A taste of their own medicine: guideline adherence and access to expertise
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Working paper (Stanford Institute for Economic Policy Research)
- Author(s):
- Finkelstein, Amy, author Persson, Petra, author Polyakova, Maria A. (Maria Alexandrovna), author Shapiro, Jesse, author
- Contributor(s):
- Stanford Institute for Economic Policy Research, issuing body.
- Publication:
- [Stanford, CA] : Stanford Institute for Economic Policy Research (SIEPR), September 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Knowledge, Attitudes, Practice Guideline Adherence Medication Adherence Sweden United States
- Genre(s):
- Technical Report
- Abstract:
- We use population administrative data from Sweden to study adherence to 63 medication- related guidelines. We compare the adherence of patients without personal access to medical expertise to the adherence of those with access, namely doctors and their close relatives. We estimate that, among observably similar patients, access to expertise is associated with 3.8 percentage points lower adherence, relative to a baseline adherence rate of 54.4 percent among those without access. This association is larger for recommendations with a weaker clinical motivation. Our findings suggest an important role in non-adherence for factors other than those, such as ignorance, complexity, or failures of patient-provider communication, that would be expected to diminish with access to expertise.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (39 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918383985706676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918383985706676