https://scholars.lib.ntu.edu.tw/handle/123456789/394929
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | RAY-E CHANG | en |
dc.creator | Chang, R.-E. ; Tsai, Y.-H. ; Myrtle, R.C. | - |
dc.date.accessioned | 2018-09-10T15:26:37Z | - |
dc.date.available | 2018-09-10T15:26:37Z | - |
dc.date.issued | 2015 | - |
dc.identifier.uri | http://www.scopus.com/inward/record.url?eid=2-s2.0-84947065944&partnerID=MN8TOARS | - |
dc.identifier.uri | http://scholars.lib.ntu.edu.tw/handle/123456789/394929 | - |
dc.description.abstract | Objectives This study examined whether outpatient haemodialysis providers changed their treatment practices with the establishment of an outpatient dialysis global budget (ODGB) through analysing the outpatient visits and medication received by those patients. Methods A sample of 4668 observations (patient year) of 1350 haemodialysis with hypertension (HH) patients and 4668 observations of 1436 non-HH (NHH) patients were drawn from the National Health Insurance Research Database over the years from 1999 to 2005. The impact of ODGB on hypertension-related outpatient utilization of HH was estimated using the difference in difference (DID) method and examined in three stages: (1) the fee for service stage, the pre-ODGB (2000), (2) the phase-in stage (2001-2002) and (3) the post-ODGB stage (2003-2005). Results ODGB implementation did not affect the number of dialysis visits for HH patients. However, it did lead to a reduction in fees for antihypertension drugs used by haemodialysis facilities. There was an increase of 4.06 visits per patient per year (P < 0.001) in the number of non-dialysis outpatient with antihypertensive drugs visits for HH patients compared with the control group. The total fees for antihypertensive drugs for HH patients increased by New Taiwan Dollars (NT$)13 008 (P < 0.001) per patient per year relative to the control group after the implementation of ODGB. Conclusions As ODGB was implemented, HH patients received fewer antihypertensive drugs during their dialysis visit. In addition, there was an increase in the number of non-dialysis outpatient visits by HH patients as well as increased payment in the drugs associated with their non-dialysis outpatient visits compared with the control group. ? The Author 2014; all rights reserved. | - |
dc.language | en | en |
dc.relation.ispartof | Health Policy and Planning | en_US |
dc.source | AH-Scopus to ORCID | - |
dc.subject | end-stage renal disease; Narrow-band global budget; physician prescribing behaviour | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adult; aged; budget; clinical practice; economics; female; health care cost; health care delivery; hemodialysis; human; hypertension; male; middle aged; outpatient; physician; psychology; trends; utilization; Adult; Aged; Budgets; Delivery of Health Care; Female; Health Expenditures; Humans; Hypertension; Male; Middle Aged; Outpatients; Physicians; Practice Patterns, Physicians'; Renal Dialysis | - |
dc.title | Assessing the impact of budget controls on the prescribing behaviours of physicians treating dialysis-dependent patients | - |
dc.type | journal article | en |
dc.identifier.doi | 10.1093/heapol/czu119 | - |
dc.relation.pages | 1142-1151 | - |
dc.relation.journalvolume | 30 | - |
dc.relation.journalissue | 9 | - |
item.cerifentitytype | Publications | - |
item.grantfulltext | none | - |
item.fulltext | no fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
crisitem.author.dept | Health Policy and Management | - |
crisitem.author.dept | Public Health | - |
crisitem.author.orcid | 0000-0003-3891-5313 | - |
crisitem.author.parentorg | College of Public Health | - |
crisitem.author.parentorg | College of Public Health | - |
顯示於: | 健康政策與管理研究所 |
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