A taste of their own medicine: guideline adherence and access to expertise

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, 1981- 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
Clinical Competence
Health Services Accessibility
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)
OCLC no.:
1327813630
Permanent Link:
http://resource.nlm.nih.gov/9918383985706676