Php39 the Effects of Direct Billing System in Patients With Civil-Servant Medical Benefit Schemes on Prescribing Patterns

Dilokthornsakul, P.; Chaiyakunapruk, Nathorn; Nimpitakpong, Piyarat

doi:10.1016/s1098-3015(11)73245-4

Cited by 1 publication

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“…Dilokthornsakul et al . (2010), using data from another university hospital in the northern region during the same period, report a similar rising trend of the prescription drug expenditure even before the DBP was launched. They do not find a significant difference in the number of months of drug coverage per prescription, but find higher incidents of expensive medicine prescription.…”

Section: Background and Previous Studiesmentioning

confidence: 71%

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The Impact of a Billing System on Healthcare Utilization: Evidence from the Thai Civil Servant Medical Benefit Scheme

Wasi¹,

Panpiemras²,

Manachotphong

2020

Oxf Bull Econ Stat

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This study examines how a new billing process of the Thai Civil Servant Medical Benefit Scheme affects outpatient care utilization. Unlike policy changes considered in most existing studies, there is no change in cost‐sharing for the scheme considered here. Previously, the beneficiaries had to pay out of pocket and receive their reimbursement later. The new billing system allows hospitals to charge the government directly. Using patient‐level data from a large hospital, we find that the change affects outpatient utilization through both visiting rates and treatment intensity. These positive impacts are moderate, but persistent. The estimates are not sensitive to our choice of a time window, but their magnitudes can be sensitive to model specifications. Our analysis also suggests that patients with lower utilization rates (conditional on illnesses) prior to the change in the billing process increase their healthcare utilization more proportionally.

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Section: Background and Previous Studiesmentioning

confidence: 71%

“…Existing studies on the consequences of the DBP generally focus on prescription drug charge and types of drugs prescribed one year before and after the programme was in place (e.g. Pongchareonsuk and Pattanaprateep, 2009; Dilokthornsakul, Chaiyakunakruk and Nimpitakpong, 2010). Our study differs from these studies in several dimensions.…”

Section: Introductionmentioning

confidence: 99%