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題 名 | 用藥趨勢分析:以醫藥分業實施前後臺北縣市健保特約藥局接獲之釋出處方箋為例=Prescription Trend Analysis: Claims Analysis after Seperation of Pharmacy Practice from Medical Practice, a Case Study in Taipei Metropolitan |
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作 者 | 周稚傑; 葉明功; 游翁斌; 白璐; | 書刊名 | 醫學研究 |
卷 期 | 20:3 1999.12[民88.12] |
頁 次 | 頁142-151 |
分類號 | 412.2 |
關鍵詞 | 醫藥分業; 健保藥局; 處方用藥型態分析; Separation of pharmacy practice from medical practice; Clinic; Prescription pattern; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究利用1997年1-12月中央健保局之健保特約藥局申報之處方檔為資料來源;以開始實施醫藥分業前之一、二月為前測(基準),實施後7至12月(共計六個月)之資料為後測;以實施醫藥分業之臺北市為實驗組及未實施醫藥分業之臺北縣為對照組,進行交叉分析及檢定,以為醫藥分業實施前後用藥趨勢分析研究。研究結果發現:實施醫藥分業後,臺北市小於七日的處方箋申報量顯著的增加,由開辦前之每月644張升至88,288張,成長倍數達137倍,而長天期處方之申報量亦是逐漸上升,由每月2,610逐漸上升至6,752張;雖然臺北縣未實施醫藥分業,申報量亦有增加,可見政策的執行能產生立竿見影的效果。醫藥分業前臺北縣市兩地診所處方型態差異性大,醫藥分業後臺北市、縣西醫之處方內容差異逐漸縮小,給藥天數(4.02比4.56),口服藥物種類(4.12比3.95),口服錠劑(12.84比11.68),顯現臺北縣市兩地於醫藥分業後用藥有趨於一致化之現象。就牙醫而言,臺北市、縣之處方內容差異亦逐漸縮小,但受醫藥分業之影響較小。整體而言,醫藥分業後處方釋出,造成顯著降低處方用藥給藥天數、給藥口服藥物種類數、總錠劑、每錠平均金額、每日平均藥費及總金額。 |
英文摘要 | Research data is obtained from claims of contracted pharmacies in Taipei city and Taipei County in 1997. Claims of the first two months of 1997, before the separation of dispensing practice from medicine practice (SPMP), were defined as pre-test data; those of July to December were defined as post-test data. Claims in Taipei City were defined as experiment sets; while those in Taipei County were as control sets. Also the stratification variables were the specialists, length of medications, geographic areas, and kinds of claims. Dependent variables were the amount of claims, medication expenditures, number of medications, daily tablets and capsules, and daily cost of treatment. Descriptive analyses for variables after stratification were performed in order to study the trends of medication after SPMP. Results showed after SPMP, released prescriptions for short days surged from 644 to 88,288, 137 times of growth in Taipei city. Prescriptions for chromic diseases increased from 2610 to 2,752, 2.6 times of growth in Taipei City. Although Taipei County was not enacted in March of 1997, claims were increased steadily. The gaps for dependent variables were also decreased between claims in Taipei City and Taipei County for length of medication as 0.54; numbers of daily medication as 0.17; and daily tablets as 0.53. This indicates in immediate impact upon the policy practiced. In general, SPMP decreased the length of medication, numbers of medication, total tablets, daily tablets, daily cost, and the cost per tablets as well as the total expenditures. |
本系統中英文摘要資訊取自各篇刊載內容。