ArticleBMC health services research2013
Application of propensity scores to estimate the association between government subsidy and injection use in primary health care institutions in China.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- Continuous improvement on the rationality of prophylactic injectable PPIs usage by a clinical pharmacist-led guidance team at a Chinese tertiary teaching hospital.The Journal of international medical research · 2020Article
- [Study considering the use of medicines in children receiving free care].The Pan African medical journal · 2019Article
- Primary health care financing interventions: a systematic review and stakeholder-driven research agenda for the Asia-Pacific region.BMJ global health · 2019Article
- Effects of County Public Hospital Reform on Procurement Costs and Volume of Antibiotics: A Quasi-Natural Experiment in Hubei Province, China.PharmacoEconomics · 2018Article
- Changes in proton pump inhibitor prescribing trend over the past decade and pharmacists' effect on prescribing practice at a tertiary hospital.BMC health services research · 2018Observational
- Article
- The impacts of implementation of National Essential Medicines Policies on primary healthcare institutions: a cross-sectional study in China.BMC health services research · 2017Article
- Prescribing Patterns in Outpatient Clinics of Township Hospitals in China: A Comparative Study before and after the 2009 Health System Reform.International journal of environmental research and public health · 2016Article
- China's National Health Policies: An Ontological Analysis.Online journal of public health informatics · 2016Article
- Prescribing efficiency of proton pump inhibitors in China: influence and future directions.BMC health services research · 2015Observational
- A study on the factors affecting the prescription of injection medicines in Iran: a policy making approach.Global journal of health science · 2015Article
- Application of propensity scores to explore the effect of public reporting of medicine use information on rational drug use in China: a quasi-experimental design.BMC health services research · 2014Article
- Effect of publicly reporting performance data of medicine use on injection use: a quasi-experimental study.PloS one · 2014Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe problem posed by therapeutic injection is a clinical practice issue that influences health care quality and patient safety. Although sufficient government subsidy was one of the 12 key interventions to promote rational drug use initiated by WHO (World Health Organization), limited information is available about the association between government subsidy and injection use in primary health care institutions. In 2009, National Essential Medicines System (NEMS) was implemented in China. The subsidy policy plays an important role in maintaining primary health care institutions. This study explores the impact of government subsidies on the injection use in primary health care institutions in China.
methods126 primary health institutions were included in this study. Institutions were divided into two groups (intervention and control groups) according to the median GS (General subsidy per personnel). Propensity score matching (PSM) was used to minimize the observed covariate differences in the characteristics of the primary institutions between the two groups. Kappa score was calculated to determine the consistency between the groups. Paired chi-square test and Relative Risk (RR) were calculated to compare the differences in injection use between the groups.
resultsAmong all the investigated prescriptions, the overall percent of people who received an injection prescribed was 36.96% (n = 12600). PSM showed no significant covariate difference among the 34 groups obtained through this analysis. Kappa score (k = -0.082, p = 0.558) indicated an inconsistency between groups and paired chi-square test revealed a significant difference (p < 0.05) in injection use between the two groups. Relative Risk = 0.679 (95%CI [0.485, 0.950]) indicate that high General subsidy per personnel is a protective factor for primary health care institutions to prescribe injections properly. The intervention group obtained a higher possibility of using injection properly.
conclusionsThe overall effect of government subsidy on the use of injection was positively significant. However, the mechanism by which government subsidy influence injection administration remains unclear, and thus requires further study.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.