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The potential of the super QALY to reconcile the key contentions in health economics

20 May

Economics is largely about trade-offs and compromise. Academics study the former but don’t often engage in the latter. In health economics, as in other fields, a key trade-off is between equity and efficiency. We’ve been studying this for a.very.long.time. Despite this, as Culyer has identified, equity is hardly considered in current health technology assessments. We all agree it should be, but just can’t seem to figure it out. Indeed, it has been argued that incorporating equity concerns into cost-effectiveness analyses could still be a long time coming.

But let’s be a bit more positive. The elusive `Super QALY’, as it has been described, should come eventually. And when it does, it’ll be great! One of the reasons, I propose here, is that it has the power to reconcile many of the disagreements that currently fuel (hamper?) debate in our field. Hence, the super QALY might just allow us to get on with fussing over minutia issues of economic evaluation.

Trade-offs

There are necessary trade-offs in decisions of resource allocation. These might be described as the ‘positive’ tensions economists deal with; they relate to decisions that must be made, regardless of our values. The equity–efficiency trade-off is the main one here. But there are others. For example, health care interventions have the dual aim of increasing both the quantity and quality of an individual’s life. The QALY attempts to address this. However, the way we value quality of life also incorporates considerations of length of life in so much as ‘death’ is used in the valuation of health states. This is problematic, as has been discussed. Economists haven’t really gotten round to disagreeing about this yet, but there’s plenty else on which we disagree.

Disagreements

These might be described as ‘normative’ tensions. They concern what different economists think should and should not be done; mainly relating to the process of valuing health states. There are welfarists and non-welfarists. There are those who support societal preferences, and those who support capturing patient experience. It should be clear to most that neither side in these debates is wrong. Most health economists acknowledge the value of capturing utility as well as the importance of capabilities. Most will attach some value to society’s preferences and some to those of the individual.

A super-QALY solution

It’s never been completely clear what the ‘extra’ in extra-welfarism (as currently practiced) actually consists. The super QALY will surely formalise this; it could involve some completely non-welfarist notions. The most common idea of the super QALY is one where the current health-related QALY is weighted based on some equity considerations. So, if this is where economic evaluation is heading, we’re likely to end up with an extra step of estimating the equity impact of an intervention. But, while most studies seem to suggest that this might just be an add-on process, I think it would require a realignment of the methods we already use.

Equity analysis

There’s no need for me to reiterate the importance of equity considerations. Plainly we (economists, the public) care about needs, capabilities, opportunities and equality. How we define the equity analysis is incidental. More important is that we get on with doing it and just see what happens. There are lots of measures we could use and different approaches we could take. For arguments sake (and because I quite like it), let’s say the equity analysis is characterised by a ‘minimum capabilities‘ approach. Something similar to Daniels’s normal opportunity range. People could have the normal opportunity range, have fewer opportunities or have more opportunities. We can argue later about where the threshold lies. People below the threshold could be said to be in ‘need’. Again, argue about this later. States could be defined using a capabilities measure; let’s just say the ICECAP-A for now (though I don’t much like it). Here in the world of health economics we like 0-1 scales, so the ICECAP-A could be valued based on these anchors. So, let’s say 1 is the minimum capabilities or normal opportunity range threshold. Zero equates to being dead. Values can drop below zero where opportunity sets represent a state worse that non-existence. For the equity analysis we are not interested in utility or satisfaction, so the valuation would not be by the individual. Values could be elicited from society, possibly. The valuation technique could be a person trade-off, maybe. Or we could let ethicists come up with weightings. This framework, surely, would satisfy the non-welfarists.

Health utility analysis

I see no reason why the estimation of health benefits cannot be utility-based. Utilitarian satisfaction is sufficient if non-welfarist concerns are incorporated in an equity analysis. Personally I believe that whether this is based on experiences or preferences is largely inconsequential and that, in terms of health, most of the differences demonstrated between the 2 are a function of the elicitation methods. Therefore, utility analysis would remain largely unchanged. However, the value of 0 would change. Zero currently represents either being dead or in a health state equivalent to being dead, despite these two things not being of equivalent value to a person. Under the new framework there is no need to incorporate death into the health utility analysis, as it is accounted for in the equity analysis. 0 should represent the worst health state imaginable. There would be no negative values.

