IDEAS home Printed from https://ideas.repec.org/a/eee/jeborg/v135y2017icp39-52.html
   My bibliography  Save this article

Nudging to prudence? The effect of reminders on antibiotics prescriptions

Author

Listed:
  • Wickström Östervall, Linnea

Abstract

Antibiotic resistance is a large and growing global health threat with important consequences. Prudent use of antibiotics is vital to delay the spread of resistance. In this study I use a randomized controlled trial to test the effect on antibiotics use of reminders to primary care patients. The intervention was implemented across 31 clinics during the flu season in Stockholm. A two-level randomization was used, with randomization at clinic level as well as at individual patient level. With reminders antibiotics use fell by 12.6 per cent relative to the control clinics. The effect is at clinic level, suggesting that doctors or doctor – patient interactions, not individual patients, are affected. Results from a follow-up experiment further suggest that an effect on the interactions between doctor and patient is the primary driver of the main results. Behavioural interventions targeting these interactions have the potential to reduce antibiotics use. More research is needed, though, as monitoring and adherence may also play a role.

Suggested Citation

  • Wickström Östervall, Linnea, 2017. "Nudging to prudence? The effect of reminders on antibiotics prescriptions," Journal of Economic Behavior & Organization, Elsevier, vol. 135(C), pages 39-52.
  • Handle: RePEc:eee:jeborg:v:135:y:2017:i:c:p:39-52
    DOI: 10.1016/j.jebo.2017.01.001
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S016726811730001X
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    More about this item

    Keywords

    Field experiment; Nudge; Reminder; Common resources; Antibiotics use; Resistance;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I19 - Health, Education, and Welfare - - Health - - - Other
    • D00 - Microeconomics - - General - - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jeborg:v:135:y:2017:i:c:p:39-52. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: http://www.elsevier.com/locate/jebo .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.