处方药使用替代模型的比较

A comparison of alternative models of prescription drug utilization

Health Economics · 1995
被引 101
人大 A-

中文导读

比较了两部分模型与泊松、负二项等模型在预测处方药使用上的准确性,发现两部分模型更优,并用于评估取消共付对老年人用药的影响。

Abstract

The two-part estimation technique has been advocated for estimating models using individual level health care utilization data characterised by a large proportion of non-consumption and small proportions of heavy users. This paper compares the two-part model to several other estimators, including the Poisson, negative binomial and 'zero altered' negative binomial models on the basis of within-sample forecasting accuracy and non-nested model selection tests. The empirical model estimates the differential effect of the removal of copayments for prescription medicines on the prescription drug utilization by older adults with differing levels of health status. The two-part estimator of this model is found to dominate the competitors. Results from this model indicate that utilization increases appear to be higher among individuals with lower levels of health status.

处方药使用两阶段模型零膨胀负二项模型共付额取消