Evidence map›Paper›PMID 37188279›Full record

ArticleFrontiers in public health2023

Impacts of the zero mark-up policy on hospitalization expenses of T2DM and cholecystolithiasis inpatients in SC province, western China: an interrupted time series analysis.

Xirui Guo, Yao Xiao, Huan Liu, Qinchuan Li, Qian Jiang, Chun Liu, Fangqing Xie, Hongju Wang, Fang Yang, Xiao Han and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

15 authors at 3 institutions in 1 country.

Xirui GuoDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Yao XiaoCollege of Optoelectronic Engineering, Chengdu University of Information Technology, Chengdu, China.
Huan LiuDepartment of Medical, Sichuan Jiaotong Hospital, Chengdu, China.
Qinchuan LiDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Qian JiangDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Chun LiuDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Fangqing XieDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Hongju WangDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Fang YangDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Xiao HanDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Hengbo YangDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Yong YangDepartment of Pharmacy, School of Medicine, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Yongqin YeDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
XiaoHong GanDepartment of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Enwu LongDepartment of Pharmacy, School of Medicine, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Chengdu Second People's Hospital · CNUniversity of Electronic Science and Technology of China · CNChengdu University of Information Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Since 2009, a series of ambitious health system reforms have been launched in China, including the zero mark-up drug policy (ZMDP); the policy was intended to reduce substantial medicine expenses for patients by abolishing the 15% mark-up on drugs. This study aims to evaluate the impacts of ZMDP on medical expenditures from the perspective of disease burden disparities in western China. Method: Two typical diseases including Type 2 diabetes mellitus (T2DM) in internal medicine and cholecystolithiasis (CS) in surgery were selected from medical records in a large tertiary level-A hospital in SC Province. The monthly average medical expenses of patients from May 2015 to August 2018 were extracted to construct an interrupted time series (ITS) model to evaluate the impact of policy implementation on the economic burden. Results: A total of 5,764 cases were enrolled in our study. The medicine expenses for T2DM patients maintained a negative trend both before and after the intervention of ZMDP. It had declined by 74.3 CNY ( Conclusion: Our study indicated that the ZMDP has been an effective intervention to reduce the excessive medicine expenses for both researched medical and surgical diseases, but failed to show any long-term advantage. Moreover, the policy has no significant impact on relieving the overall hospitalization burden for either condition.

Indexed as

CholecystolithiasisDiabetes Mellitus, Type 2ChinaHealth PolicyHospitalizationHumansInpatientsInterrupted Time Series Analysishospitalization expensesinterrupted time seriesmedicine expensespolicy interventionzero mark-up drug policy

Identifiers

PMID37188279
PMCPMC10177657
OpenAlexW4367312545

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LicenceCC BY
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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.