The effect of user fees on prescribing quality in rural Nepal: two controlled pre-post studies to compare a fee per drug unit vs. a fee per drug item

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The effect of user fees on prescribing quality in rural Nepal: two controlled pre-post studies to compare a fee per drug unit vs. a fee per drug item.

OBJECTIVE To compare prescribing quality with a fee per drug unit vs. a fee per drug item. METHODS Prescribing data were collected prospectively over 10 years from 21 health facilities in two districts of rural eastern Nepal. In 1995, both districts charged a fee per drug item. By 2000, one district was charging a fee per drug unit, and the second district continued to charge a fee per drug i...

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The effects of different kinds of user fee on prescribing costs in rural Nepal.

OBJECTIVES (1) To estimate the cost of irrational prescribing, and (2) to compare the effect of three different kinds of user fee on prescribing costs, in rural Nepal. METHODS A controlled before-after study was conducted in 33 government primary health care facilities in rural eastern Nepal during 1992-95. A fee per prescription (covering all drugs in whatever amounts) was regarded as the co...

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ژورنال

عنوان ژورنال: Tropical Medicine & International Health

سال: 2008

ISSN: 1360-2276

DOI: 10.1111/j.1365-3156.2008.02032.x