https://scholars.lib.ntu.edu.tw/handle/123456789/367264
標題: | Assessing the Effects of Drug Price Reduction Policies on Older People in Taiwan. | 作者: | Hsuan-Lien Chu SHUEN-ZEN LIU James C Romeis |
公開日期: | 二月-2011 | 期: | 24 | 起(迄)頁: | 1-7 | 來源出版物: | Health Services Management Research | 摘要: | This study investigates the initial effects of the government's prescription drug price reduction policies on outpatient hypertension treatment for the elderly in Taiwan. The National Health Insurance scheme has taken a number of steps in recent years to reduce drug prices. The data used in the study comprises the medical records of approximately 137,000 hypertension patients aged 65 and above. Regression analysis is used to determine whether the average cost of prescription drugs has declined as a result of the policy. In addition, the probit model is used to examine changes in physicians' prescribing behaviour for reduced-price and full-price drugs and the effect of drug substitution on health outcomes. We find that the average cost per prescription increased slightly despite the implementation of the price reduction policies. In addition, we found that physicians do substitute full-price drugs for reduced-price drugs. However, they appear to be reluctant to reduce the use of essential drugs, even when facing rate reductions. The evidence suggests that physicians consider the profit they can derive by prescribing certain drugs; hence, health policy officials should monitor the effects of possible drug substitutions when they design policies for their own countries. |
URI: | http://scholars.lib.ntu.edu.tw/handle/123456789/367264 | DOI: | 10.1258/hsmr.2010.010016 | SDG/關鍵字: | antihypertensive agent; essential drug; aged; article; chronic disease; cost control; drug cost; drug formulary; drug substitution; female; health care policy; hospital pharmacy; human; hypertension; major clinical study; male; medical record; multicenter study; national health insurance; outcome assessment; physician; prescription; priority journal; profit; regression analysis; statistical model; Taiwan; Aged; Drug Costs; Health Policy; Humans; Models, Economic; National Health Programs; Physician's Practice Patterns; Prescription Drugs; Regression Analysis; Taiwan |
顯示於: | 會計學系 |
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