Evidence map›Paper›PMID 29879966›Full record

ArticleBMC health services research2018

Effects of a price cut reform on the cost and utilization of antidiabetic drugs in Korea: a national health insurance database study.

Hae Sun Suh, Jee-Ae Kim, Iyn-Hyang Lee

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 10% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. A systematic review of pharmaceutical price mark-up practice and its implementation.Exploratory research in clinical and social pharmacy · 2021
    Review
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

3 authors at 3 institutions in 1 country.

Hae Sun SuhCollege of Pharmacy, Pusan National University, Busan, South Korea.
Jee-Ae KimHealth Insurance Review & Assessment Service, Wonju, South Korea.
Iyn-Hyang LeeCollege of Pharmacy, Yeungnam University, 280 Daehak-ro, Gyeongsan, Gyeongbuk-do, 38541, South Korea. leeiynhyang@ynu.ac.kr.
Health Insurance Review and Assessment Service · KRPusan National University · KRYeungnam University · KR

Funding

National Research Foundation of Korea NRF-2016R1C1B1009198
6 · The paper itself

Abstract

backgroundDespite the potential widespread application and a significant need, the policy effectiveness of prescribed medications price controls has not been studied extensively. We aimed to explore the effects of a price cut introduced in April 1st of 2012 on the cost and utilization of antidiabetics in South Korea.

methodsWe identified approximately four million outpatients who filed at least one diabetes-related claim during the index period (January 2010 to December 2012) using the National Health Insurance claims data. We performed interrupted time series analyses for cost and utilization of "overall," "reduced price," and "constant price" antidiabetics between January 2009 and June 2013, and measured the growth rate for incidents of medical and surgical procedures for diabetes-induced complications.

resultsThe segmented regression suggests that spending on overall and reduced price antidiabetics would drop by 6 and 23%, respectively; spending on constant price antidiabetics would rise by 16% in a year after the new pricing compared to if the policy were not in existence. There were a few immediate changes in utilization, and its trend indicated a significant decrease in reduced price antidiabetics and an increase in constant price antidiabetics. Incidents of medical and surgical procedures relating to diabetic complications were unaffected.

conclusionsThe Korean price cut program contained costs by immediately reducing the cost of pharmaceuticals without any major signals associated with compromised clinical conditions in diabetic patients.

Indexed as

AdultAgedCosts and Cost AnalysisDatabases, FactualDiabetes Mellitus, Type 2Drug CostsFemaleHealth Care ReformHealth ExpendituresHealth PolicyHumansHypoglycemic AgentsInterrupted Time Series AnalysisMaleMiddle AgedNational Health ProgramsHypoglycemic AgentsPrescription DrugsAntidiabeticsDirect price controlPharmaceutical costsPharmaceutical utilizationPrice cut

Identifiers

PMID29879966
PMCPMC5992837
OpenAlexW2806193751

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.