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The Effect of Public Report on Antibiotics Prescribing Rate  

Kim, Su-Kyeong (Health Insurance Review and Assessment Service)
Kim, Hee-Eun (Health Insurance Review and Assessment Service)
Back, Mi-Sook (Health Insurance Review and Assessment Service)
Lee, Suk-Hyang (College of Pharmacy, Ajou University)
Publication Information
Korean Journal of Clinical Pharmacy / v.20, no.3, 2010 , pp. 242-247 More about this Journal
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.
Keywords
antibiotics prescribing rate; acute upper respiratory infection; public report; segmented regress analysis of interrupted time series;
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