급성상기도감염 항생제 처방률 공개 효과 분석
The Effect of Public Report on Antibiotics Prescribing Rate
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초록
Controlling inappropriate antibiotics prescribing for acute upper respiratory infections(URI) is a very important for prudent use of antibiotics and resistance control. Health Insurance Review and Assessment Service (HIRA) introduced Prescribing Evaluation Program and publicly reported antibiotics prescribing rate for URI of each health institution. We performed segmented regression analysis of interrupted time series to estimate the effect of public report on antibiotics prescribing rate using national health insurance claims data. The results indicate that just before the public report period, clinics' monthly antibiotics prescribing rate for URI was 66.7%. Right after the public report, the estimated antibiotics prescribing rate dropped abruptly by 12.3%p. There was no significant changes in month-to-month trend in the prescribing rate before and after the intervention.
Abstract
Controlling inappropriate antibiotics prescribing for acute upper respiratory infections(URI) is a very important for prudent use of antibiotics and resistance control. Health Insurance Review and Assessment Service (HIRA) introduced Prescribing Evaluation Program and publicly reported antibiotics prescribing rate for URI of each health institution. We performed segmented regression analysis of interrupted time series to estimate the effect of public report on antibiotics prescribing rate using national health insurance claims data. The results indicate that just before the public report period, clinics' monthly antibiotics prescribing rate for URI was 66.7%. Right after the public report, the estimated antibiotics prescribing rate dropped abruptly by 12.3%p. There was no significant changes in month-to-month trend in the prescribing rate before and after the intervention.
참고문헌 (17)
- Department of Health, "UK antimicrobial resistance strategy and action plan 2000", ~ (2000)
- Akkerman AE, "Antibiotic prescribing for respiratory tract infections in Dutch primary care in relation to patient age and clinical entities", J Antimicrob Chemother, 54(6), pp.1161~1121 (2004)
- Smith GE, "What has happened to antimicrobial usage in primary care in the United Kingdom since the SMAC report? - description of trends in antimicrobial usage using the General Practice Research Database", J Public Health, 26(4), pp.359~364 (2004)
- Wutzke S, "Evaluation of a national programme to reduce inapproapriate use of antibiotics for upper respiratory tract infections: effects on consumer awarenes, beliefs, attitudes and behaviour in Australia", Health Promotion International, 22(1), pp.53~64 (2007)
- 장선미, "의약분업제도 성과분석 및 개선방안 - 환자 및 의료공급자의 행태변화를 중심으로", 한국보건사회연구원, ~ (2002)
- Felmingham D, "Increasing prevalence of antimicrobial resistance among isolates of Streptococcus pneumoniae from PROTEKT surveillance study, and comparative in vitro activitiy of the ketolide, telithromycin", Journal of Antimicrobial Chemotherapy, 50(Suppl, SI), pp.25~37 (2002)
- 건강보험심사평가원, "항생제 처방률 공개(‘06. 2. 9)이후 항생제 처방률은 12.5%p(의원급) 감소, 보험약제비 55억원절감효과있어. 보도자료", ~ (2006)
- 김윤, "의료제공자 질평가 결과의 공개 : 외국의 경험으로부터의교훈", '04. 춘계학술대회발표자료 (2004), 한국의료QA학회
- ACP-ASIM, "Summary of Guidelines for the Appropriate Use of Antibiotics", APUA Newsletter, 19(2) (2002)
- Buising KL, "Electronic antibiotic stewardship--reduced consumption of broad-spectrum antibiotics using a computerized antimicrobial approval system in a hospital setting", J Antimicrob Chemother, 62(3), pp.608~616 (2008)
- Paterson DL, "The role of antimicrobial management programs in optimizing antibiotic prescribing within hospitals", Clin Infect Dis, 42(Suppl 2), pp.S90~S95 (2006)
- Wagner AK, "Segmented regression analysis of interrupted time series studies in medication use research", Journal of Clinical Pharmacy and Therapeutics, 27, pp.299~309 (2002)
- Gillings D, "Analysis of interrupted time series mortality trends: an example to evaluate regionalized perinatal care", Am. J. Public Health, 71, pp.38~46 (2007)
- 김수경, "일반의약품 비급여 전환 효과 분석 - 소화기관용 약을 중심으로", 박사, pp.2008
- Frank Ansari, "Outcomes of an intervention to improve hospital antibiotic prescribing : interrupted time series with segmented regression analysis", Journal of Antimicrobial Chemotherapy, 52, pp.842~848 (2003)
- 요양급여적 정성평가 효과분석 모형개발 연구. 최종보고서, "김윤", 건강보험심사평가원, 서울대학교의과대학, 서울대학교 의료관리학연구소, ~ (2009)
- 건강보험심사평가원, "2010년 상반기 약제급여적정성평가 추구관리결과", ~ (2010)