Cost-effectiveness analysis

These 2 analyses would then be combined to form a relatively routine cost-effectiveness analysis to address the efficiency of the intervention. The QALY would be calculated in the usual way, but the ‘Q’ would become ‘super’ by being a function of the 2 different outcomes. Tentatively this could be done by multiplying the two values (alternative formulations could be defined by societal values or by ethicists, depending on your wont). Costings would be carried out in the usual manner and a super ICER could be calculated. Furthermore, the net benefit approach could be implemented in the usual way; possibly with separate willingness-to-pay values for each input to the super QALY (indeed, they may be willingness to pay values from different agents). The table below summarises how the approach might accommodate the various tensions in health economics.

Equity analysis Health utility analysis
Equity Effectiveness
Life Morbidity
Non-welfarism Welfarism
Fulfilment Satisfaction
Society The individual

All public policies could be subject to an equity analysis in the way set out above. It is in no way health-specific. Each policy field could then us this to weight their usual outcomes measures – preferably utility-based – to estimate the cost-effectiveness of their intervention. At this point the super QALY makes it onto daytime TV and health economists form a new unelected chamber at the Palace of Westminster.

No doubt this explicitly extra-welfarist approach to the super QALY raises more questions than it is currently able to answer, but we need to get on with trying stuff like this. The super QALY has proven elusive to date but, if we do make it, it may solve a lot of our problems. We may find ourselves having to invent new things to argue about.

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Posted by on May 20, 2013 in Economic Evaluation, Efficiency and Equity, Health and its Value

 

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To whom the benefits?

06 May

An argument that often comes up when it comes to the distribution of scarce health resources is who should receive them. Many different arguments are posed with varying degrees of sophistication. Various studies have elicited population preferences for distributing scarce health resources. Eliciting societal preferences for the distribution of resources is important but does not necessarily reveal the maxim by which decisions are made. People may favour the young over the old but is this because of a maxim to do with preferring those who have not had a ‘fair innings’ or because the returns to healthcare spending may be greater in the young due to the higher remaining life expectancy and increased economic output? It is important then to also bear in mind the arguments on which distributional decisions are founded. Perhaps, with a greater awareness of the objections and benefits of certain decision criteria, people may re-evaluate their choices.

In many countries, the allocation of health care is often more equal than other goods – it is ‘special’. Its ‘specialness’ can be seen since we would consider its distribution in isolation of other social goods to be morally significant. We would find it morally repugnant if access to health care was determined on the basis of income or assets while some inequality in income is not necessarily objectionable. Health care should therefore be treated differently from mere commodities, such as clothing or cars. Clearly then, equality is an important concern, but equality of what exactly?

Equality of opportunity

Norman Daniels argues that of central importance to health care is the maintenance of equality of opportunity.  Daniels asserts that health care protects the range of opportunities available to an individual – the way they can participate in social, political and economic life. He identifies this as a distinctly Rawlsian theory of justice as fairness. Importantly, he notes that this equality of opportunity is not based on happiness, welfare or utility. He considers this a strength and points out that disabled individuals often rank their welfare higher than do people imagining life with such a disability, or indeed someone with an acute illness. But, the disability may cause a loss to capabilities and opportunities that should be addressed regardless of welfare. This, he discusses, is a weakness of cost-utility analysis.

The equality of opportunity thesis may be subject to some objections. In contemporary society, gender and ethnicity still play a role in determining one’s opportunities. This then may provide an argument for providing gender reassignment surgery or skin colour alteration to those for whom there would be no medical benefit. Basing equality on welfare or utility may not be subject to the same objections since the effect of such a surgery both physically and in altering physical features important to personal identity may be significantly negative in terms of well-being.

Luck egalitarianism

One of the greatest debates in current political and economic discourse surrounding the distribution of health care resources is the importance of personal responsibility. A popular standpoint is one of luck egalitarianism (I have discussed this before). Health care should iron out the inequalities over which the individual has no personal control and beyond that the individual should be responsible for maintaining their own health. To see it from a different angle – if we had two individuals with the same health state the distribution of health care between them should be weighted by prudence. For example, if the driver and passenger of a car were admitted to hospital after a crash which may be considered the driver’s fault, even if it were just a momentary lapse in concentration, the passenger would have a greater claim to health care. However, in this situation, luck egalitarianism does admittedly seem too harsh. Supporters of this school of thought often argue that smokers, the obese, drug addicts and so forth have less of a right to health care, since they were aware of the risks of their actions but undertook them anyway.

I personally believe luck egalitarianism to not be an adequate account of justice. One’s physical reaction to heavy drinking or smoking is to a great extent determined by factors out of ones control, such as genes and socioeconomic factors. Pregnancy might be argued to have been a choice and so should not be supported under luck egalitarianism. Similarly, luck egalitarianism has difficulty distinguishing between reconstructive surgery and cosmetic surgery. An individual’s welfare may be affected by their appearance to some extent, something which they may have no control over, thus, providing cosmetic surgery would be supported.

