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Università della Svizzera italiana

Antibiotic consumption and the role of dispensing physicians

Filippini, Massimo ; Heimsch, Fabian ; Masiero, Giuliano

In: Regional Science and urban economics, 2014, vol. 49, p. 242-251

The benefits of separating drug prescribing and dispensing are still unclear, in particular when drug consumption is characterized by important spillovers. We investigate the role of dispensing physicians in the consumption of antibiotics characterized by two opposite external effects: infection prevention and control, and bacterial resistance. We model the interaction between competing...

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

Physician dispensing and antibiotic prescriptions

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

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 inefficiencies. We sketch a theoretical model of the market for antibiotic treatment and empirically investigate the impact of self-dispensing on the per capita...