Code for: A Taste of Their Own Medicine: Guideline Adherence and Access to Expertise

Code accompanying article with the following 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 non-adherence for factors other than those, such as ignorance, poor communication, and complexity, that would be expected to diminish with access to expertise.

随附下述论文摘要的配套代码：本研究依托瑞典行政登记数据，针对63项药物治疗相关临床指南的依从性展开分析。我们将两类患者的药物依从性进行对照：一类为无法自主获取医学专业支持的患者，另一类为可获得专业支持的群体，即医师及其近亲属。经测算，在基线特征可比的患者群体中，可获取医学专业支持的患者其药物依从率较无支持群体（无支持群体的基线依从率为54.4%）低3.8个百分点。本研究结果表明，除了可通过获取专业支持得以缓解的因素（如认知不足、沟通不畅、指南复杂度较高等）之外，另有其他因素对药物不依从性产生了重要影响。