The priority view

These previous accounts have all been of egalitarianism. However, egalitarianism faces an important objection, raised by Derek Parfit and others. The goal of egalitarianism in health care is to ensure an equality of opportunity or of utility, for example. However, this could easily be achieved by reducing the opportunities or utility of those at the top of the scale. This would certainly be rejected as a course of action. Parfit calls this the ‘leveling down’ objection. He revises egalitarianism and instead proposes prioritarianism or the ‘priority view’. Resources should be distributed in society weighted by where you are in the distribution – those at the bottom of the scale should receive greater benefits. This would reduce inequality while not being subject to the leveling down objection. In this situation, we could imagine a luck prioritarian position or modifying any of the other previously mentioned ideas.

England’s current system of allocation, as maintained by NICE, could be characterised as egalitarian. However, I might argue that it is only weakly egalitarian. It is not aiming to ensure everyone has the same level of utility; rather that everyone has the same opportunity to improve utility. In general, it does not take into account prudence or age or any other personal characteristics. This would have the effect of moving everyone’s health upward and would be egalitarian in the sense of reducing the gap between bottom and top, but this is only because there is a limit to the improvements healthcare can make (QALYs do not go higher than one). If there were no limit to health improvements our current system would not affect the distribution of health but shift everyone equally up the scale. I also believe that opportunity is also a concern as well as utility and since opportunity is correlated with health and quality of life, reducing inequality of one should reduce the inequality in the other. I think, then, that a prioritarian position is perhaps the most tenable – we should favour health care interventions that benefit the least healthy. What weights might be attached to the worst off is open to debate and the philosophical dilemmas to do with aggregating welfare still stand, but in any case, I think the priority view is better than our current system.

From health care to health

As a final note, I will say that I have only discussed the distribution of health care. More and more evidence is showing that as a determinant of overall health, health care is only a small contributor. Health care is ‘the ambulance waiting at the bottom of the cliff’. To extend the above theories to health rather than health care is problematic. We cannot redistribute health directly, so must redistribute the social determinants of health such as housing, income, autonomy in the workplace, etc. In this case, favouring a health distribution on the basis of ability to pay (favouring the poor) would not be morally repugnant. Does this mean the health is not a ‘special’ good, whereas health care is? It at least means that health should be treated differently to health care. In any case, evaluating these ethical and philosophical arguments can only strengthen the way we make these decisions. Perhaps ethics should be more widely taught to policy makers, economists, and others.

Read more

Arneson, R.J., 2000. Luck Egalitarianism and Prioritarianism. Ethics, 110(2), pp.339–349.

Daniels, N., 2001. Justice, health, and healthcare. The American journal of bioethics : AJOB, 1(2), pp.2–16.

Segall, S., 2010. Is Health (Really) Special? Health Policy between Rawlsian and Luck Egalitarian Justice. Journal of Applied Philosophy, 27(4), pp.344–358.

 
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Posted by on May 6, 2013 in Efficiency and Equity

 

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#HEJC for 06/05/2013

29 Apr

This month’s meeting will take place Monday 6th May, at 5pm London time. That’ll be 11am in New Orleans and 7pm in Athens. Join the Facebook event here. We’ll also hold an antipodal meeting 12 hours later on Tuesday 7th May, at 5am London time. That’ll be midday in Kuala Lumpur and 1pm in Tokyo. Join the Facebook event here. For more information about the Health Economics Twitter Journal Club and how to take part, click here.

The paper for discussion this month is a working paper published in the Munich Personal RePEc Archive. The authors are Lydia Lawless, Rodolfo Nayga and Andreas Drichoutis. The title of the paper is:

“Time preference and health behaviour: A review”

Following the meeting, a transcript of the discussion can be downloaded here.

Links to the article

Direct: http://mpra.ub.uni-muenchen.de/45382

RePEc: http://ideas.repec.org/p/pra/mprapa/45382.html

Other: tbc

Summary of the paper

Time preferences affect individuals’ consumption decisions. Our understanding of time preferences can inform public policy, particularly in the area of health behaviours. Furthermore, in economic evaluation in health care, assumptions about time preferences play a crucial role in determining the cost-effectiveness of an intervention. The authors carry out a literature review; focussing on papers published post-2002 so as to avoid repeating previous reviews. In this review the authors sought to:

  1. examine the influence of time preferences on health behaviours
  2. explain how the societal time discount rate differs from the private time discount rate
  3. determine how time discount rates affect the decisions of governments in the developing world
  4. assess how time discount rates affect individuals’ decision making in regard to risky behaviours such as smoking, diet and sexual behaviour
  5. discuss the repercussions of time preferences for the prevention of poor health.

