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1차 의료기관의 급성 상기도 감염 질환자 의약품 처방특성 - 가정의학과, 내과, 소아청소년과, 이비인후과, 일반의 중심으로 -

Characteristics of Prescription Drugs for Acute Upper Respiratory Tract Infection in Outpatient Clinics - Centered on Family Medicine, Internal Medicine, Pediatrics, Otorhinolaryngology and General Practitioner Clinics -

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초록

Objectives : This study analyzes the characteristics of prescription drugs for acute upper respiratory tract infection in outpatient clinics and provides basis for establishing the correct evaluation project on appropriate prescribing indicators. Methods : Research data were collected from two for each family medicine, internal medicine, pediatric, otorhinolaryngology and general practitioner clinics with a total of 10 clinics with diseases classifications codes J00-J06, J20 on patients receiving treatment between January 1, 2013 and December 31, 2013 every Monday in Busan City. Results : The antibiotic prescription rate in evaluating the project on appropriate prescribing indicators of Health Insurance Review & Assessment Service was 44.3%, whereas this study was approximately 30% higher because analysis to target the entire cold-related diagnosis. Conclusions : The correct antibiotic prescription by expanding the current assessment standard should be identified as a minor diagnosis because the evaluation project on appropriate prescribing indicators targets the major diagnosis only.

Abstract

Objectives : This study analyzes the characteristics of prescription drugs for acute upper respiratory tract infection in outpatient clinics and provides basis for establishing the correct evaluation project on appropriate prescribing indicators. Methods : Research data were collected from two for each family medicine, internal medicine, pediatric, otorhinolaryngology and general practitioner clinics with a total of 10 clinics with diseases classifications codes J00-J06, J20 on patients receiving treatment between January 1, 2013 and December 31, 2013 every Monday in Busan City. Results : The antibiotic prescription rate in evaluating the project on appropriate prescribing indicators of Health Insurance Review & Assessment Service was 44.3%, whereas this study was approximately 30% higher because analysis to target the entire cold-related diagnosis. Conclusions : The correct antibiotic prescription by expanding the current assessment standard should be identified as a minor diagnosis because the evaluation project on appropriate prescribing indicators targets the major diagnosis only.

참고문헌 (24)

  1. G.K.P. Spurling, "Delayed antibiotics for respiratory infections", The Cochrane Database of Systematic Reviews, 4(4), pp.4417~ (2013)
  2. G.O. Research, "Overuse of bronchodilators and steroids in bronchiolitis of different severity", ALLERGOLOGIA ET IMMUNOPATHOLOGIA, 42(4), pp.307~315 (2014)
  3. 황병덕, "부산광역시 주부들의 불용의약품 보관과 처리실태", 보건의료산업학회지, 7(2), pp.69~79 (2013), 보건의료산업학회
  4. NHIS, "National Health Insurance Statistical Yearbook", pp.580~607 (2015), National Health Insurance Service, Health Insurance Review & Assessment Service
  5. 이명현, "의원 외래환자의 약품비 변화 관련요인: 처방총액 절감 인센티브제도와 DUR 제도 시행 전후를 중심으로", 보건행정학회지, 22(4), pp.561~578 (2012), 한국보건행정학회
  6. 김성철, "울산 지역 소아청소년과 및 이비인후과에서의 항생제 처방 형태", 한국임상약학회지, 20(2), pp.145~150 (2010), 한국임상약학회
  7. 채수미, "외래 급성 상기도 감염에서의 항생제 사용량 및 약품비 추계", 약 학 회 지, 57(3), pp.199~204 (2013), 대한약학회
  8. 김수경, "급성상기도감염 항생제 처방률 공개 효과 분석", 한국임상약학회지, 20(3), pp.242~247 (2010), 한국임상약학회
  9. Factors Affecting the Reduction of Antibiotic Prescription Rates by Region after Public Reporting, "Y.J. Chun", The Graduate School of Public Health Seoul National University, 1~2 (2012)
  10. 최원정, "급성상기도감염 환자의 항생제 처방에 영향을 주는 요인", 보건행정학회지, 25(4), pp.256~263 (2015), 한국보건행정학회
  11. K.D. Park, "Variation of Prescription Patterns for Acute Respiratory Infection Patients - Based on Health Insurance Claims Data of the Clinics-", pp.2003
  12. M.J. Gong, "Clinical Department Prescription Drugs Characteristics of Acute Upper Respiratory Tract Infection Disease", pp.2016
  13. Korea Centers for Disease Control & Prevention, "KCDC", KCDC, 335~ (2013)
  14. Health Insurance Review & Assessment Service, "Evaluation Project on Appropriate Prescribing Indicators Assessment Result Report(The first half year)", HIRA Assessment, 4, pp.3~36 (2013), HIRA Assessment
  15. Health Insurance Review & Assessment Service, "Evaluation Project on Appropriate Prescribing Indicators Assessment Result Report(The second half year)", HIRA Assessment, 4, pp.1~43 (2013)
  16. Health Insurance Review & Assessment Service, "Evaluation Project on Appropriate Prescribing Indicators Assessment Result Report(The first quarter)", HIRA Assessment, 4, pp.1~11 (2002)
  17. S.K. Kim, "Study on the Phenomenon of Use of Medication in Korea - from the Drug Utilization Review(DUR)", pp.2009
  18. NHIS, "National Health Insurance Statistical Yearbook", pp.245~ (2013), National Health Insurance Service, Health Insurance Review & Assessment Service

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