Addressing Antibiotic Abuse in China: An Experimental Audit Study.
Addressing Antibiotic Abuse in China: An Experimental Audit Study.
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DOI：
10.1016/j.jdeveco.2014.05.006
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发表时间：
2014-09-01
影响因子：
5
通讯作者：
Meng J
中科院分区：
文献类型：
--
作者：
Currie J;Lin W;Meng J
中国的抗生素滥用率和抗生素耐药性很高，但其原因仍有争议。医生开处方的强烈经济激励可能是一个重要原因。然而，病人的需求（或医生对病人需求的信念）经常被引用，也可能发挥作用。我们使用一个审计研究，以检查取消经济激励的影响，并试图分离出病人的需求的影响。我们实施了许多不同的实验处理，旨在试图排除我们发现的其他可能的解释。总之，我们的研究结果表明，经济激励是中国抗生素滥用的主要驱动力，至少在我们研究中使用的年轻健康人群中是如此。
China has high rates of antibiotic abuse and antibiotic resistance but the causes are still a matter for debate. Strong physician financial incentives to prescribe are likely to be an important cause. However, patient demand (or physician beliefs about patient demand) is often cited and may also play a role. We use an audit study to examine the effect of removing financial incentives, and to try to separate out the effects of patient demand. We implement a number of different experimental treatments designed to try to rule out other possible explanations for our findings. Together, our results suggest that financial incentives are the main driver of antibiotic abuse in China, at least in the young and healthy population we draw on in our study.