The authors identified 3 main strategies that are used to capture time preferences; observed behaviour, experimental settings and the use of time preference proxies. The authors conclude that context plays a key role in determining the nature of time preferences; developing countries may exhibit different trends to developed countries. Furthermore, time preferences from a societal perspective do no necessarily match those of the individual.

Discussion points

  • Do the authors succeed in reviewing all relevant literature?
  • Is the authors’ review strategy sufficient?
  • Does the study successfully address the 5 aims set out in the introduction?
  • How might this study inform future research?
 
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Posted by on April 29, 2013 in #HEJC, Health and its Value

 

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Hidden costs of the recession

26 Apr

In a previous post I considered whether the current Great Recession had been good for your health. Evidence suggests that temporary reductions in income may improve your health for a number of reasons. In part, when I lose my job I may have expectations of finding work again in the short term, my skills may not depreciate in the short term, and I may be able to smooth my consumption with access to credit or savings and do more time-consuming, health-promoting things. But, the longer my spell of unemployment, the less access to health promoting goods I have and the greater the effects of socioeconomic deprivation. A number of studies have remarked on the link between income inequality and poor health (e.g. see here and here).

In the last post, I looked at a cross section of data from the 2011 census. I presented some correlations between the proportion of individuals who were unemployed and the proportion reporting bad health. I, and I am certainly not alone, may argue that myriad other factors could cause this observed relationship. I can’t prove or disprove any hypothesis in the space that this blog permits but I will add the following figure in support of the relationship. Here, I took data from both the 2001 and 2011 censuses for all lower super output areas (LSOAs; geographical areas of approximately 1,500 people) and looked at the relationship between the difference in the proportion unemployed and the difference in the proportion reporting bad health between 2001 and 2011:

change in prop bad health vs change unemployed

Given the long lag between 2001 and 2011, the arguments from the previous post, that this represents changes to structural unemployment rather than short term cyclical unemployment, may still stand. But, for whatever reason, there is a correlation between unemployment and self-reported bad health.

I should mention that the questions about health differed between the two censuses from three options in 2001: ‘good health’, ‘fair health’, or ‘bad health’, compared to five options in 2011: ‘very good health’, ‘good health’, ‘fair health’, ‘bad health’, and ‘very bad health’. I have compared here the percentage reporting the 2001 option ‘bad health’ to the combined ‘bad health’ and ‘very bad health’ option. You may think this is an affront to good data analysis, so to allay your fears I have provided versions of the following two figures that use only 2011 data. You will see that they tell the same story.

The increase to poor health as a result of increased socioeconomic deprivation is costly for a number of reasons. Considering healthcare, direct costs such as hospital admissions for physical and mental health problems may increase, along with the accompanying costs of providing pharmaceuticals and other treatments. One cost that is not well reported in the media is that of unpaid care. One study in the UK estimated the costs of services provided by unpaid carers to be as much as £87 billion per year. Now, those in poor health require care. The following figure shows the relationship between the change in the proportion of people reporting bad health and the change in the proportion of people providing more than 20 hours a week of unpaid care between 2001 and 2011 in each LSOA:

bad health vs unpaid care

bad health vs unpaid care 2011

2011 data only

I am not surprised by this relationship, and I doubt you are either. Then, it should also come as no surprise, given the previous two figures, that when I plot the relationship between the difference in the proportion unemployed and the difference in the proportion providing more than 20 hours unpaid care per week that there is also a strong relationship:

unemployed vs unpaid care

2011 data only

2011 data only

The relationship between health and economic conditions is complicated to say the least. What these data may indicate is that the cost due to increased unemployment may be far more than just reduced growth and output. Unpaid carers often have to leave employment to provide their services. Cutting back on health and social care funding in real terms will only shift the growing burden to individuals in poor areas, where health is worse, rather than to the state.

I would like to point out as a final note, and perhaps one of optimism, that the percentage of people reporting bad health has on average declined between 2001 and 2011. Although this may just be a case of hedonic adaptation…

 
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Posted by on April 26, 2013 in Health and the Economy

 

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Is this recession good for your health?

