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KMID : 0387319980080020166
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Korean Journal of Health Policy and Administration
1998 Volume.8 No. 2 p.166 ~ p.190
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Factors Influencing Physicians´ Prescritions in Some Frequent Disease
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Park Sylvia
Moon Ok-Ryun
Kang Young-Ho
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Abstract
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This study presents the status on drug prescription for clinic outpatient´s bronchitis, gastritis, and gastric ulcer, and also the physician factors that affects their prescriptions.
In this research project the physician factors are as follows : their demographic features, their work related features, education related features, drug information related features and drug promotion related features. The variables in drug prescriptions are drug expense, daily drug expenses, days of medication, the highest price of the drugs used and the number of th different drugs used.
Analysis of th use of prescription drugs was performed on NFMI(National Fedration of Medical Insurance) 1994 medical expense claim data. Data on physicians´ characteristics were collected by mailing surveys.
Patients with secondary diseases were excluded. In this study, 388 adults with bronchitis, 1,308 children with bronchitis, 1,158 patients with gastritis, 369 patients with gastric ulcer were included.
The older physicians tend to allow the lower drug costs : this explains that the older doctors who are more experienced less depend on the medicines.
It can be also explained that doctors are likely to use the medicines that had been used for their intern and resident practice/training period.
General practitioners give more intensive prescription compared to specialists. And Specialists prescribed medicines to patients for longer period.
The doctor´s prescriptions for patients are largely affected by commercial source. So objective and reliable sources for drug information is needed for patients´ benefits.
Physician factors explain better at the daily drug expenses, the drug price and the number prescription model adopted in this study than other diseases.
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KEYWORD
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drug, prescription, physician, factor
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