Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 손경복 | - |
dc.date.accessioned | 2023-05-17T01:21:38Z | - |
dc.date.available | 2023-05-17T01:21:38Z | - |
dc.date.issued | 2022-08 | - |
dc.identifier.citation | FRONTIERS IN PUBLIC HEALTH, v. 10, article no. 924992, | - |
dc.identifier.issn | 2296-2565;2296-2565 | - |
dc.identifier.uri | https://www.frontiersin.org/articles/10.3389/fpubh.2022.924992/full | en_US |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/180578 | - |
dc.description.abstract | IntroductionPatient and/or physician responses are a pivotal issue in designing rational cost-sharing programs under health insurance systems. ObjectivesThis study aims to understand patient and/or physician responses to cost-sharing programs designed for prescription drugs in South Korea. MethodsAs a framework, we took advantage of a tiered cost-sharing program, including from copayment to coinsurance (threshold 1) and reduced coinsurance (threshold 2). Given the hierarchical structure of prescriptions nested within patients, we utilized a multilevel analysis to assess effects of various cost-sharing programs on patient and/or physician responses using National Health Insurance claims data from 2018. ResultsWe found that a tiered cost-sharing program was effective in changing the behaviors of patients and/or physicians. Threshold 1 was found to be more effective than threshold 2 in changing their behaviors. At the prescription level, sensitivity to cost-sharing programs was associated with prescribed days of treatment and locations of prescription. In a similar vein, sensitivity to cost-sharing programs was associated with gender and age group of patients. ConclusionA simplified cost-sharing program with extended intervals should be considered to rationalize cost-sharing programs. Specifically, a cost-sharing program designed for long-term prescriptions for chronic diseases together with an emphasis on cost transparency is required to better guide price-conscious decisions by patients and/or physicians. | - |
dc.language | en | - |
dc.publisher | FRONTIERS MEDIA SA | - |
dc.subject | cost-sharing schemes | - |
dc.subject | prescription drugs | - |
dc.subject | patient response | - |
dc.subject | physician response | - |
dc.subject | South Korea | - |
dc.title | Understanding patient and physician responses to various cost-sharing programs for prescription drugs in South Korea: A multilevel analysis | - |
dc.type | Article | - |
dc.relation.volume | 10 | - |
dc.identifier.doi | 10.3389/fpubh.2022.924992 | - |
dc.relation.journal | FRONTIERS IN PUBLIC HEALTH | - |
dc.contributor.googleauthor | Son, Kyung-Bok | - |
dc.contributor.googleauthor | Lee, Eui-Kyung | - |
dc.contributor.googleauthor | Lee, Sang-Won | - |
dc.sector.campus | E | - |
dc.sector.daehak | 약학대학 | - |
dc.sector.department | 약학과 | - |
dc.identifier.pid | sonkyungbok | - |
dc.identifier.article | 924992 | - |
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