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Factors Affecting the Prescribing Patterns of Antibiotics and Injections

Cited 19 time in Web of Science Cited 20 time in Scopus
Authors
Choi, Kyung-Hyun; Park, Sang-Min; Lee, Ju-Hyun; Kwon, Soonman
Issue Date
2012-02
Publisher
Korean Academy of Medical Sciences
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE Vol.27 No.2, pp. 120-127
Keywords
복합학Primary CareAntibioticsPrescription Pattern
Abstract
There are serious problems concerning the inadequate prescription of antibiotics and overuse of injections in primary care. However, the determinants of prescription patterns in Korea are not well-documented. To examine the area characteristics affecting the prescription of antibiotics and injections in primary care practices in the treatment of respiratory tract infections (RTIs), a nationwide cross-sectional study was performed in all 250 administrative districts of Korea. The outcome was modeled as a binary variable: over-prescription or not compared with the nation-wide average. Over-prescription of antibiotics was associated with the ratio of specialists to general physicians and over-prescription in previous years in the area (adjusted odds ratio [aOR], 4.8; 95% confidence interval [CI] 1.5-14.8; and aOR, 12.0; 95% CI 5.5-25.9, respectively). Over-use of injections was associated with younger population, urban living and the number of hospital beds in the area (aOR, 0.2; 95% CI 0.1-0.4; aOR, 0.3; 95% CI 0.1-0.8; and aOR, 0.4, 95% CI 0.2-0.9; respectively). There were differences in the prescribing patterns in different districts; prescription patterns were affected more by supply factors than by demand factors. Highly competitive medical environment associated with supply factors is a significant determinant of prescription patterns in Korea.
ISSN
1011-8934
Language
English
URI
http://hdl.handle.net/10371/81833
DOI
https://doi.org/10.3346/jkms.2012.27.2.120
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)Journal Papers (저널논문_의학과)
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