The effect of cost sharing on the use of antibiotics in ambulatory care: Results from a population-based randomized controlled trial,
dc.contributor.author | Foxman, Betsy | en_US |
dc.contributor.author | Valdez, R. Burciaga | en_US |
dc.contributor.author | Lohr, Kathleen N. | en_US |
dc.contributor.author | Goldberg, George A. | en_US |
dc.contributor.author | Newhouse, Joseph P. | en_US |
dc.contributor.author | Brook, Robert H. | en_US |
dc.date.accessioned | 2006-04-07T20:02:31Z | |
dc.date.available | 2006-04-07T20:02:31Z | |
dc.date.issued | 1987 | en_US |
dc.identifier.citation | Foxman, Betsy, Valdez, R. Burciaga, Lohr, Kathleen N., Goldberg, George A., Newhouse, Joseph P., Brook, Robert H. (1987)."The effect of cost sharing on the use of antibiotics in ambulatory care: Results from a population-based randomized controlled trial,." Journal of Chronic Diseases 40(5): 429-437. <http://hdl.handle.net/2027.42/26956> | en_US |
dc.identifier.uri | http://www.sciencedirect.com/science/article/B7GH4-4C0MRHG-1SR/2/af4be190e4b5bdebc3fbb526bb7afa80 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/26956 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=3104386&dopt=citation | en_US |
dc.description.abstract | Little is known about how generosity of insurance and population characteristics affect quantity or appropriateness of antibiotic use. Using insurance claims for antibiotics from 5765 non-elderly people who lived in six sites in the United States and were randomly assigned to insurance plans varying by level of cost-sharing, we describe how antibiotic use varies by insurance plan, diagnosis and health status, geographic area, and demographic characteristics. People with free medical care used 85% more antibiotics than those required to pay some portion of their medical bills (controlling for all other variables). Antibiotic use was significantly more common among women, the very young, patients with poorer health, and persons with higher income. Use of antibiotics for viral, viral-bacterial, and bacterial conditions did not differ between free and cost-sharing insurance plans, given antibiotics were the treatment of choice. Cost sharing reduced inappropriate and appropriate antibiotic use to a similar degree. | en_US |
dc.format.extent | 905934 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | en_US |
dc.title | The effect of cost sharing on the use of antibiotics in ambulatory care: Results from a population-based randomized controlled trial, | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbsecondlevel | Biological Chemistry | en_US |
dc.subject.hlbtoplevel | Science | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Epidemiology, University of Michigan, Ann Arbor, U.S.A.; Health Sciences Program, The Rand Corporation, Santa Monica, California and Washington DC, U.S.A. | en_US |
dc.contributor.affiliationother | Health Sciences Program, The Rand Corporation, Santa Monica, California and Washington DC, U.S.A.; Department of Public Health, University of California, Los Angeles, U.S.A. | en_US |
dc.contributor.affiliationother | Health Sciences Program, The Rand Corporation, Santa Monica, California and Washington DC, U.S.A. | en_US |
dc.contributor.affiliationother | Health Data Institute, Inc., Lexington, Massachusetts, U.S.A.; Health Sciences Program, The Rand Corporation, Santa Monica, California and Washington DC, U.S.A. | en_US |
dc.contributor.affiliationother | Health Sciences Program, The Rand Corporation, Santa Monica, California and Washington DC, U.S.A. | en_US |
dc.contributor.affiliationother | Department of Public Health, University of California, Los Angeles, U.S.A.; Department of Medicine, University of California, Los Angeles, U.S.A.; Health Sciences Program, The Rand Corporation, Santa Monica, California and Washington DC, U.S.A. | en_US |
dc.identifier.pmid | 3104386 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/26956/1/0000523.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1016/0021-9681(87)90176-7 | en_US |
dc.identifier.source | Journal of Chronic Diseases | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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