https://scholars.lib.ntu.edu.tw/handle/123456789/112278
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor | 預防醫學研究所;Institute of Preventive Medicine | en |
dc.contributor.author | LANG, HUI-CHU | en |
dc.contributor.author | LAI, MEI-SHU | en |
dc.contributor.author | CHEN, GAU-TZU | en |
dc.creator | LANG, HUI-CHU;LAI, MEI-SHU;CHEN, GAU-TZU | en |
dc.creator | 郎慧珠;賴美淑;陳昭姿 | zh-tw |
dc.date | 2004 | en |
dc.date.accessioned | 2008-08-29T08:59:23Z | - |
dc.date.accessioned | 2018-06-29T17:50:59Z | - |
dc.date.available | 2008-08-29T08:59:23Z | - |
dc.date.available | 2018-06-29T17:50:59Z | - |
dc.date.issued | 2004 | - |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/81690 | - |
dc.description.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. | en |
dc.language | en_us | en |
dc.language.iso | en_US | - |
dc.relation | JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION v.103 n.4 pp.280-285 | en |
dc.relation.ispartof | JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION | - |
dc.subject | economics | en |
dc.subject | pharmaceutical | en |
dc.subject | health expenditure | en |
dc.subject | health insurance | en |
dc.subject | respiratory tract infections | en |
dc.title | OUTPATIENT DRUG EXPENDITURES AND PRESCRIPTION POLICIES FOR DISEASES WITH HIGH COST TO THE NATIONAL HEALTH INSURANCE SYSTEM IN TAIWAN | en |
dc.type | journal article | en |
dc.relation.pages | 280-285 | - |
dc.relation.journalvolume | v.103 | - |
dc.relation.journalissue | n.4 | - |
dc.identifier.uri.fulltext | http://ntur.lib.ntu.edu.tw/bitstream/246246/81690/1/08.pdf | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.languageiso639-1 | en_US | - |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
item.fulltext | with fulltext | - |
顯示於: | 流行病學與預防醫學研究所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。