25 Apr

There have been a good number of articles to document the phenomenon of a counter-cyclical relationship between unemployment and health. As unemployment rises, deaths from a number of causes have been found to decline. These include accidents, infant mortality, heart disease, and liver disease (Ruhm, 2000; Dehejia and Lleras-Muney, 2004). That such a relationship is observed may at first seem counterintuitive; the reduction in income must surely damage our health. But, there are a number of reasons why we may see this relationship:

  1. Opportunity cost of time: In economic upturns leisure time decreases and health improving behaviours such as exercise decrease. Thus, in an economic downturn, since our time is less precious we have more time to engage in time-intensive and health-promoting activities. We could even visit the doctor more.
  2. Health as an input to production: The production of goods and services requires healthy people. But this production may be hazardous or stress-inducing. Furthermore, some of the most hazardous sectors, such as construction, are the most affected by economic downturns.
  3. External sources of death: Less time spent commuting means less time on the road and so fewer vehicular accidents. We may also see less drink driving, which is more common in economic upturns.
  4. Income effect: Our consumption of alcohol and tobacco as well as other goods that damage our health may decline.

On the back of this evidence, I asked myself, has this effect been present in the UK during the current Great Recession? Overall, unemployment has risen over the last five years, and the average weekly wage has declined in real terms (thanks to @peterpannier for the graph):

Click for larger image

A proper analysis of the data would be a full paper, something that someone, somewhere, may be in the process of writing – but, for the purposes of a preliminary investigation, let’s just look at the raw data. The 2011 census asked people how they would rate their health and provided them with five possible responses from ‘very good’ through to ‘very bad’. The census also provides us with the number of economically active but unemployed individuals. All this information is aggregated at the level of lower super output area (LSOA); of which there are around 32,000 in the UK each with a population of around 1,500. The following figure shows a plot of the proportion of unemployed individuals (as a proportion of 16-74 year olds) against the proportion reporting ‘bad’ or ‘very bad’ health:

Click for larger image

Clearly, there is a strong upward trend; areas with more unemployed have more people reporting bad health. Does this contradict our initial hypothesis? One of the crucial points about the aforementioned arguments are that they are arguments to explain the relationship between a change in health and a change in economic circumstances. The papers cited above used a fixed effects analysis; an analysis to examine the effects of changes. Thus, the correlations in the figure above may be picking up structural unemployment: we may be seeing the relationship between health and unemployment for those for whom the recession doesn’t affect health behaviour because they don’t experience a change as they are already unemployed. So let’s look instead at the relationship between short-term unemployment and the proportion reporting ‘bad’ or ‘very bad’ health. I defined short term unemployed here as having last been employed in 2011, i.e. a maximum of three months prior to the census. I looked at this in two ways; firstly, by looking at the number of short term unemployed as a proportion of the total number of people between 16 and 74:

Click for larger image

As you can see, there is now a downward trend, albeit not very steep. One issue is that areas with high short-term unemployment may also have high long-term unemployment making it hard to distinguish their effects. Therefore, my second approach was to look at the proportion of short term unemployed as a proportion of the total unemployed:

Click for larger image

Now there is clearly a strong downward trend. At a superficial level, these data seem to preliminarily support the hypothesis that short-term changes to unemployment may improve health. However, we also see that long-term unemployment is related to negative health. This is certainly not unexpected.

It is well evidenced that longer spells of unemployment lead to a reduced probability of finding work. From the macroeconomic point of view, the longer a downturn in the economy lasts, the greater the structural unemployment. This, as the above data suggest, may therefore lead to a reduction in average population health. Reducing unemployment and the duration of employment spells is certainly important but an ambitious policy goal. A better understanding of how socioeconomic deprivation and poor health are related would identify other methods to combat this negative effect on health.

These data may also shine a different light on Keynes’s well quoted line that ‘In the long run we are all dead’.

 
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Posted by on April 25, 2013 in Determinants of Health and Ill-Health, Health and the Economy, Public Health

 

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A comment on health inequality

26 Mar

A recent article by Benjamin Ho and Sita Nataraj Slavov, which I picked up via Marginal Revolution, argues that health inequality is falling. The argument is that life expectancy for the 1% dying at the bottom end of the age-at-death distribution has increased by more than the life expectancy for the 1% at the top. I’m struggling to think of much academic work being done to look at levels of health inequality in this way. However, I’m not sure what answering such questions could add.

