亲尝自己的药：指南依从性与医学专业知识的获取

中文摘要

我们利用瑞典的行政数据，研究患者对63项用药相关指南的依从性。我们比较了个人没有获取医学专业知识渠道的患者与拥有此类渠道的患者（即医生及其近亲属）的依从性。我们估计，在可观测特征相似的患者中，拥有此类渠道者的依从率比没有此类渠道者低3.8个百分点，后者的基线依从率为54.4%。我们的研究结果提示，在解释不依从现象时，除无知、沟通不畅和复杂性等预期会随着医学专业知识的获取而减弱的因素之外，其他因素发挥着重要作用。

Abstract

We use administrative data from Sweden to study adherence to 63 medication-related guidelines. We compare the adherence of patients without personal access to medical expertise to that of patients with access, namely doctors and their close relatives. We estimate that observably similar patients with access to expertise have 3.8 percentage points lower adherence, relative to a baseline adherence rate of 54.4 percent among those without access. Our findings suggest an important role in nonadherence for factors other than those, such as ignorance, poor communication, and complexity, that would be expected to diminish with access to expertise.(JEL D82, D83, I11, I12, I18)