karlsson () or Helena Lundin ().

Programing by
Design by Joachim Ekebom

Handle: RePEc:hhs:lunewp:2015_036 This page was generated on 2017-05-02 09:19:25