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无所获却有所付出:向医生营销抗癌药物增加处方量,却未改善死亡率

Nothing for something: Marketing cancer drugs to physicians increases prescribing without improving mortality
Journal of Public Economics · 2025 · Colleen Carey、Michael Daly、Jing Li

中文摘要

医生通常会从制药企业获得与营销相关的转移支付。我们考察了这类关系对 Medicare(美国联邦医疗保险)中由医生给药的抗癌药物处方行为的影响。我们发现,在收到一笔付款后的12个月内,相关药物的处方量增加4%;这一增幅在付款当月急剧出现,并在一年内逐渐消退。营销付款还会促使医生开始用相关药物治疗预测死亡率较低的癌症患者。尽管付款导致抗癌药物支出增加,但并未带来相应的患者死亡率改善。

Abstract

Physicians commonly receive marketing-related transfers from drug firms. We examine the impact of these relationships on the prescribing of physician-administered cancer drugs in Medicare. We find that prescribing of the associated drug increases 4% in the twelve months after a payment is received, with the increase beginning sharply in the month of payment and fading out within a year. A marketing payment also leads physicians to begin treating cancer patients with lower predicted mortality. While payments result in greater expenditure on cancer drugs, there are no associated improvements in patient mortality.
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