Università della Svizzera italiana

Antibiotic consumption and the role of dispensing physicians

Filippini, Massimo ; Heimsch, Fabian ; Masiero, Giuliano

Regulation of prescription and dispensing of antibiotics has a twin purpose: to enhance access to antibiotic treatment and to reduce inappropriate use of drugs. Nevertheless, incentives on antibiotics to dispensing physicians may lead to inefficiencies. We model the interaction between competing physicians (with and without dispensing of drugs) and patients exposed to bacterial infections when...

Università della Svizzera italiana

Assessing the impact of antibiotic policies in Europe

Filippini, M. ; González Ortiz, L. G. ; Masiero, G.

Because of evidence of causal association between antibiotic use and bacterial resistance, the implementation of national policies has emerged as a interesting tool for controlling and reversing bacterial resistance. The aim of this study is to assess the impact of public policies on antibiotic use in Europe using a differences-in-differences approach. Comparable data on systemic...

Università della Svizzera italiana

Assessing the impact of national antibiotic campaigns in Europe

Filippini, Massimo ; Gonzalez Ortiz, Laura ; Masiero, Giuliano

In: The european journal of health economics, 2013, vol. 14, no. 4, p. 587-599

Because of evidence of causal association between antibiotic use and bacterial resistance, the implementation of national policies has emerged as a interesting tool for controlling and reversing bacterial resistance. The aim of this study was to assess the impact of public policies on antibiotic use in Europe using a differences-in-differences approach. Comparable data on systemic antibiotics ...

Università della Svizzera italiana

Characteristics of demand for antibiotics in primary care : an almost ideal demand system approach

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

We model demand for different classes of antibiotics used for respiratory infections in outpatient care using a linear approximate almost ideal demand system approach. We compute elasticities to socioeconomic determinants of consumption and own- and cross- price elasticities between different groups of antibiotics. We find significant elasticities between newer/more expensive generations and...

Università della Svizzera italiana

Determinants of outpatient antibiotic consumption in Europe : bacterial resistance and drug prescribers

Masiero, Giuliano ; Filippini, Massimo ; Ferech, Matus ; Goossens, Herman

This paper investigates socioeconomic determinants of outpatient antibiotic consumption in Europe. Comparable data on antibiotic use measured in the defined daily doses per 1000 inhabitants (DID) are currently provided by the ESAC project. Results from applied econometric estimations for panel data reveal a link between antibiotic use and the per capita income, the demographic structure of the...

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...

Università della Svizzera italiana

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

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

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 infections and resistance. Significant differences are observed in the per capita antibiotic consumption measured in defined daily doses per 1000 inhabitants (DID) across small geographic areas in Switzerland. A model...

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

Socioeconomic determinants of outpatient antibiotic use in Europe

Masiero, Giuliano ; Filippini, Massimo ; Ferech, Matus ; Goossens, Herman

In: International Journal of Public Health, 2010, vol. 55, no. 5, p. 469–478

Objectives: Outpatient antibiotic consumption widely varies across Europe. The investigation of the causes of such variation may help to identify interventions that would improve the efficient use of antibiotics. The aim of this study was to assess the impact of socioeconomic determinants and the role played by information about bacterial resistance. Methods: Comparable data on systemically...