What does this research mean for the field?

Fee-for-service remuneration of general practitioners leads to increased patient antibiotic use compared to salaried remuneration. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To determine how switching between general practitioners with different payment models affects patient antibiotic prescription rates.

August 22, 2026Scandinavian Journal of Primary Health CareOpen Access

General practitioners’ type of remuneration and antibiotic prescriptions. An analysis of patient switches using nationwide registry data

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Authors

KKKristian Bandlien Kraft EHEivor Hovde Hoff YZYana V. Zykova

Discussion

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Overview

Registry analysis reveals increased antibiotic use after patients switch to fee-for-service doctors, suggesting financial incentives influence prescription practices.

Key Points

To determine how switching between general practitioners with different payment models affects patient antibiotic prescription rates.
Analyzed nationwide registry data covering patient provider switches (N = 508,088).
Applied a difference-in-differences design comparing patients switching across payment schemes (fee-for-service/capitation vs. salary) against same-scheme switchers.
Patients switching from a salaried GP to a fee-for-service GP experienced a monthly increase of 85 defined daily doses (DDD) of antibiotics per 1,000 patients (SD = 20) compared with salaried-to-salaried switchers.
Patients switching from a fee-for-service GP to a salaried GP had a monthly reduction of 21 DDD of antibiotics per 1,000 patients (SD = 7) compared with fee-for-service-to-fee-for-service switchers.

Cite This Study

Kraft et al. (2026) studied this question.

synapsesocial.com/papers/6a895facca7ade938187e847 https://doi.org/10.1080/02813432.2026.2715519

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August 22, 2026Scandinavian Journal of Primary Health CareOpen Access

General practitioners’ type of remuneration and antibiotic prescriptions. An analysis of patient switches using nationwide registry data

View Full Paper

Ask AI

Bookmark

Authors

KKKristian Bandlien Kraft EHEivor Hovde Hoff YZYana V. Zykova

Discussion

Member takes

Overview

Registry analysis reveals increased antibiotic use after patients switch to fee-for-service doctors, suggesting financial incentives influence prescription practices.

Key Points

To determine how switching between general practitioners with different payment models affects patient antibiotic prescription rates.
Analyzed nationwide registry data covering patient provider switches (N = 508,088).
Applied a difference-in-differences design comparing patients switching across payment schemes (fee-for-service/capitation vs. salary) against same-scheme switchers.
Patients switching from a salaried GP to a fee-for-service GP experienced a monthly increase of 85 defined daily doses (DDD) of antibiotics per 1,000 patients (SD = 20) compared with salaried-to-salaried switchers.
Patients switching from a fee-for-service GP to a salaried GP had a monthly reduction of 21 DDD of antibiotics per 1,000 patients (SD = 7) compared with fee-for-service-to-fee-for-service switchers.

Cite This Study

Kraft et al. (2026) studied this question.

synapsesocial.com/papers/6a895facca7ade938187e847 https://doi.org/10.1080/02813432.2026.2715519

View Full Paper

Ask AI

Bookmark