Can Pay-for-Performance to Primary Care Providers Stimulate Appropriate Use of Antibiotics?

Arbeitspapier

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.

Object Details

• Language: Englisch

References and Relationships

• Bibliographic citation: Series: Working Paper ; No. 2015:36

Classification and Topics

• Classification: Wirtschaft ; Organizational Behavior; Transaction Costs; Property Rights ; State and Local Government; Intergovernmental Relations: Interjurisdictional Differentials and Their Effects ; Analysis of Health Care Markets ; Health: Government Policy; Regulation; Public Health ; Compensation Packages; Payment Methods ; Wages, Compensation, and Labor Costs: Public Policy
• Subject: pay-for-performance ; antibiotics resistance ; primary care

Contributors, Places and Time

• Event: Geistige Schöpfung
• (who): Anell, Anders ; Dietrichson, Jens ; Ellegård, Lina Maria
• Event: Veröffentlichung
• (who): Lund University, School of Economics and Management, Department of Economics
• (where): Lund
• (when): 2016

Further information

• Handle: http://hdl.handle.net/10419/260173
• Last update: 10.03.2025, 11:44 AM CET