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Updated: Jun 5, 2025

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Diagonal Method to Measure Synergy Among Any Number of Drugs
Published on: June 21, 2018
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药店之间的竞争作为药品支出决定因素
Zixuan Peng1, Audrey Laporte2, Xiaolin Wei2
1Southeast University, Nanjing, Jiangsu Province, China.
概括
增加的药房竞争显著降低了流感患者的药物开支. 竞争的10%增长使每次访问的年平均支出在不同的市场半径中减少了高达5.20%,这表明了竞争的竞争.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 药房竞争是影响医疗保健成本的关键因素.
- 了解市场竞争与药物支出之间的关系对于政策制定至关重要.
- 流感药物支出占医疗保健支出的很大一部分.
研究的目的:
- 调查药店竞争与流感特异性药品支出之间的关联.
- 量化不同水平的药房竞争对患者支出的影响.
- 为旨在控制药物成本的政策决策提供信息.
主要方法:
- 利用了大量数据集,包括6,694,534名在中国 (2015-2019) 购买流感药物的个人.
- 使用赫芬达尔-希尔施曼指数 (HHI) 衡量药店竞争.
- 采用了三向固定效应模型,并采用滞后识别策略来进行可靠的估计.
主要成果:
- 药房竞争增加10%导致每次访问1公里,5公里和10公里市场半径的年平均流感药物支出分别下降0.65%,2.21%和5.20%.
- 结果表明,竞争强度和成本降低之间存在剂量反应关系.
- 较高的市场竞争与较低的流感药物患者自付支出相关.
结论:
- 药房竞争是减少流感药物开支的有效工具.
- 政策干预利用市场竞争可以帮助控制医疗保健成本.
- 进一步研究将竞争与供应商行为联系在一起的机制是有必要的.
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