Trends of drug expenditure in Taiwan National Health Insurance before and during COVID-19 pandemic

被引:1
作者
Wu, Shu-, I [1 ,2 ,3 ]
Lee, An-Sheng [1 ]
Chung, Ching-Hu [1 ]
机构
[1] Mackay Med Coll, Dept Med, Taipei City, Taiwan
[2] Mackay Mem Hosp, Dept Psychiat, Taipei City, Taiwan
[3] Mackay Mem Hosp, Suicide Prevent Ctr, Taipei City, Taiwan
关键词
drug expenditure; medical center; regional hospital; district hospital; clinics; COVID-19; pandemic;
D O I
10.3389/fmed.2024.1388569
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background The Taiwanese government adopted the National Health Insurance (NHI) system in March 1995. This study aimed to understand the difference in medication costs before (year 2019) and during the COVID-19 pandemic (2020-2021) among different hospitals for treating their patients.Methods The NHI claims database consisting of claims of prescription drugs for inpatients (IPD) and outpatients (OPD) in Taiwan was used to determine drug expenditure in different hospitals, particularly the top 10 prescription Anatomical Therapeutic Chemical (ATC) categories.Results In medical centers, L01X (other antineoplastic agents) showed the highest drug expenditure, followed by L04A (immunosuppressants) and J05A (direct-acting antivirals). The drug expenditure pattern in regional hospitals was similar to that in medical centers, with L01X (other antineoplastic agents) showing the highest drug expenditure. L01X (other antineoplastic agents) also showed the highest drug expenditure in district hospitals, followed by N05A (antipsychotics) and A10B (blood glucose-lowering drugs, excluding insulin). In clinics, A10B (blood glucose-lowering drugs, excluding insulin) showed the highest drug expenditure. The total medication costs in 2021 were lower or similar to those in 2019. The use of systemic use anti-infectives decreased over time in OPDs among all hospita1 levels but increased in IPDs in medical centers and district hospitals. Furthermore, our analysis revealed that the trend in drug expenditure closely mirrored the trend in drug prescription volume for the highest annual sum cost item among the top 10 drug subgroups across different hospital levels.Conclusion Our analysis found that annual drug expenditures in 2021 were lower or similar to those in 2019, suggesting that the COVID-19 pandemic has contributed to this reduction in drug expenditure.
引用
收藏
页数:11
相关论文
共 50 条
  • [31] Impact of Foodborne Disease in Taiwan during the COVID-19 Pandemic
    Yang, Ya-Lu
    Chen, Cheng-Chueh
    Chin, Pi-Wei
    Cheng, Chun-Gu
    Cheng, Chun-An
    MEDICINA-LITHUANIA, 2024, 60 (03):
  • [32] Violence against health personnel before and during the COVID-19 pandemic
    Musse, Jorge Luiz Lozinski
    Musse, Fernanda Cristina Coelho
    Pelloso, Sandra Marisa
    Carvalho, Maria Dalva de Barros
    REVISTA DA ASSOCIACAO MEDICA BRASILEIRA, 2022, 68 (11): : 1524 - 1529
  • [33] Couriers’ safety and health risks before and during the COVID-19 pandemic
    Laliv Egozi
    Nitzan Reiss-Hevlin
    Rana Dallasheh
    Asher Pardo
    International Archives of Occupational and Environmental Health, 2022, 95 : 589 - 598
  • [34] Couriers' safety and health risks before and during the COVID-19 pandemic
    Egozi, Laliv
    Reiss-Hevlin, Nitzan
    Dallasheh, Rana
    Pardo, Asher
    INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 2022, 95 (03) : 589 - 598
  • [35] Functional health and symptoms in Spain before and during the COVID-19 pandemic
    Lehmann, Jens
    Holzner, Bernhard
    Giesinger, Johannes M.
    Bottomley, Andrew
    Ansari, Shaad
    von Butler, Ludwig
    Kemmler, Georg
    BMC PUBLIC HEALTH, 2021, 21 (01)
  • [36] Functional health and symptoms in Spain before and during the COVID-19 pandemic
    Jens Lehmann
    Bernhard Holzner
    Johannes M. Giesinger
    Andrew Bottomley
    Shaad Ansari
    Ludwig von Butler
    Georg Kemmler
    BMC Public Health, 21
  • [37] Approaches of patients to health care before and during the COVID-19 pandemic
    Sekmenli, Tamer
    Onur, Cansu
    Bagisladi, Duygu
    Seker, Zeynep Guelsuem
    Sariteke, Osman
    Etlik, Selin Guel
    Karasu, Emineguel
    Sarikaya, Asli Buse
    Kayim, Mustafa Mert
    Aytekin, Kevser Nur
    Kurt, Fatma
    Aksoy, Birsen
    Oktay, Rahman
    ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, 2023, 14 (01): : 49 - 54
  • [38] Telehealth Before and During the COVID-19 Pandemic: Analysis of Health Care Workers' Opinions
    Nitiema, Pascal
    JOURNAL OF MEDICAL INTERNET RESEARCH, 2022, 24 (02)
  • [39] Mental Health Status of New Police Trainees before and during the COVID-19 Pandemic
    Kim, Joungsue
    Yoon, Jiyoung
    Kim, Inah
    Min, Jeehee
    HEALTHCARE, 2024, 12 (06)
  • [40] A longitudinal study of mental health before and during the COVID-19 pandemic in Syrian refugees
    Akhtar, Aemal
    Bawaneh, Ahmad
    Awwad, Manar
    Al-Hayek, Hadeel
    Sijbrandij, Marit
    Cuijpers, Pim
    Bryant, Richard A.
    EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 2021, 12 (01)