Predictors of primary health care pharmaceutical expenditure by districts in Uganda and implications for budget setting and allocation

详细信息    查看全文

• 作者：Paschal N. Mujasi ; Jaume Puig-Junoy
• 刊名：BMC Health Services Research
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：15
• 期：1
• 全文大小：690 KB
• 参考文献：1.Uganda. Ministry of Health: Annual Health Sector Performance Report Financial Year 2009/2010. Kampala: Ministry of Health; 2010.
  2.Uganda. Ministry of Health and SURE Program. Improving equity in resource allocation for essential medicines and health supplies in public sector health facilities in Uganda. Kampala: Ministry of Health; 2014.
  3.Uganda. Ministry of Health and Securing Ugandans’ Right to Essential Medicines Program: Policy Option Analysis for Uganda Pharmaceutical Supply System. Kampala: Ministry of Health; 2011.
  4.MOH, Uganda. Health Sector Strategic and Investment Plan 2010/11-2014/15. 2010. Available: http://​www.​unicef.​org/​uganda/​HSSIP_​Final.​pdf .
  5.Garcia-Sempere A, Peiro S. Drug expenditure in primary care: associated variables and allocation of drug budgets according to health district. Gac Sanit. 2001;15:32–40.CrossRef PubMed
  6.Rodriguez F, Lopez F, Modrego A, Esteban M, Montero M, Cordero B, et al. Identification of doctors with high pharmaceutical expenditure. Gac Sanit. 2001;15(5):441–6.CrossRef PubMed
  7.Morton-Jones T, Pringle M. Explaining variations in prescribing costs across England. BMJ. 1993;306(6894):1731–4.PubMedCentral CrossRef PubMed
  8.Mengibar FJ. Pharmaceutical expenditure in reformed primary care: impact of training activities on Pharmaceutical savings. Gac Sanit. 2000;14(4):277–86.CrossRef
  9.Maxwell M, Howie JGR, Pryde CJ. A comparison of three methods of setting prescribing budgets, using data derived from defined daily dose analyses of historic patterns of use. Br J Gen Pract. 1998;48:1467–72.PubMedCentral PubMed
  10.Alonso Rodriguez E, Calvo Müller R, Mataix Sanjuan A, Brown Asenjo JC, Millara Lake C, Serrano Cano C. What variables should be taken into account in allocating our pharmaceutical budget? J Manag. 2001;7(1):54–7.
  11.Sanfélix J, Palop V, Pereiró I, Rubio E, Gosalbes V, Martínez-Mir I. Gender influence in the quantity of drugs used in primary care. Gac Sanit. 2008;22(1):11–9.CrossRef PubMed
  12.Aguado A, Guinó E, Mukherjee B, Sicras A, Serrat J, Acedo M, et al. Variability in prescription drug expenditures explained by adjusted clinical groups (ACG) case-mix: A cross-sectional study of patient electronic records in primary care. BMC Health Serv Res. 2008;8:53.PubMedCentral CrossRef PubMed
  13.Wettermark B, Persson ME, Wilking N, Kalin M, Korkmaz S, Hjemdahl P, et al. Forecasting drug utilization and expenditure in a metropolitan health region. BMC Health Serv Res. 2010;10:128.PubMedCentral CrossRef PubMed
  14.Andersen RM. Revisiting the behavioural model and access to medical care: Does it matter? J Health Soc Behav. 1995;36:1–10.CrossRef PubMed
  15.Kubrin AI. The role of health insurance in the use of health services among the non-elderly. J Health Soc Policy. 1995;6(4):73–90.CrossRef PubMed
  16.Chen AY, Chang RR. Factors associated with prescription drug expenditures among children: An analysis of the Medical Expenditure Panel Survey. Pediatrics. 2002;109:728–32.CrossRef PubMed
  17.Chern JY, Wan TH, Begun JW. A structural equation modelling approach to examining the predictive power of determinants of individuals’ health expenditures. J Med Syst. 2002;26(4):323–36.CrossRef PubMed
  18.Kim EY, Kim CY. Who wants to enter a long-term care facility in a rapidly aging non-Western society? Attitudes of older Koreans toward longterm care facilities. J Am Geriatr Soc. 2004;52(12):2114–9.CrossRef PubMed
  19.Galbraith AA, Wong ST, Kim SE, Newacheck PW. Out-of pocket financial burden for low-income families with children: Socioeconomic disparities and effects of insurance. Health Serv Res. 2005;40:1722–36.PubMedCentral CrossRef PubMed
  20.Roy S, Madhavan S. An explanatory model for state Medicaid per capita prescription drug expenditures. Soc Work Public Health. 2012;27:537–53.CrossRef PubMed
  21.Heider D, Matschinger H, Müller H, Saum KU, Quinzler R, Haefeli WE, et al. Health care costs in the elderly in Germany: an analysis applying Andersen’s behavioral model of health care utilization. BMC Health Serv Res. 2014;14:71.PubMedCentral CrossRef PubMed
  22.Ash AS, Byrne-Logan S. How well do models work? Dallas: Predicting health care costs. Proceedings of the Section on Statistics in Epidemiology of the American Statistical Association; 1998.
  23.Calderón-Larrañaga A, Abrams C, Poblador-Plou B, Weiner JP, Prados-Torres A. Applying diagnosis and pharmacy-based risk models to predict pharmacy use in Aragon, Spain: The impact of a local calibration. BMC Health Serv Res. 2010;10:22.PubMedCentral CrossRef PubMed
  24.Garcia’a-Gon MI, Pere I. Predictability of drug expenditures: An application of using morbidity data. Health Econ. 2008;17:119–26.CrossRef
  25.Powers CA, Meyer CM, Roebuck MC, Vaziri B. Predictive modeling of total healthcare costs using pharmacy claims data a comparison of alternative econometric cost modeling techniques. Med Care. 2005;43(11):1065–72.CrossRef PubMed
  26.Zhao Y, Ash AS, Ellis RP, Ayanian JZ, Pope GC, Bowen B, et al. Predicting pharmacy costs and other medical costs using diagnoses and drug claims. Med Care. 2005;43(1):34–43.PubMed
  27.Uganda. Uganda Human Development Report, 2007. Uganda: United Nations Development Programme; 2007.
  28.Rice N, Smith PC. Ethics and geographical equity in health care. J Med Ethics. 2001;27:256–61.PubMedCentral CrossRef PubMed
  29.Uganda. Ministry of Health: Health Pharmaceutical situation assessment-level II. Health Facilities Survey in Uganda. Kampala: Ministry of Health; 2009.
  
• 作者单位：Paschal N. Mujasi (1)
  Jaume Puig-Junoy (2)
  
  1. Department of Economics and Business, Universitat Pompeu Fabra, Barcelona School of Management, Balmes 132, 08001, Barcelona, Spain
  2. Department of Economics and Business and Centre for Research in Health and Economics (CRES), Universitat Pompeu Fabra, Ramón Trias Fargas 25-27, 08005, Barcelona, Spain
  
• 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
• 出版者：BioMed Central
• ISSN：1472-6963

文摘

Background There is need for the Uganda Ministry of Health to understand predictors of primary health care pharmaceutical expenditure among districts in order to guide budget setting and to improve efficiency in allocation of the set budget among districts.