Facoltà di scienze economiche

Socioeconomic determinants of regional differences in outpatient antibiotic consumption : evidence from Switzerland.

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

This paper investigates the determinants of regional variations in outpatient antibiotic consumption using Swiss data. The analysis contributes to the debate on appropriate antibiotic use by improving the understanding of its determinants, and may help to define more effective health care policies to reduce the resistance phenomenon. Findings suggest that Switzerland exhibits relatively low... Plus

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    Summary
    This paper investigates the determinants of regional variations in outpatient antibiotic consumption using Swiss data. The analysis contributes to the debate on appropriate antibiotic use by improving the understanding of its determinants, and may help to define more effective health care policies to reduce the resistance phenomenon. Findings suggest that Switzerland exhibits relatively low levels of consumption among European countries. There are significant differences between cantons both in the per capita antibiotic sales and Defined Daily Doses per 1000 inhabitants per day (DID). Econometric estimations suggest that per capita income, demographic factors, and the density of medical practices, are significantly related to antibiotic consumption. The incidence of bacterial infections is ambigouous. Appropriate policies affecting antibiotic consumption in the community can be designed by looking at crucial determinants in the model and their relative impact.