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

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 be...

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Autores: Vivas-Consuelo, David|||0000-0003-2945-7525, Guadalajara Olmeda, María Natividad|||0000-0002-5992-3446, Barrachina Martínez, Isabel|||0000-0003-3710-1190, De la Poza, Elena|||0000-0003-2303-0811, Trillo-Mata, José-Luis, Usó-Talamantes, Ruth
Tipo de recurso: artículo
Fecha de publicación:2011
País:España
Institución:Universitat Politècnica de València (UPV)
Repositorio:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
Idioma:inglés
OAI Identifier:oai:riunet.upv.es:10251/37258
Acceso en línea:https://riunet.upv.es/handle/10251/37258
Access Level:acceso abierto
Palabra clave:Prescribed drugs
Pharmaceutical expenditure
Chronic condition
Risk adjustment
Capitation payments
ECONOMIA APLICADA
ECONOMIA FINANCIERA Y CONTABILIDAD
ECONOMIA, SOCIOLOGIA Y POLITICA AGRARIA
Control de costes en los sistemas de salud y servicios sociales públicos 10621 / M - Grado en gestión y administración pública 146
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network_acronym_str ES
network_name_str España
repository_id_str
spelling Explaining primary health care pharmacy expenditure using classification of medications for chronic conditionsVivas-Consuelo, David|||0000-0003-2945-7525Guadalajara Olmeda, María Natividad|||0000-0002-5992-3446Barrachina Martínez, Isabel|||0000-0003-3710-1190De la Poza, Elena|||0000-0003-2303-0811Trillo-Mata, José-LuisUsó-Talamantes, RuthPrescribed drugsPharmaceutical expenditureChronic conditionRisk adjustmentCapitation paymentsECONOMIA APLICADAECONOMIA FINANCIERA Y CONTABILIDADECONOMIA, SOCIOLOGIA Y POLITICA AGRARIAControl de costes en los sistemas de salud y servicios sociales públicos 10621 / M - Grado en gestión y administración pública 146Background 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.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.ElsevierFacultad de Administración y Dirección de EmpresasDepartamento de Economía y Ciencias SocialesCentro de Investigación de Ingeniería EconómicaConselleria de Sanitat Universal i Salut Pública de la Generalitat ValencianaRepositorio Institucional de la Universitat Politècnica de València Riunet20112011-11-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://riunet.upv.es/handle/10251/37258reponame:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valénciainstname:Universitat Politècnica de València (UPV)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Reserva de todos los derechoshttp://rightsstatements.org/vocab/InC/1.0/info:eu-repo/semantics/openAccessoai:riunet.upv.es:10251/372582026-06-13T07:49:27Z
dc.title.none.fl_str_mv Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions
title Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions
spellingShingle Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions
Vivas-Consuelo, David|||0000-0003-2945-7525
Prescribed drugs
Pharmaceutical expenditure
Chronic condition
Risk adjustment
Capitation payments
ECONOMIA APLICADA
ECONOMIA FINANCIERA Y CONTABILIDAD
ECONOMIA, SOCIOLOGIA Y POLITICA AGRARIA
Control de costes en los sistemas de salud y servicios sociales públicos 10621 / M - Grado en gestión y administración pública 146
title_short Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions
title_full Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions
title_fullStr Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions
title_full_unstemmed Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions
title_sort Explaining primary health care pharmacy expenditure using classification of medications for chronic conditions
dc.creator.none.fl_str_mv Vivas-Consuelo, David|||0000-0003-2945-7525
Guadalajara Olmeda, María Natividad|||0000-0002-5992-3446
Barrachina Martínez, Isabel|||0000-0003-3710-1190
De la Poza, Elena|||0000-0003-2303-0811
Trillo-Mata, José-Luis
Usó-Talamantes, Ruth
author Vivas-Consuelo, David|||0000-0003-2945-7525
author_facet Vivas-Consuelo, David|||0000-0003-2945-7525
Guadalajara Olmeda, María Natividad|||0000-0002-5992-3446
Barrachina Martínez, Isabel|||0000-0003-3710-1190
De la Poza, Elena|||0000-0003-2303-0811
Trillo-Mata, José-Luis
Usó-Talamantes, Ruth
author_role author
author2 Guadalajara Olmeda, María Natividad|||0000-0002-5992-3446
Barrachina Martínez, Isabel|||0000-0003-3710-1190
De la Poza, Elena|||0000-0003-2303-0811
Trillo-Mata, José-Luis
Usó-Talamantes, Ruth
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Facultad de Administración y Dirección de Empresas
Departamento de Economía y Ciencias Sociales
Centro de Investigación de Ingeniería Económica
Conselleria de Sanitat Universal i Salut Pública de la Generalitat Valenciana
Repositorio Institucional de la Universitat Politècnica de València Riunet
dc.subject.none.fl_str_mv Prescribed drugs
Pharmaceutical expenditure
Chronic condition
Risk adjustment
Capitation payments
ECONOMIA APLICADA
ECONOMIA FINANCIERA Y CONTABILIDAD
ECONOMIA, SOCIOLOGIA Y POLITICA AGRARIA
Control de costes en los sistemas de salud y servicios sociales públicos 10621 / M - Grado en gestión y administración pública 146
topic Prescribed drugs
Pharmaceutical expenditure
Chronic condition
Risk adjustment
Capitation payments
ECONOMIA APLICADA
ECONOMIA FINANCIERA Y CONTABILIDAD
ECONOMIA, SOCIOLOGIA Y POLITICA AGRARIA
Control de costes en los sistemas de salud y servicios sociales públicos 10621 / M - Grado en gestión y administración pública 146
description 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.
publishDate 2011
dc.date.none.fl_str_mv 2011
2011-11-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://riunet.upv.es/handle/10251/37258
url https://riunet.upv.es/handle/10251/37258
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Reserva de todos los derechos
http://rightsstatements.org/vocab/InC/1.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Reserva de todos los derechos
http://rightsstatements.org/vocab/InC/1.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
instname:Universitat Politècnica de València (UPV)
instname_str Universitat Politècnica de València (UPV)
reponame_str RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
collection RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
repository.name.fl_str_mv
repository.mail.fl_str_mv
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