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识别科学信息和建议对医生处方行为的影响。

Identifying the effects of scientific information and recommendations on physicians' prescribing behavior.

机构信息

Toulouse School of Economics, Université de Toulouse Capitole, Toulouse, France.

Department of Applied Economics, HEC Montreal, Canada.

出版信息

J Health Econ. 2021 Jul;78:102461. doi: 10.1016/j.jhealeco.2021.102461. Epub 2021 Apr 17.

Abstract

We investigate how the prescribing behavior of physicians reacts to scientific information and recommendations released by public authorities. Taking the example of antidepressant drugs, we use French panel data on exhaustive prescriptions made by a representative sample of general practitioners to more than 110,000 depressed patients between 2000 and 2008. New results revealing an increase in suicidal thinking among children taking selective serotonin reuptake inhibitors (SSRIs) were reported in 2004 and prompted the release of new guidelines by public health authorities. We identify the effect of this unexpected warning on physicians' drug choices while addressing the possibility that patients heterogeneity may be correlated with unobserved physician characteristics. While the warning decreased the average probability of prescribing SSRIs, we find that physicians' responses to the warning were very heterogeneous and larger if the physician had a higher preference for prescribing SSRIs before the warning.

摘要

我们研究了医生的处方行为如何对公共当局发布的科学信息和建议做出反应。以抗抑郁药为例,我们使用了法国的面板数据,该数据涵盖了 2000 年至 2008 年间,对代表性的全科医生样本对超过 110,000 名抑郁症患者开出的详尽处方。2004 年报道了新的结果,显示服用选择性 5-羟色胺再摄取抑制剂 (SSRIs) 的儿童自杀想法增加,促使公共卫生当局发布了新的指南。我们确定了这种意外警告对医生药物选择的影响,同时解决了患者异质性可能与未观察到的医生特征相关的可能性。虽然警告降低了 SSRIs 的平均处方概率,但我们发现,如果医生在警告前对 SSRIs 的处方偏好较高,那么医生对警告的反应则非常多样化且更大。

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Physician age and the abandonment of episiotomy.医生年龄与会阴侧切术的废弃。
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Anti-depressants and suicide.抗抑郁药与自杀
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