Evidence map›Paper›PMID 26179644›Full record

ArticleBMJ open2015

Effects of drug price reduction and prescribing restrictions on expenditures and utilisation of antihypertensive drugs in Korea.

Ki-Bong Yoo, Sang Gyu Lee, Sohee Park, Tae Hyun Kim, Jeonghoon Ahn, Mee-Hyun Cho, Eun-Cheol Park

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
11.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Ki-Bong YooDepartment of Healthcare Management, Eulji University, Sungnam, South Korea.ORCID http://orcid.org/0000-0001-7073-8586
Sang Gyu LeeInstitute of Health Services Research, Yonsei University, Seoul, South Korea Graduate School of Public Health, Yonsei University, Seoul, South Korea.
Sohee ParkInstitute of Health Services Research, Yonsei University, Seoul, South Korea Graduate School of Public Health, Yonsei University, Seoul, South Korea.
Tae Hyun KimInstitute of Health Services Research, Yonsei University, Seoul, South Korea Graduate School of Public Health, Yonsei University, Seoul, South Korea.
Jeonghoon AhnNational Evidence-based Healthcare Collaborating Agency, Seoul, South Korea.
Mee-Hyun ChoHealth Insurance Review and Assessment Service, Seoul, South Korea.
Eun-Cheol ParkInstitute of Health Services Research, Yonsei University, Seoul, South Korea Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, South Korea.
Yonsei University · KREulji University · KRHealth Insurance Review and Assessment Service · KRNational Evidenc- based healthcare Collaborating Agency · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the quantitative effects of the drug price reduction on pharmaceutical expenditures and the new guidelines to restrict prescribing on drug utilisation for antihypertensive drugs.

designWe used an interrupted time series design with the National patient sample data of Health Insurance Review and Assessment Service in South Korea.

methods54,295 participants who were with primary hypertension from the National patient sample data of Health Insurance Review and Assessment Service were included. The study period was from March 2011 to December 2013. The dependent variables were antihypertensive drug costs, antihypertensive drug cost per prescribing day, daily drug utilisation, average number of drugs per month, percentage of original drugs per prescription, drug overutilisation and prohibited combinations. Segmented regression analysis was used.

resultsThe drug price reduction reduced expenditure (US$-1.51, -10.2%), and the new guidelines reduced expenditures even more (US$-2.13; -16.2%). These policies saved US$4.22 (28%) of antihypertensive drug costs per patient in December 2013 compared to March 2012. Drug price reduction policy was introduced in April 2012. We established the policy effect by comparing it before (March 2012) with after(21 months later-December 2012). The effects of the guidelines decreased expenditures, daily drug utilisation and the average number of drugs per month more than did the drug price reduction.

conclusionsBoth policies saved money. The guidelines were more effective over time and had fewer side effects such as increasing daily drug utilisation and number of drugs than the effects of drug price reduction.

Indexed as

AgedAntihypertensive AgentsDrug CostsFemaleHealth ExpendituresHumansInsurance, Health, ReimbursementInterrupted Time Series AnalysisMaleMiddle AgedPractice Guidelines as TopicRegression AnalysisRepublic of KoreaAntihypertensive Agentsantihypertensive drugdirect price controldrug utilizationpharmaceutical expendituresreimbursement restriction

Identifiers

PMID26179644
PMCPMC4513484
OpenAlexW2341406113

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.