Existing work

Plenty of work has been done on how to measure health inequality. It seems a pretty heinous crime to talk about health equality without mentioning Culyer and Wagstaff. More recently, new models of health inequality have been developed that bare varying levels of equivalence to a standard concentration curve (see here, here, here, here etc). But the authors of the aforementioned article are really interested in pure health inequality, irrelevant of income or socio-economic indicators. Some work has been done here too (see here, here, here etc); indeed, the age-at-death distribution thing was done by Le Grand.

Pure health inequality

Health and income are very different in a number of ways, and it seems a misnomer to compare income inequality with health inequality. The most important difference, probably, is how society views the two. Society has some aversion to income inequality and also aversion to health inequality. However, we don’t just prefer a more equal distribution of health; we want equal full health (i.e. health maximisation). Assuming diminishing marginal returns to health care (in terms of health), we will tend to prioritise those in worse health and tend towards equality. I would argue that health can only increase indefinitely in terms of longevity. We may live longer and longer but I think ‘full health’ is a very real ceiling while we’re alive. It simply isn’t possible for a super-rich elite to develop in terms of health. What would these people be like? Bionic presumably, but that’s a different debate. Even if health could be amassed indefinitely it wouldn’t be, as health has no value in exchange.

For me (given society’s aversion to inequality, technological progress and a maximum level of health at any point in time), movement towards equal health seems inevitable. You don’t need to agree with the Grossman model to accept that health represents a kind of ‘stock’. It therefore bares more resemblance to wealth than to income. Health requires some effort to maintain, but not to the same degree as income. Ho and Slavov’s article also introduces the idea of a lottery; luck plays an important role here. Society reacts differently to an income shock (say, unemployment) than it does to a health shock (say, being hit by a car). As with income there might be fair and unfair inequalities, but either way society is going to attach more weight to reimbursing an individual’s loss of health than an individual’s loss of income (unless, maybe, the latter is a result of the former). The same applies to those dealt a nasty hand at birth. In countries where health care is dependent on ability to pay there will certainly be more of a link between health and income; and thus between health inequality and income inequality. In countries like the UK, income inequality seems less likely to affect health inequality.

Health is becoming more equal; I won’t disagree with that. But, for the reasons outlined above, this seems somewhat inevitable. I suppose that doesn’t mean we shouldn’t celebrate it, but it does raise into question the value of doing so when there are real discrepancies between different demographics’ health that need addressing.

Cynics may spot the benefit of such an approach for those at the top of the income distribution…

 
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Posted by on March 26, 2013 in Demand for Health and Health Care, Efficiency and Equity

 

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#HEJC for 01/04/2013 (new time!)

25 Mar

This month’s meeting will take place Monday 1st April, at 5pm London time. That’ll be 6pm in Cape Town and 7pm in Riga. Join the Facebook event here. We’ll also hold an antipodal meeting on Tuesday 2nd April, at 5am London time. That’ll be 2pm in Brisbane and 9pm on Monday in Seattle. Join the Facebook event here. For more information about the Health Economics Twitter Journal Club and how to take part, click here.

The paper for discussion this month is a working paper published by the Research Institute of Industrial Economics in Sweden. The authors are Sara Fogelberg and Jonas Karlsson. The title of the paper is:

“Competition and antibiotics prescription”

Following the meeting, a transcript of the discussion can be downloaded here.

Links to the article

Direct: http://www.ifn.se/wfiles/wp/wp949.pdf

RePEc: http://ideas.repec.org/p/hhs/iuiwop/0949.html

Other: tbc

Summary of the paper

Antibiotics resistance is an increasingly apparent problem in medicine, with the prevalence of multi-resistant bacteria on the rise. Over-prescription of antibiotics has short- and long-term implications for public health. Furthermore, there is much debate about the role of competition in healthcare provision. This paper investigates the effect of increased competition between healthcare providers on the prescription of antibiotics. The authors hypothesise that, as a result of increased competition, doctors may be inclined to prescribe more antibiotics in order to meet patients’ demand. The study makes use of a natural experiment where competition-inducing reform was implemented in different counties in Sweden at different points in time during 2007 to 2010. The dataset contains monthly data on all prescribed antibiotics in Sweden, including those defined as narrow spectrum and broad spectrum antibiotics. The authors implement a difference in differences model. The results indicate that increased competition had a positive and significant effect on antibiotics prescription.

Discussion points

  • What is the significance of Swedish reimbursement processes?
  • What does this study tell us about patients’ and doctors’ preferences for antibiotics?
  • What are the implications for the UK and other countries?
  • How can this study inform the debate about competition in healthcare?
 
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Posted by on March 25, 2013 in #HEJC

 

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