Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/260173 
Year of Publication: 
2016
Series/Report no.: 
Working Paper No. 2015:36
Publisher: 
Lund University, School of Economics and Management, Department of Economics, Lund
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.
Subjects: 
pay-for-performance
antibiotics resistance
primary care
JEL: 
D23
H73
I11
I18
J33
J38
Document Type: 
Working Paper

Files in This Item:
File
Size





Items in EconStor are protected by copyright, with all rights reserved, unless otherwise indicated.