| Changes in drug prescription utilization for diabetic and hypertensive outpatients after initiation of the National Health Insurance's Global Budget Program in Taiwan. | |
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MedLine Citation:
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PMID: 18443560 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: To examine changes in medicine utilization and prescription trends for diabetic (DM) and hypertensive (HT) patients upon initiation of the National Health Insurance (NHI) global budget (GB) program in Taiwan. MATERIAL/METHODS: Data on hospital-based outpatient prescriptions for DM and HT from the Taipei branch before and after the GB were analyzed from January 2002 to December 2004. A secondary analysis of reimbursed data, with descriptive and trend analyses of the four indicators, daily oral medication cost, daily tablets used, medicine items per prescription, and tablet cost, was conducted. RESULTS: The comparisons of before and after the GB were as follows: Daily oral medication cost increased from US $0.585 to $0.956 (64%) for the DM group and from $1.01 to $1.07 (6.12%) for the HT group. The increments for daily used tablets, medicine items per prescription, and tablet cost were 33.3%, 17.9%, and 26.5% for the DM group and 6.65%, 3.31%, and 0.27% for the HT group. Indicators for the DM group not only increased significantly compared with those of the HT group, but also had higher adjusted beta coefficients. The comparisons of before and after the GB showed that the increments for the DM group decreased slightly, but not those for the HT group. CONCLUSIONS: The indicators for DM were significantly higher than those of HT group during the implementation phase of the GB. The GB program implemented by the NHI in Taiwan slightly slowed the trend of hospital-based ambulatory prescription costs of DM, but not HT. |
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Authors:
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Chih-Chieh Chou; Kun-Yi Hu; Ni-Ren Wu; Yeong-Huang Cheng; Ching-Hui Loh; Ming-Kung Yeh |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Medical science monitor : international medical journal of experimental and clinical research Volume: 14 ISSN: 1234-1010 ISO Abbreviation: Med. Sci. Monit. Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-04-29 Completed Date: 2008-08-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609063 Medline TA: Med Sci Monit Country: Poland |
Other Details:
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Languages: eng Pagination: PH33-39 Citation Subset: IM |
Affiliation:
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Department of Family and Community Health, Tri-Service General Hospital, Taipei, Taiwan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Antihypertensive Agents / economics Child Diabetes Mellitus / drug therapy*, economics Drug Costs* Female Health Expenditures / statistics & numerical data*, trends Humans Hypertension / drug therapy*, economics Hypoglycemic Agents / pharmacology Male Middle Aged State Medicine Taiwan |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents; 0/Hypoglycemic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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