Antibiotics Prescription Patterns and Clinical Guideline Adherence- The Case of Otitis Media

• Main Authors: Pin-Chun Liu, 劉品均
• Other Authors: Shou-Hsia Cheng
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/15881371371159013089

碩士 === 國立臺灣大學 === 衛生政策與管理研究所 === 94 === Objectives: This study analyzes the patterns of antibiotics prescription on otitis media, explores the indicators that may affect the prescriptions of antibiotics’ ingredient, doses, duration, and identifies the factors contributing to the treatment expenses and recurrent of the disease. Methods: Data of this study was based on outpatient claim database in 2003 from the Bureau of National Health Insurance. Diagnoses of otitis media was defined as ICD-9-CM codes 381.0, 381.4, 381.0, 382.4 and 382.9. The study uses “Clinical Guidelines” to examine the adherence of antibiotics’ prescription and performs descriptive and analytical comparisons by using SAS. Results: The otitis media patients was mostly 12 years old or youger, and visited private otolaryngological and pedestrian clinics most frequently. The overall guideline adherence rate of the antibiotics’ ingredient was 65.6%, and only 5.5% of the prescriptions reached the recommendations of the antibiotics’ dose duration in one episode. Conclusions: The very low rate of adherence to antibiotics’ recommended doses reveals that patients can’t get sufficient antibiotics in one visit. The results indicate that patient education is needed, in addition health agencies should establish a new antibiotics’ payment scheme for infectious diseases to improve the treatment completion rate and solve the problem of drug resistance.