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

34 Pages Posted: 5 Oct 2013

See all articles by Sergei Koulayev

Sergei Koulayev

Consumer Financial Protection Bureau

Niels Skipper

Aarhus University

Emilia Simeonova

Johns Hopkins University - Carey Business School

Date Written: October 2013

Abstract

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.

Suggested Citation

Koulayev, Sergei and Skipper, Niels and Simeonova, Emilia, Who is in Control? The Determinants of Patient Adherence with Medication Therapy (October 2013). NBER Working Paper No. w19496. Available at SSRN: https://ssrn.com/abstract=2336362

Sergei Koulayev (Contact Author)

Consumer Financial Protection Bureau ( email )

United States

Niels Skipper

Aarhus University ( email )

Nordre Ringgade 1
DK-8000 Aarhus C, 8000
Denmark

Emilia Simeonova

Johns Hopkins University - Carey Business School ( email )

100 International Drive
Baltimore, MD 21202
United States

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