The Drug Utilization Study Before and After the Individual Hospital Global Budget System on the Mild to Moderate Alzheimer’s Disease Patients / 個別醫院總額制度前後輕至中度阿茲海默氏症病人用藥之研究

碩士 / 高雄醫學大學 / 藥學研究所碩士在職專班 / 94 / This research aims to explore the drug utilization change of acetylcholinesterase inhibitor (AchEI) in the mild to moderate Alzheimer’s disease (AD) patients before and after the individual hospital global budget system implementation. The analytical sample is gathered from the claim data field to Bureau of Nation Health Insurance Taipei and Kau-Pin branch offices between 2002 to 2004. Analyze the drug utilization of acetylcholinesterase inhibitor (AchEI) in the medical centers, regional hospitals and area hospitals in the Taipei and Kau-Pin branch offices of Bureau of Nation Health Insurance.
The major findings of this study are summarized as follows :
1.Mild to moderate Alzheimer’s disease (AD) is a common geriatric disease in Taiwan. The number of female patients is higher than male patients. Those patients usually sough medical help in the medical centers and regional hospitals, especially hospitals in the Taipei branch office of Bureau of Nation Health Insurance.
2.After the implementation of individual hospital global budget system, the increasing trend is not prohibited in the drug utilization of the mild to moderate Alzheimer’s disease (AD) in the medical centers, regional hospitals and area hospitals in the Taipei and Kau-Pin branch offices of Bureau of Nation Health Insurance.
3.About the drug consumption of acetylcholinesterase inhibitors in hospitals is medical centers higher than regional hospitals, and regional hospitasl higher than area hospitals, and the drug expenditure is major in Aricept 5mg, second in Exelon 4.5mg and third in Exelon 1.5mg, that means these three drugs are main medicines in treating the mild to moderate Alzheimer’s disease (AD) patients.

Identiferoai:union.ndltd.org:TW/094KMC05551027
Date January 2006
CreatorsChih-Yang Tseng, 曾志揚
ContributorsThau-Ming Cham, 詹道明
Source SetsNational Digital Library of Theses and Dissertations in Taiwan
Languagezh-TW
Detected LanguageEnglish
Type學位論文 ; thesis
Format68

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