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Priority Therapeutic Groups to Expand Development of Prescribing Indicators using a Consensus Group of Health Care Professionals

전문가 조사를 활용한 약제급여 적정성 평가 항목 및 지표 확대방안 도출

  • Jeon, Ha-Lim (Research Center, Health Insurance Review & Assessment Service) ;
  • Kim, Dong-Sook (Research Center, Health Insurance Review & Assessment Service) ;
  • Kim, Bo-Yun (Research Center, Health Insurance Review & Assessment Service)
  • 전하림 (건강보험심사평가원 연구조정실) ;
  • 김동숙 (건강보험심사평가원 연구조정실) ;
  • 김보연 (건강보험심사평가원 연구조정실)
  • Received : 2015.02.12
  • Accepted : 2015.07.06
  • Published : 2015.08.30

Abstract

Evaluation Project on Appropriate Prescribing (EPAP) which is analysing prescribing pattern and providing physicians feedback has begun in 2001. EPAP indicators are related to antibiotics for acute respiratory tract infections, overuse of injection, polypharmacy (no. of drugs prescribed together, no. of prescriptions with 6 or more drugs), prescribing of specific medication group (drugs for acid related disorders, NSAIDs, corticosteroids) and medication expenditure per prescription day. The aim of this study was to suggest a development plan for EPAP indicators suitable for domestic situation. A consensus group consisting of seventeen health care professionals evaluated significance of each therapeutic class for EPAP indicators expansion considering information such as magnitude of issue, prescribing indicators of foreign countries, reimbursement criteria by each therapeutic class. Based on the data and group survey, 5 classes were selected as candidates for prescribing indicators and we presented 24 indicators regarding 5 classes. The results suggested that we need to augment evaluation indicators of additional area.

Keywords

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