|Title:||OUTPATIENT DRUG EXPENDITURES AND PRESCRIPTION POLICIES FOR DISEASES WITH HIGH COST TO THE NATIONAL HEALTH INSURANCE SYSTEM IN TAIWAN||Authors:||LANG, HUI-CHU
|Keywords:||economics;pharmaceutical;health expenditure;health insurance;respiratory tract infections||Issue Date:||2004||Journal Volume:||v.103||Journal Issue:||n.4||Start page/Pages:||280-285||Source:||JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION||Abstract:||
Background and Purpose: The high cost of drugs, particularly those used to treat upper respiratory tract infections, is an increasingly important problem for the National Health Insurance system in Taiwan. This study proposed a new classification scheme for reimbursing drug cost and estimated its impact on expenditures and health care utilization. Methods: Data were obtained from the National Health Research Institutes' year 2000 computer file of the National Health Insurance Academic Research Database in Taiwan. Two factors, were used to classify medications: 1) urgency of medications required; and 2) patient's self- care ability. Results: Among the 10 diseases with the highest number of outpatient department (OPD) visits, 7 were upper respiratory diseases. Acute upper respiratory infections ( URIs) and acute nasopharyngitis were the 2 diseases with the highest number of OPD visits. Drug expenditure for acute URIs is about 6% of total expenditure for drugs. Medications suitable for URIs patients' self-care accounted for 42.8% of the total cost of prescribed drugs for these illnesses, and treatment medications unsuitable for patients' self-care accounted for 48.6%. Other medications used for URIs could not be grouped into these categories. The total expenditure for acute nasopharyngitis was about 1.3% of total expenditure for drugs. Medications suitable for self-care,in patients with nasopharyngitis accounted for 51.8% of the total cost of medication prescribed for this illness, and medications,unsuitable for patients' self-care accounted for 36.8%. Conclusions: Reducing the medications suitable for patients' self-care, and enforcing different levels of payment rates, on medication's unsuitable for patients' self -care may reduce the excessive use of OPD drugs, improve the appropriateness of utilization for acute UZIs and the common cold and allow medical resources to be distributed more efficiently.
|Appears in Collections:||流行病學與預防醫學研究所|
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