NBER

Sergei Koulayev

Consumer Financial Protection Bureau
Office of Research
1275 First St., NE
Washington, DC 20002

E-Mail: EmailAddress: hidden: you can email any NBER-related person as first underscore last at nber dot org
Institutional Affiliation: Consumer Financial Protection Bureau

NBER Working Papers and Publications

October 2013Who Is in Control? The Determinants of Patient Adherence with Medication Therapy
with Niels Skipper, Emilia Simeonova: w19496
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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