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Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions

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Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions

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dc.contributor.author Vivas Consuelo, David José Juan es_ES
dc.contributor.author Guadalajara Olmeda, María Natividad es_ES
dc.contributor.author Barrachina Martínez, Isabel es_ES
dc.contributor.author Trillo-Mata, José-Luis es_ES
dc.contributor.author Usó-Talamantes, Ruth es_ES
dc.contributor.author De la Poza, Elena es_ES
dc.date.accessioned 2014-05-06T12:21:26Z
dc.date.issued 2011-11
dc.identifier.issn 0168-8510
dc.identifier.uri http://hdl.handle.net/10251/37258
dc.description.abstract Background The Valencian Autonomous Community (Spain) has implemented a scheme of purchasing services with the participation of public and private providers. Five districts are managed using public¿private partnership. The financing model is capitation and inter-center invoice. The pharmaceutical benefits are not included in the per capita assignment. Objectives Modeling and explaining pharmacy expenditure using electronic prescriptions drug data. Methods A database of electronic prescription corresponding to 625,246 patients between November 2008 and October 2009 was used to run four linear models that explain the pharmaceutical expenditures. We take as dependent variable the neperian log of total pharmacy annual cost per patient in the primary health setting. The independent variables used combined demographics with revised classification in 18 chronic conditions obtained from the anatomical therapeutic chemical classification index (ATC). Results The retrospective model selected included: gender, pharmaceutical co-payment status and 8 dummy variables for the number of chronic conditions of each patient from 1 to 8 or more. The goodness-of-fit achieved is measured in R2 of 57%. Conclusions These models must be considered in the current capitation system for pharmaceutical budgeting in a primary care setting established at regional level, as is the case in the Valencian Autonomous Community. The use of diagnostics and information regarding hospital encounters appears to be a complementary option for refining models of capitation of pharmaceutical and total health expenditure. es_ES
dc.description.sponsorship The authors thank the General Direction of Pharmacy of the Valencian Department of Health for financial support and the working group for providing the data set. The opinions expressed in this paper are those of the authors and do not necessarily reflect those of the afore-named. Any errors are the authors' responsibility. We would also like to thank the two anonymous reviewers for their comments, which helped greatly to improve this paper. en_EN
dc.language Inglés es_ES
dc.publisher Elsevier es_ES
dc.relation.ispartof Health Policy es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Prescribed drugs es_ES
dc.subject Pharmaceutical expenditure es_ES
dc.subject Chronic condition es_ES
dc.subject Risk adjustment es_ES
dc.subject Capitation payments es_ES
dc.subject.classification ECONOMIA APLICADA es_ES
dc.subject.classification ECONOMIA FINANCIERA Y CONTABILIDAD es_ES
dc.subject.classification ECONOMIA, SOCIOLOGIA Y POLITICA AGRARIA es_ES
dc.title Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions es_ES
dc.type Artículo es_ES
dc.embargo.lift 10000-01-01
dc.embargo.terms forever es_ES
dc.identifier.doi 10.1016/j.healthpol.2011.08.014
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Economía y Ciencias Sociales - Departament d'Economia i Ciències Socials es_ES
dc.description.bibliographicCitation Vivas Consuelo, DJJ.; Guadalajara Olmeda, MN.; Barrachina Martínez, I.; Trillo-Mata, J.; Usó-Talamantes, R.; De La Poza, E. (2011). Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions. Health Policy. 103(1):9-15. https://doi.org/10.1016/j.healthpol.2011.08.014 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion http://dx.doi.org/10.1016/j.healthpol.2011.08.014 es_ES
dc.description.upvformatpinicio 9 es_ES
dc.description.upvformatpfin 15 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 103 es_ES
dc.description.issue 1 es_ES
dc.relation.senia 198562
dc.subject.asignatura Control de costes en los sistemas de salud y servicios sociales públicos 10621 / M-Grado en Gestión y Administración Pública es_ES
dc.contributor.funder Conselleria de Sanitat Universal i Salut Pública


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