Foro de comunicacion para Latinos del suroeste de los EEUU [LARED-L@LISTSERV.CYBERLATINA.NET]; on behalf of; franktalamantes[lactogen@MOUSEPLACENTA.COM]
[LRL] Brand name or generic? What are the health professionals prescribed fortreating diabetes? A longitudinal analysis of the National Health Insurancereimbursement database
Brand name or generic? What are the health professionals prescribed for treatingdiabetes? A longitudinal analysis of the National Health Insurance reimbursementdatabase; Liou WS, Hsieh SC, Chang WY, Wu GH, Huang HS, Lee C;Pharmacoepidemiology and Drug Safety (Apr 2013)OBJECTIVE: This study aimed to explore whether physicians prescribe more brand-name oral hypoglycemic agents (OHA) for diabetic patients with medical trainingbackground (MP) than for general patients (GP). RESEARCH DESIGN AND METHODS: A
longitudinal analysis of 1 000 000 National Health Insurance cohorts of 1998
-2008was conducted. Univariate and multivariate models were performed to assess theassociations of the outcome (the ratio of brand-name/generic odds in the MP groupto that in the GP group) and the covariates, including patient medical trainingbackground, characteristics of patient, prescriber, and medical settings, andmarket competition. A generalized estimating equation method was used to controlthe depe
ndency of longitudinal data. RESULTS: A total of 46 850 diabetic patientswere prescribed with 2 703 149 OHA prescriptions during the study period.
Compared with GP, MP had 1.37 times greater odds of being prescribed with brand-name instead of generic OHA, among whom pharmacists and physicians had thehighest odds ratios of 2.78 (95%CI, 1.05-7.36) and 1.68 (95%CI, 0.99-2.85),respectively. Patients' diabetes severity, prescribers' level of experience,medical settings that were publicly owned, had a higher accreditation level, andwere located in a higher urbanized area, lower market competition, and earlierdates of prescription were positively associated with brand-name prescription.Among all medical sub-specialties, cardiologists were more likely to prescribebrand-name OHA. CONCLUSIONS: This study is the first to demonstrate how apatients' medical training background, in addition to the characteristics ofpatients, prescribers, and medical settings, and market competition mightinfluence physicians' prescribing choice of brand-name or generic OHA. Copyright© 2013 John Wiley&Sons, Ltd.http://www.docguide.com/brand-name-or-generic-what-are-health-professionals-prescribed-treating-diabetes-longitudinal-analys Dr. Frank Talamantes, Ph.D,Professor of Endocrinology (Emeritus)University of CaliforniaSanta Cruz, California, 95060Residence: 83 Sierra Crest Dr.El Paso, Texas 79902~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Join LARED-L, the fastest growing Latino/Hispanic Listserv Network in thecountry. It's Free and Easy to join. Just fill out the simple form below, and