NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

Who Is in Control? The Determinants of Patient Adherence with Medication Therapy

Sergei Koulayev, Niels Skipper, Emilia Simeonova

NBER Working Paper No. 19496
Issued in October 2013
NBER Program(s):   HC   HE

Non-compliance with medication therapy remains an unsolved and expensive problem for health care systems around the world. Yet we know little about the factors that determine a patient’s decision to follow treatment recommendations. This study uses a unique panel dataset comprising all prescription drug users, physicians, and all prescription drug sales in Denmark over seven years to analyze the contributions of doctor-, patient-, and drug-specific factors to the adherence decision. Our findings have important implications for the design of incentive schemes targeted at improving chronic disease management.

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Document Object Identifier (DOI): 10.3386/w19496

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