급성상기도감염 환자의 항생제 처방에 영향을 주는 요인

최원정; 임은실; 김태현; 서혜선; 최기춘; 정우진

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자료유형: 학술저널

저자정보: 최원정 (연세대학교 보건대학원) 임은실 (대구보건대학교 간호학과) 김태현 (연세대학교 보건대학원 및 보건정책 및 관리연구소) 서혜선 (부산대학교 약학대학) 최기춘 (국민건강보험공단 건강보험정책연구원) 정우진 (연세대학교 보건대학원 및 보건정책 및 관리연구소)

저널정보: 한국보건행정학회 보건행정학회지 보건행정학회지 제25권 제4호

발행연도: 2015.1

수록면: 256 - 263 (8page)

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연구방법

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연구결과

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Background: Initial treatment of acute upper respiratory infection (AURI) should not include antibiotics because most AURIs are caused by virus. However, the prescription rate of antibiotics in Korea is higher than in any other countries. Inappropriate use of antibiotics in Korea accelerated the emergence of antibiotics resistance and increased the social and economic burden. The objective of this study was to investigate the factors related to antibiotics use for the AURI among children-adolescents and adults. Methods: This study analyzed the Health Insurance Review and Assessment Service-National Patient Sample data which was nationally representative sampling stratified by sex and age. Results: The influencing factors of antibiotics use for AURI are gender, age, types of medical security, primary disease, existence of concomitant disease, treatment seasons, first visit or revisit, indicated specialty, types of medical institution, and location of medical institution. Conclusion: The results showed health policy makers are required to place more efforts to resolve inappropriate antibiotics use. Especially they need to establish a health policy to reduce the gap between areas and specialties and recommend standardized clinical guidelines according to the subgroup code of AURI and the age group of patients.

#Acute upper respiratory infection #Anti-bacterial agents #Prescriptions

참고문헌 (28)

참고문헌 신청

최정현 / 2012 / 적절한 항생제 사용의 의미와 영향 / Infection and Chemotherapy 44(5):331~337

Jang SM / 2001 / Abuse and misuse of drug in pre and post separation of prescribing and dispensing / Korea Institute of Health and Social Affairs

Organization for Economic Cooperation and Development / 2011 / Health at a glance 2011: OECD indicators

Little P / 1996 / Sore throat management in general practice / Fam Pract 13(3):317~321

American College of Physicians-American Society of Internal Medicine / 2001 / Summary of guidelines for the appropriate use of antibiotics / APUA Newsl 19(2):4~5

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