000			02980cam a22003977 4500
001			w21780
003			NBER
005			20211020105423.0
006			m o d
007			cr cnu||||||||
008			210910s2015 mau fo 000 0 eng d
100	1		_aHostenkamp, Gisela.
245	1	0	_aListen to your Doctor, or else!: _bMedication Under-use and Overuse and Long-term Health Outcomes of Danish Diabetes Patients / _cGisela Hostenkamp, Frank R. Lichtenberg.
260			_aCambridge, Mass. _bNational Bureau of Economic Research _c2015.
300			_a1 online resource: _billustrations (black and white);
490	1		_aNBER working paper series _vno. w21780
500			_aDecember 2015.
520	3		_aWe use Danish diabetes registry and health insurance data to analyze the extent, consequences, and determinants of under-use and overuse of oral anti-diabetic drugs.
520	3		_aLess than half of patients consume the appropriate amount of medication--between 90% and 110% of the amount prescribed by their doctors.
520	3		_aThe life expectancy of patients consuming the appropriate amount is 2.5 years greater than that of patients consuming less than 70% of the prescribed amount, and 3.2 years greater than that of patients consuming more than 130% of the prescribed amount, controlling for time since diagnosis, insulin dependence, comorbidities, age, gender and education. Patients consuming the appropriate amount are also less likely to be hospitalized than under- or over-users.
520	3		_aPharmaceutical innovation appears to have reduced medication under-use and overuse: patients using newer drugs are significantly more likely to consume the appropriate amount, controlling for socioeconomic factors, average number of pills and average daily out-of-pocket costs.
520	3		_aDefined Daily Doses published by the World Health Organization substantially overstate the appropriate level of consumption of these medications.
520	3		_aPatients who don't adhere to recommended medication regimens may also disregard other physician instructions. Medication under-use and overuse could easily be monitored to identify patients at risk and enact interventions.
530			_aHardcopy version available to institutional subscribers
538			_aSystem requirements: Adobe [Acrobat] Reader required for PDF files.
538			_aMode of access: World Wide Web.
588	0		_aPrint version record
690		7	_aI1 - Health _2Journal of Economic Literature class.
690		7	_aO33 - Technological Change: Choices and Consequences • Diffusion Processes _2Journal of Economic Literature class.
700	1		_aLichtenberg, Frank R. _915303
710	2		_aNational Bureau of Economic Research.
830		0	_aWorking Paper Series (National Bureau of Economic Research) _vno. w21780.
856	4	0	_uhttps://www.nber.org/papers/w21780
856			_yAcceso en línea al DOI _uhttp://dx.doi.org/10.3386/w21780
942			_2ddc _cW-PAPER
999			_c326343 _d284905