Trends in antidiabetic drug use and expenditure in public hospitals in Northwest China, 2012-21: a case study of Gansu Province.

Drug use increased in all hospital levels during the study period but with a gradual decrease in the proportion of drugs used in tertiary hospitals ( B = -0.010, P = 0.029) and an increasing trend in the proportion of drugs used in secondary ( B = 0.009, P = 0.042) (Fig. 2 ).

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The DDC of oral drugs all showed a decreasing trend, but essential medicines (EMs) and medical insurance drugs DDC gradually decreased with increasing use.

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