Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Analysis of Factors Related to the Prescription of Antibiotics for the Acute Upper Respiratory Infection

급성상기도감염 환자의 항생제 처방에 영향을 주는 요인

  • Choi, Won Jung (Graduate School of Public Health, Yonsei University) ;
  • Yim, Eunshil (Department of Nursing, Daegu Health College) ;
  • Kim, Tae Hyun (Graduate School of Public Health and Institute of Health Services Research, Yonsei University) ;
  • Suh, Hae Sun (College of Pharmacy, Pusan National University) ;
  • Choi, Ki Chun (Health Insurance Policy Research Institute, National Health Insurance Service) ;
  • Chung, Woojin (Graduate School of Public Health and Institute of Health Services Research, Yonsei University)
  • 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)
  • Received : 2015.03.24
  • Accepted : 2015.10.26
  • Published : 2015.12.31
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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.

Keywords

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