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급성상기도감염 환자의 항생제 처방에 영향을 주는 요인

Authors
 최원정  ;  임은실  ;  김태현  ;  서혜선  ;  최기춘  ;  정우진 
Citation
 Korean Journal of Health Policy and Administration (보건행정학회지), Vol.25(4) : 256-263, 2015 
Journal Title
 Korean Journal of Health Policy and Administration (보건행정학회지) 
ISSN
 1225-4266 
Issue Date
2015
Keywords
Acute upper respiratory infection ; Anti-bacterial agents ; Prescriptions
Abstract
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.
Files in This Item:
T201506072.pdf Download
DOI
10.4332/KJHPA.2015.25.4.256
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Chung, Woo Jin(정우진) ORCID logo https://orcid.org/0000-0003-2090-4851
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/157225
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