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Study on essential drug use status and its influencing factors among cerebral infarction inpatients in county level hospitals of Anhui Province, China

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  • Cunhui Wang
  • Niannian Li
  • Heng Wang
  • Hongyan Yin
  • Yunwu Zhao

Abstract

Background and purpose: Drug costs is one of the main components of hospitalization expenditure for cerebral infarction inpatients. In China, the National Essential Medicine System (NEMS) was created to relieve the heavy drug-cost burden for patients. The objective of this study was to investigate essential drug-use status and its influencing factors among cerebral infarction inpatients in county-level hospitals of Anhui province, China. Methods: Three county-level hospitals were selected through a multi-stage cluster random sampling method. The hospitalization cost data of cerebral infarction inpatients in the three hospitals were extracted from the Anhui provincial information platform of the New Rural Cooperative Insurance System (NCMS), and whether the proportion of essential drug cost in the total drug cost reached the median value of 33.05% which was set as the evaluation index for essential drug-use status. Questionnaires for hospitals and physicians were designed and given to them to assess influencing factors. Results: We retrieved the cost data of 2,189 inpatients from the NCMS platform and investigated 51 corresponding physicians in total. The drug costs accounted for 52.6% of the total hospitalization cost, and essential drug costs alone accounted for 37.0% of the total drug costs. The essential drug-cost proportion was high among physicians with a higher recognition degree on NEMS, older age, lower final academic degree, longer work experience and lower professional title. Married physicians and those with tight organizational affiliation also prescribed more essential drugs. Conclusions: Increasing the proportion of essential drugs was an effective way to reduce the disease burden for cerebral infarction patients. Perfecting the NEMS, increasing government investment, reinforcing education and propaganda, and formulating relevant incentive and restrictive mechanisms were all effective ways to promote and increase the number of essential drug prescriptions written by physicians.

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  • Cunhui Wang & Niannian Li & Heng Wang & Hongyan Yin & Yunwu Zhao, 2018. "Study on essential drug use status and its influencing factors among cerebral infarction inpatients in county level hospitals of Anhui Province, China," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-12, April.
    • Handle: RePEc:plo:pone00:0193513
    DOI: 10.1371/journal.pone.0193513
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    References listed on IDEAS

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    1. Heng Wang & NianNian Li & Haidi Zhu & Shuman Xu & Hua Lu & ZhanChun Feng, 2013. "Prescription Pattern and Its Influencing Factors in Chinese County Hospitals: A Retrospective Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-9, May.
    2. Mikko Peltola & Timo T. Seppälä & Antti Malmivaara & Éva Belicza & Dino Numerato & Fanny Goude & Eilidh Fletcher & Richard Heijink, 2015. "Individual and Regional‐level Factors Contributing to Variation in Length of Stay After Cerebral Infarction in Six European Countries," Health Economics, John Wiley & Sons, Ltd., vol. 24, pages 38-52, December.
    3. Orzella, Letizia & Chini, Francesco & Giorgi Rossi, Paolo & Borgia, Piero, 2010. "Physician and patient characteristics associated with prescriptions and costs of drugs in the Lazio region of Italy," Health Policy, Elsevier, vol. 95(2-3), pages 236-244, May.
    4. Sekimoto, Miho & Kakutani, Chieko & Inoue, Isao & Ishizaki, Tatsuro & Hayashida, Kenshi & Imanaka, Yuichi, 2008. "Management patterns and healthcare costs for hospitalized patients with cerebral infarction," Health Policy, Elsevier, vol. 88(1), pages 100-109, October.
    5. Tu, Feng & Tokunaga, Shoji & Deng, ZhouLu & Nobutomo, Koichi, 2002. "Analysis of hospital charges for cerebral infarction stroke inpatients in Beijing, People's Republic of China," Health Policy, Elsevier, vol. 59(3), pages 243-256, March.
    6. Mikko Peltola & Timo T. Seppälä & Antti Malmivaara & Éva Belicza & Dino Numerato & Fanny Goude & Eilidh Fletcher & Richard Heijink & on behalf of the EuroHOPE study group, 2015. "Individual and Regional‐level Factors Contributing to Variation in Length of Stay After Cerebral Infarction in Six European Countries," Health Economics, John Wiley & Sons, Ltd., vol. 24(S2), pages 38-52, December.
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