ArticleHealth economics2018
Can pay-for-performance to primary care providers stimulate appropriate use of antibiotics?
Article in Health economics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Government policy interventions to reduce human antimicrobial use: A systematic review and evidence map.PLoS medicine · 2019Pooled it
- Payment methods for outpatient care facilities.The Cochrane database of systematic reviews · 2017Pooled it
- Implementation fidelity in a multifaceted program to foster rational antibiotics use in primary care: an observational study.BMC medical research methodology · 2022Trial
- General practitioners' type of remuneration and antibiotic prescriptions. An analysis of patient switches using nationwide registry data.Scandinavian journal of primary health care · 2026Article
- Behavioral responses of healthcare providers to prospective payment systems: a systematic review using the WHO framework (2000-2024).Health economics review · 2026Review
- Can the remuneration scheme of general practitioners affect their antibiotic prescription behaviour?Health economics review · 2026Article
- Influencing Primary Care Antibiotic Prescription Behavior Using Financial Incentives.Production and operations management · 2024Article
- Article
- Antimicrobial use and combination of resistance phenotypes in bacteraemic Escherichia coli in primary care: a study based on Japanese national data in 2018.The Journal of antimicrobial chemotherapy · 2024Article
- GPs' Perspective on a Multimodal Intervention to Enhance Guideline-Adherence in Uncomplicated Urinary Tract Infections: A Qualitative Process Evaluation of the Multicentric RedAres Cluster-Randomised Controlled Trial.Antibiotics (Basel, Switzerland) · 2023Article
- Fifteen years with patient choice and free establishment in Swedish primary healthcare: what do we know?Scandinavian journal of public health · 2022Review
- Conditions and barriers for quality improvement work: a qualitative study of how professionals and health centre managers experience audit and feedback practices in Swedish primary care.BMC family practice · 2021Article
- Can Private Provision of Primary Care Contribute to the Spread of Antibiotic Resistance? A Study of Antibiotic Prescription in Sweden.PharmacoEconomics - open · 2021Article
- Is the evidence on the effectiveness of pay for performance schemes in healthcare changing? Evidence from a meta-regression analysis.BMC health services research · 2021Article
- Effects of pay-for-performance on prescription of hypertension drugs among public and private primary care providers in Sweden.International journal of health economics and management · 2020Article
- The ethical challenges of antimicrobial resistance for Nurse practitioners.Nursing open · 2020Article
- Article
- Can pay-for-performance to primary care providers stimulate appropriate use of antibiotics?Health economics · 2018Article
- Does increased standardisation in health care mean less responsiveness towards individual patients' expectations? A register-based study in Swedish primary care.SAGE open medicine · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Antibiotic resistance is a major threat to public health worldwide. As the healthcare sector's use of antibiotics is an important contributor to the development of resistance, it is crucial that physicians only prescribe antibiotics when needed and that they choose narrow-spectrum antibiotics, which act on fewer bacteria types, when possible. Inappropriate use of antibiotics is nonetheless widespread, not least for respiratory tract infections (RTI), a common reason for antibiotics prescriptions. We examine if pay-for-performance (P4P) presents a way to influence primary care physicians' choice of antibiotics. During 2006-2013, 8 Swedish healthcare authorities adopted P4P to make physicians select narrow-spectrum antibiotics more often in the treatment of children with RTI. Exploiting register data on all purchases of RTI antibiotics in a difference-in-differences analysis, we find that P4P significantly increased the share of narrow-spectrum antibiotics. There are no signs that physicians gamed the system by issuing more prescriptions overall.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.