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Università della Svizzera italiana

Small area variations and welfare loss in the use of outpatient antibiotics

Filippini, M ; Masiero, G. ; Moschetti, K.

In: Health Economics, Policy and Law, 2009, vol. 4, no. 1, p. 55-77

Objective: This paper seeks to explain local variations in the use of antibiotics in the community and to assess the welfare loss due to heterogeneous attitudes towards the risk of bacterial resistance. Method: Quarterly data on antibiotic sales from 240 small areas in Switzerland over the course of one year are used. An econometric ad-hoc model with spatial lags is proposed in which the demand...

Università della Svizzera italiana

Dispensing practices and antibiotic use

Filippini, M. ; Masiero, G. ; Moschetti, K.

The regulation on prescribing and dispensing of antibiotics has a double purpose: to enhance access to antibiotic treatment and to reduce the inappropriate use of drugs. Nevertheless, incentives to dispensing physicians may lead to ine¢ ciencies. We sketch a theoretical model of the market for antibiotic treatment and empirically investigate the impact of self-dispensing on the per capita...