ceiling price;
drug price;
interrupted time series;
price index;
MEDICARE PART D;
CARE;
IMPACT;
COST;
EXPENDITURES;
D O I:
10.1002/hpm.3244
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
Background The Chinese government removed the price ceiling of most drugs in June 2015 to establish a market-driven pricing system. The purpose of this study is to examine the impact of the elimination of drug ceiling price (EDCP) policy on drug prices. Methods Using a national macro-level dataset, we employed an interrupted time series method to study the abrupt level and gradual trend changes of Chinese and Western medicine consumer price index (CPI) between June 2014 and June 2017. Results The policy exerted level change on Chinese medicine CPI, increasing 0.201% (95% CI 0.026% to 0.376%, p = 0.026). And the trend in Chinese medicine CPI was still decreased nonsignificantly after the EDCP policy. However, there was no significant price change in Western medicine. Conclusion The EDCP policy has different effects on the prices of Chinese and Western medicines. Therefore, we need to pay more attention to the drug pricing mechanism in the future.
机构:
London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
Harvard Med Sch, Dept Populat Med, Boston, MA USA
Harvard Pilgrim Hlth Care Inst, Boston, MA USALondon Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
Bernal, J. Lopez
Soumerai, S.
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机构:
Harvard Med Sch, Dept Populat Med, Boston, MA USA
Harvard Pilgrim Hlth Care Inst, Boston, MA USALondon Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
Soumerai, S.
Gasparrini, A.
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h-index: 0
机构:
London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
London Sch Hyg & Trop Med, Ctr Stat Methodol, London, EnglandLondon Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
机构:
Univ N Carolina, Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Chapel Hill, NC 27599 USAUniv N Carolina, Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Chapel Hill, NC 27599 USA
Farley, Joel F.
Dusetzina, Stacie B.
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h-index: 0
机构:
Univ N Carolina, Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Chapel Hill, NC 27599 USAUniv N Carolina, Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Chapel Hill, NC 27599 USA
机构:
London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
Harvard Med Sch, Dept Populat Med, Boston, MA USA
Harvard Pilgrim Hlth Care Inst, Boston, MA USALondon Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
Bernal, J. Lopez
Soumerai, S.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Med Sch, Dept Populat Med, Boston, MA USA
Harvard Pilgrim Hlth Care Inst, Boston, MA USALondon Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
Soumerai, S.
Gasparrini, A.
论文数: 0引用数: 0
h-index: 0
机构:
London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
London Sch Hyg & Trop Med, Ctr Stat Methodol, London, EnglandLondon Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England
机构:
Univ N Carolina, Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Chapel Hill, NC 27599 USAUniv N Carolina, Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Chapel Hill, NC 27599 USA
Farley, Joel F.
Dusetzina, Stacie B.
论文数: 0引用数: 0
h-index: 0
机构:
Univ N Carolina, Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Chapel Hill, NC 27599 USAUniv N Carolina, Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Chapel Hill, NC 27599 USA