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題名 Utilization of hepatoprotectants within the National Health Insurance in Taiwan
作者 Chen,Tzeng-Ji;周麗芳;Hwang,Shinn-Jang
關鍵詞 drug utilization;liver diseases;national health programs;pharmacoepidemiology;protective agents
日期 2003-07
上傳時間 6-Jan-2009 15:25:15 (UTC+8)
摘要 Background: Although the hepatoprotectants of Western medicine have centuries of history, their utilization patterns have been seldom documented. Because the National Health Insurance program in Taiwan reimburses hepatoprotectant use, we could estimate the age- and sex-specific prevalence and utilization patterns of hepatoprotectants in Western medicine within the health insurance system in Taiwan. Methods: We analyzed the outpatient prescription data of 50 000 randomly sampled insured patients in 2000. Only patients using drugs indicated for liver diseases and diagnostic codes related to liver diseases on the same visit were considered to be receiving hepatoprotectants. Drugs involved in Chinese medicine were not included. Results: Among the valid cohort of 46 614 people, 783 (1.7%) were identified as patients with liver disease and receiving hepatoprotectants. Highest prevalence of hepatoprotectant use was 4.9% in the 60–69 years age group. Silymarin, multivitamins, methionine, ursodeoxycholic acid, and liver hydrolysate accounted for 88.8% of the 3215 prescribed items of hepatoprotectants. Patients receiving hepatoprotectants had, on average, visited the clinics more frequently than those not using hepatoprotectants (30 vs 14 times in a year, P < 0.001), and used more insurance benefits (US$1352 vs US$456, P < 0.001). Conclusions: The frequency of use of major hepatoprotectants in Taiwan corresponded to the current modalities of treatment under discussion worldwide. © 2003 Blackwell Publishing Asia Pty Ltd.
關聯 Journal of Gastroenterology and Hepatology, 18(7), 868-872
資料類型 article
DOI http://dx.doi.org/10.1046/j.1440-1746.2003.03078.x
dc.creator (作者) Chen,Tzeng-Ji;周麗芳;Hwang,Shinn-Jangen_US
dc.date (日期) 2003-07en_US
dc.date.accessioned 6-Jan-2009 15:25:15 (UTC+8)-
dc.date.available 6-Jan-2009 15:25:15 (UTC+8)-
dc.date.issued (上傳時間) 6-Jan-2009 15:25:15 (UTC+8)-
dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/22337-
dc.description.abstract (摘要) Background: Although the hepatoprotectants of Western medicine have centuries of history, their utilization patterns have been seldom documented. Because the National Health Insurance program in Taiwan reimburses hepatoprotectant use, we could estimate the age- and sex-specific prevalence and utilization patterns of hepatoprotectants in Western medicine within the health insurance system in Taiwan. Methods: We analyzed the outpatient prescription data of 50 000 randomly sampled insured patients in 2000. Only patients using drugs indicated for liver diseases and diagnostic codes related to liver diseases on the same visit were considered to be receiving hepatoprotectants. Drugs involved in Chinese medicine were not included. Results: Among the valid cohort of 46 614 people, 783 (1.7%) were identified as patients with liver disease and receiving hepatoprotectants. Highest prevalence of hepatoprotectant use was 4.9% in the 60–69 years age group. Silymarin, multivitamins, methionine, ursodeoxycholic acid, and liver hydrolysate accounted for 88.8% of the 3215 prescribed items of hepatoprotectants. Patients receiving hepatoprotectants had, on average, visited the clinics more frequently than those not using hepatoprotectants (30 vs 14 times in a year, P < 0.001), and used more insurance benefits (US$1352 vs US$456, P < 0.001). Conclusions: The frequency of use of major hepatoprotectants in Taiwan corresponded to the current modalities of treatment under discussion worldwide. © 2003 Blackwell Publishing Asia Pty Ltd.-
dc.format application/en_US
dc.language enen_US
dc.language en-USen_US
dc.language.iso en_US-
dc.relation (關聯) Journal of Gastroenterology and Hepatology, 18(7), 868-872en_US
dc.subject (關鍵詞) drug utilization;liver diseases;national health programs;pharmacoepidemiology;protective agents-
dc.title (題名) Utilization of hepatoprotectants within the National Health Insurance in Taiwanen_US
dc.type (資料類型) articleen
dc.identifier.doi (DOI) 10.1046/j.1440-1746.2003.03078.xen_US
dc.doi.uri (DOI) http://dx.doi.org/10.1046/j.1440-1746.2003.03078.xen_US