The Effects of Cost Containment and Price Policies on Pharmaceutical Expenditure in South Korea
Publish Year: 1401
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_HPM-11-10_022
تاریخ نمایه سازی: 17 مرداد 1403
Abstract:
Background Policy-makers have proposed and implemented various cost-containment policies for drug prices and quantities to regulate rising pharmaceutical spending. Our study focused on a major change in pricing policy and several incentive schemes for curbing pharmaceutical expenditure growth during the ۲۰۱۰s in Korea. Methods We constructed the longitudinal dataset from ۲۰۰۸-۲۰۱۷ for ۱۲ ۹۰۴ clinics to track the prescriber behavior before and after the implemented policies. Applying an interrupted time series model, we analyzed changes in trends in overall monthly drug expenditure and antibiotic drug expenditure per prescription for outpatient claims diagnosed with three major diseases before and after the policies’ implementation. Results Significant price reductions and incentives for more efficient drug prescriptions resulted in an immediate decrease in monthly drug expenditures in clinics. However, we found attenuated effects over the long run. The topspending clinics showed the highest rate of increase in drug costs. Conclusion Future policy interventions can maximize their effects by targeting high-spending providers.
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Authors
Woohyeon Kim
Korea Institute of Public Finance, Sejong, South Korea
Heejo Koo
College of Pharmacy, Yonsei Institute of Pharmaceutical Research, Yonsei University, Seoul, South Korea
Hye-Jae Lee
College of Pharmacy, Woosuk University, Wanju, South Korea
Euna Han
College of Pharmacy, Yonsei Institute of Pharmaceutical Research, Yonsei University, Seoul, South Korea