| Summary: | 碩士 === 中國醫藥大學 === 醫務管理學系碩士在職專班 === 98 === Abstract
Purposes：
This project aims to investigate the impact of drug reimbursement policies on prescription of patients with hypertension. The analytic parameters include average daily medical expenses, average number of medicines, and switch to generic medicines percentage.
Methods:
The database is from National health Insurance Research databases of National Health Research Institute. It composes of detail information of medical expenses and prescription orders from 200 thousands persons. The data before the adjustment of drug reimbursement policies were from period between January 1, 2006 and October 30, 2006; the data after the adjustment of drug reimbursement policies were from period between March 1, 2008 and December 31, 2008. Average daily medical expenses, average number of medicines, and generic drug substitution percentage between these two time periods were compared respectively.
Results:
There were 7051 patients, of which 46.49% were male and 53.51% were female. The average age was 65.13 year. The differences of Average daily medical expenses, average number of medicines, and generic drug substitution between these two periods were statistically significant. Patients with severe disease status and patients at medical centers had higher daily medical expenses. The average number of medicines was related to gender, medical center and public hospital ownership; generic drug substitution was more frequent in clinics, and more in southern area. The multilevel analysis showed that daily medical expenses was related to disease severity and private medical center. Number of drugs was higher in medical center and the percentage of generic drug substitution was higher in clinics.
Key word：medical expenses, drug reimbursement policies, generic drug substitution
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