Trends and Appropriateness of Outpatient Prescription Drug Use in Veterans
Korean Journal of Clinical Pharmacy
;
: 107-116, 2018.
Artículo
en Coreano
| WPRIM
| ID: wpr-715027
ABSTRACT
OBJECTIVE:
This study analyzed the national claims data of veterans to generate scientific evidence of the trends and appropriateness of their drug utilization in an outpatient setting.METHODS:
The claims data were provided by the Health Insurance Review & Assessment (HIRA). Through sampling and matching data, we selected two comparable groups; Veterans vs. National Health Insurance (NHI) patients and Veterans vs. Medical Aid (MAID) patients. Drug use and costs were compared between groups by using multivariate gamma regression models to account for the skewed distribution, and therapeutic duplication was analyzed by using multivariate logistic regression models.RESULTS:
In equivalent conditions, veteran patients made fewer visits to medical institutions (0.88 vs. 1), had 1.86 times more drug use, and paid 1.4 times more drug costs than NHI patients (p < 0.05); similarly, veteran patients made fewer visits to medical institutions (0.96 vs. 1), had 1.11 times more drug use, and paid 0.95 times less drug costs than MAID patients (p < 0.05). The risk of therapeutic duplication was 1.7 times higher (OR=1.657) in veteran patients than in NHI patients and 1.3 times higher (OR=1.311) than in MAID patients (p < 0.0001).CONCLUSION:
Similar patterns of drug use were found in veteran patients and MAID patients. There were greater concerns about the drug use behavior in veteran patients, with longer prescribing days and a higher rate of therapeutic duplication, than in MAID patients. Efforts should be made to measure if any inefficiency exists in veterans' drug use behavior.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pacientes Ambulatorios
/
Veteranos
/
Modelos Logísticos
/
Costos de los Medicamentos
/
Utilización de Medicamentos
/
Prescripciones
/
Seguro de Salud
/
Programas Nacionales de Salud
Tipo de estudio:
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Clinical Pharmacy
Año:
2018
Tipo del documento:
Artículo
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