Socioeconomic determinants of regional differences in outpatient antibiotic consumption: Evidence from Switzerland
Socioeconomic determinants of regional differences in outpatient antibiotic consumption: Evidence from Switzerland
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DOI：
10.1016/j.healthpol.2005.09.009
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发表时间：
2006-08-22
期刊：
影响因子：
3.3
通讯作者：
Moschetti, Karine
中科院分区：
文献类型：
--
作者：
Filippini, Massimo;Masiero, Giuliano;Moschetti, Karine
本文使用瑞士数据研究了患者抗生素消耗的地区差异的决定因素。该分析有助于通过提高对抗生素使用决定因素的理解来促进关于适当使用抗生素的辩论，并可能有助于制定更有效的卫生保健政策以减少耐药现象。调查结果表明，瑞士在欧洲国家中的消费水平相对较低。各州之间在人均抗生素销售量和每千名居民的限定日剂量（DID）方面存在显著差异。计量经济学估计表明，DID与人均收入、抗生素价格、医疗实践密度、人口、文化和教育因素显着相关。细菌感染的发生率也是相关的。通过研究模型中的关键决定因素及其相关影响，可以设计影响社区抗生素消费的适当政策。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
This paper investigates the determinants of regional variations in ofpatient 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 levels of consumption among European countries. There are significant differences between cantons both in the per capita antibiotic sales and defined daily doses per 1000 inhabitants (DID). Econometric estimations suggest that DID are significantly related to per capita income, antibiotic price, the density of medical practices, demographic, cultural and educational factors. The incidence of bacterial infections is also relevant. Appropriate policies affecting antibiotic consumption in the community can be designed by looking at crucial determinants in the model and their related impact. (c) 2005 Elsevier Ireland Ltd. All rights reserved.