藥價調整及調幅對醫療院所用藥之影響-以青光眼做討論

蔡佳凌

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藥價調整及調幅對醫療院所用藥之影響-以青光眼做討論

Impact of Drug Price Adjustment of Taiwan National Health Insurance on Prescription Choose- An Example of Glaucoma

蔡佳凌 , Masters　　Advisor：郭乃文　　

繁體中文

原廠藥；學名藥；藥價調整；青光眼； Brand name drugs ； Generic drugs ； Drug price adjustments ； Glaucoma

Abstract │ Reference (54) │ Altmetrics

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Objective: The purpose of this study was to investigate the impact of drug price adjustment policy on prescription choose of different medical institutions in Taiwan.

Method: The study was focus on glaucoma drugs. Using the National Health Insurance Research Database (NHRI), the researcher selected those patients who were diagnosed with glaucoma and has been treated by drug in 2010 and 2011. The result was analyzed by SAS with (a) Pearson's chi-squared test, (b) paired t test, (c) correlation analysis, and (d) multiple regression analysis.

Result: The results of this study were as follows: (a) In terms of the results of Pearson's chi-squared test, there were statistical significances on the use of brand name drug on different characteristics of medical institutions; (b) Compared the ratio of generic drugs used in 2010 and 2011 (before and after adjustment), there was no statistical significances. Therefore, we could not conclude that the policy of price adjustment would affect the drug use. (c) & (d) Adding drug price adjustment rate in regression model also could not find any statistical significance.

Conclusion: According to the result, this study didn’t find a significant relationship between drug price adjustments and choose of drug use. But there were significantly differences on the use of brand name drugs and generic drug with different characteristics of medical institutions. Those medical institutions which are public, regional hospital, and located in Taipei area group would have a higher possibility choosing brand name drugs.

Reference ( 54 ) 〈TOP〉

潘志雄 ; 莊世杰 ; 翁慧卿 ; 潘豐泉(2013)。藥價調整政策對於過敏性鼻炎治療藥費之影響：以南部醫學中心2002年~2009年資料為例，寶建醫護與管理雜誌第十一卷1期，頁2-15
連結：
陳世雄(2013)。健保藥價政策與藥價黑洞之探討─藥品費用分配比率目標制分析性研究─。國立臺北大學企業管理學系碩士在職專班，碩士論文
連結：
江東亮（2002）。臺灣醫療保健支出之趨勢分析。臺灣衛誌，第二十一期，頁 157-63
連結：
林恆慶, 楊長興, 陳楚杰, & 黃昱瞳. (2003). 醫院權屬別對其論病例計酬醫療費用影響之研究—以剖腹生產為例. 慈濟醫學雜誌, 15(1), 55-61.
連結：
陳柏瑋、呂昭顯、譚慧芳. (2014)。醫院非醫務活動收益之分析-以台灣非營利醫院為例. 臺灣公共衛生雜誌, 33(6), 597-608.
連結：

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