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Determinants of outpatient antibiotic consumption in Europe: bacterial resistance and drug prescribers

Author

Listed:
  • Giuliano Masiero

    (Department of Economics and Technology Management, University of Bergamo, Italy; Department of Economics, University of Lugano, Switzerland.)

  • Massimo Filippini

    (Department of Economics, University of Lugano; Swiss Federal Institute of Technology, Zurich, Switzerland.)

  • Matus Ferech

    (Laboratory of Microbiology, University of Antwerp, Belgium; Enterprise and Industry DG, Pharmaceuticals Unit, European Commission, Brussels.)

  • Herman Goossens

    (Laboratory of Microbiology, University of Antwerp, Belgium; Laboratory of Microbiology, Leiden University Medical center, Leiden, The Netherlands.)

Abstract
This paper investigates socioeconomic determinants of outpatient antibiotic consumption in Europe. Comparable data on antibiotic use measured in the defined daily doses per 1000 inhabitants (DID) are currently provided by the ESAC project. Results from applied econometric estimations for panel data reveal a link between antibiotic use and the per capita income, the demographic structure of the population, the level of education and cultural aspects. Supply-side factors, such as the density of providers and their remuneration methods, are also considered. We provide the first estimate of the impact of bacterial resistance on consumption when the e?ect of other determinants is simultaneously taken into account.

Suggested Citation

  • Giuliano Masiero & Massimo Filippini & Matus Ferech & Herman Goossens, 2007. "Determinants of outpatient antibiotic consumption in Europe: bacterial resistance and drug prescribers," Quaderni della facoltà di Scienze economiche dell'Università di Lugano 0702, USI Università della Svizzera italiana.
    • Handle: RePEc:lug:wpaper:0702
    as

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    References listed on IDEAS

    as
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    2. Filippini, Massimo & Masiero, Giuliano & Moschetti, Karine, 2006. "Socioeconomic determinants of regional differences in outpatient antibiotic consumption: Evidence from Switzerland," Health Policy, Elsevier, vol. 78(1), pages 77-92, August.
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    More about this item

    Keywords

    Antibiotic use; Cross-country variations; Bacterial resistance; Supply-induced demand;
    All these keywords.

    JEL classification:

    • I0 - Health, Education, and Welfare - - General
    • C3 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables

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