Université de Neuchâtel

Associations between perceived discrimination and health status among frequent Emergency Department users

Baggio, Stéphanie ; Iglesias, Katia ; Hugli, Olivier ; Burnand, Bernard, Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Lausanne, Switzerland ; Ruggeri, Ornella ; Wasserfallen, Jean-Blaise ; Moschetti, Karine ; Staeger, Philippe ; Alary, Séverine ; Canepa Allen, Marina ; Daeppen, Jean-Bernard ; Bodenmann, Patrick

In: European Journal of Emergency Medicine, 2015, p. 1-6

Objective : Frequent Emergency Department (ED) users are vulnerable individuals and discrimination is usually associated with increased vulnerability. The aim of this study was to investigate frequent ED users' perceptions of discrimination and to test whether they were associated with increased vulnerability. Methods : In total, 250 adult frequent ED users were interviewed...

Université de Neuchâtel

Case management for frequent users of the emergency department: study protocol of a randomised controlled trial

Bodenmann, Patrick ; Velonaki, Venetia-Sofia ; Ruggeri, Ornella ; Hugli, Olivier ; Burnand, Bernard ; Wasserfallen, Jean-Blaise ; Moschetti, Karine ; Iglesias, Katia ; Baggio, Stéphanie ; Daeppen, Jean-Bernard

In: BMC Health Services Research, 2014, vol. 14, no. 264, p. 1-11

Background We devised a randomised controlled trial to evaluate the effectiveness and efficiency of an intervention based on case management care for frequent emergency department users. The aim of the intervention is to reduce such patients’ emergency department use, to improve their quality of life, and to reduce costs consequent on frequent use. The intervention consists of a...

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...

Università della Svizzera italiana

Regional consumption of antibiotics : a demand system approach

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

In: Economic Modelling, 2009, vol. 26, no. 6, p. 1389-1397

Through this paper, we have attempted to model the demand for different classes of antibiotics used for respiratory infections in outpatient care in Switzerland using a spatial version of the linear approximate Almost Ideal Demand System (AIDS) model. This model takes spatial dependency into account by means of spatial lags of antibiotic budget shares. We control for the health status of patients...

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

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

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

In: Health Policy, 2006, vol. 78, no. 1, p. 77-92

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...

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

Regional differences in outpatient antibiotic consumption in Switzerland

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

This paper investigates regional variations in outpatient antibiotic use and provides a first empirical analysis based on Swiss data. We compare Swiss antibiotic consumption with antibiotic use in other European countries and present descriptive statistics at cantonal level. Preliminary findings show that Switzerland exhibits relatively low levels of consumption. There are significant...

Università della Svizzera italiana

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...