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The Effects of Becoming a Physician on Prescription Drug Use and Mental Health Treatment

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  • D. Mark Anderson
  • Ron Diris
  • Raymond Montizaan
  • Daniel I. Rees

Abstract

There is evidence that physicians disproportionately suffer from substance use disorder and mental health problems. It is not clear, however, whether these phenomena are causal. We use data on Dutch medical school applicants to examine the effects of becoming a physician on prescription drug use and the receipt of treatment from a mental health facility. Leveraging variation from lottery outcomes that determine admission into medical schools, we find that becoming a physician increases the use of antidepressants, opioids, anxiolytics, and sedatives, especially for female physicians. Among female applicants towards the bottom of the GPA distribution, becoming a physician increases the likelihood of receiving treatment from a mental health facility.

Suggested Citation

  • D. Mark Anderson & Ron Diris & Raymond Montizaan & Daniel I. Rees, 2021. "The Effects of Becoming a Physician on Prescription Drug Use and Mental Health Treatment," NBER Working Papers 29536, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:29536
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    References listed on IDEAS

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    1. Karpinski, Ruth I. & Kinase Kolb, Audrey M. & Tetreault, Nicole A. & Borowski, Thomas B., 2018. "High intelligence: A risk factor for psychological and physiological overexcitabilities," Intelligence, Elsevier, vol. 66(C), pages 8-23.
    2. Nadine Ketel & Edwin Leuven & Hessel Oosterbeek & Bas van der Klaauw, 2016. "The Returns to Medical School: Evidence from Admission Lotteries," American Economic Journal: Applied Economics, American Economic Association, vol. 8(2), pages 225-254, April.
    3. Walter Wurm & Katrin Vogel & Anna Holl & Christoph Ebner & Dietmar Bayer & Sabrina Mörkl & Istvan-Szilard Szilagyi & Erich Hotter & Hans-Peter Kapfhammer & Peter Hofmann, 2016. "Depression-Burnout Overlap in Physicians," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-15, March.
    4. Elisabeth Artmann & Hessel Oosterbeek & Bas van der Klaauw, 2022. "Do Doctors Improve the Health Care of Their Parents? Evidence from Admission Lotteries," American Economic Journal: Applied Economics, American Economic Association, vol. 14(3), pages 164-184, July.
    5. Pauline Geuijen & Marlies de Rond & Joanneke Kuppens & Femke Atsma & Aart Schene & Hein de Haan & Cornelis de Jong & Arnt Schellekens, 2020. "Physicians' norms and attitudes towards substance use in colleague physicians: A cross-sectional survey in the Netherlands," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-14, April.
    6. Artmann, Elisabeth & Ketel, Nadine & Oosterbeek, Hessel & van der Klaauw, Bas, 2021. "Field of study and partner choice," Economics of Education Review, Elsevier, vol. 84(C).
    7. Leuven, Edwin & Oosterbeek, Hessel & de Wolf, Inge, 2013. "The effects of medical school on health outcomes: Evidence from admission lotteries," Journal of Health Economics, Elsevier, vol. 32(4), pages 698-707.
    8. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
    9. Sacks, Daniel W. & Hollingsworth, Alex & Nguyen, Thuy & Simon, Kosali, 2021. "Can policy affect initiation of addictive substance use? Evidence from opioid prescribing," Journal of Health Economics, Elsevier, vol. 76(C).
    10. Baker, Laurence C. & Bundorf, M. Kate & Kessler, Daniel P., 2020. "The effects of medicare advantage on opioid use," Journal of Health Economics, Elsevier, vol. 70(C).
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    Cited by:

    1. Michelle Acampora & Francesco Capozza & Vahid Moghani, 2022. "Mental Health Literacy, Beliefs and Demand for Mental Health Support among University Students," Tinbergen Institute Discussion Papers 22-079/I, Tinbergen Institute.

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    More about this item

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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