González Ortiz, Laura G.
- Working Paper
Because of evidence of causal association between antibiotic use and bacterial resistance, the implementation of national policies has emerged as a interesting tool for controlling and reversing bacterial resistance. The aim of this study is to assess the impact of public policies on antibiotic use in Europe using a dfferences-in-dfferences approach. Comparable data on systemic administered antibiotics in 21 European countries are available for a 11-years panel between 1997 and 2007. Data on national campaigns are drawn from the public health literature. We estimate an econometric model of antibiotic consumption with country fi xed effects and control for the main socioeconomic and epidemiological factors. Lagged values and the instrumental variables approach are applied to address endogeneity aspects of the prevalence of infections and the adoption of national campaigns. We nd evidence that public campaigns signi cantly reduce the use of antimicrobials in the community by 1:4 to 3:7 de ned daily doses per 1; 000 inhabitants. This roughly represents an impact between 7:2% and 18:5% on the mean level of antibiotic use in Europe between 1997 and 2007. The effect is robust across dfferent measurement methods. Further research is needed to investigate the effectiveness of policy interventions targeting different social groups such as general practitioners or patients. Show more
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Journal / seriesQuaderno
Pages / Article No.
PublisherFacoltà di scienze economiche, Università della Svizzera italiana
SubjectAntibiotic use; Public policies; National campaigns; Difference-in-difference
Organisational unit03539 - Filippini, Massimo / Filippini, Massimo
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