Document Detail


The influence of prescription drug insurance on psychotropic and non-psychotropic drug utilization in Canada.
MedLine Citation:
PMID:  17761377     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Using 2002 Canadian Community Health Survey data, this paper examines the effect of public and private prescription drug insurance on the utilization of psychotropic and non-psychotropic drugs. It is found that prescription drug utilization is characterized by two stochastic regimes requiring use of latent class modelling framework. In many instances, results differ for the classes of high and low users of prescription drugs. After accounting for the unobserved individual heterogeneity and a number of socio-demographic factors, health status, and province fixed effects, we find that having prescription drug insurance (public or private) increases the expected number of non-psychotropic medications for both low and high users. Public insurance affects psychotropic drug utilization positively for the low-user group only. The statistical insignificance of insurance for the high-user psychotropic drugs or lower magnitude of insurance coefficients on high-user non-psychotropic drugs seems to stem from high inelastic demand for prescription drugs in the concerned groups. In addition, we find that age, self-reported health status, and long-term mental and physical health problem diagnosed by a health professional are important determinants of prescription drug utilization for both classes of users.
Authors:
Sisira Sarma; Kisalaya Basu; Anil Gupta
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-08-29
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  65     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-03-31     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  2553-65     Citation Subset:  IM    
Affiliation:
Microsimulation Modelling and Data Analysis Division, Applied Research and Analysis Directorate, Health Policy Branch, Health Canada, Ottawa, Ontario, Canada. sisita_sarma@hc-sc.gc.ca
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Canada
Cross-Sectional Studies
Drug Prescriptions / statistics & numerical data*
Drug Utilization / statistics & numerical data*
Female
Health Status
Health Surveys
Humans
Insurance, Pharmaceutical Services / utilization*
Male
Middle Aged
Models, Econometric
Models, Statistical
National Health Programs / utilization*
Psychotropic Drugs / therapeutic use*
Socioeconomic Factors
Stochastic Processes
Utilization Review / statistics & numerical data
Chemical
Reg. No./Substance:
0/Psychotropic Drugs

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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