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KMID : 1144320160480030151
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2016 Volume.48 No. 3 p.151 ~ p.159
Antibiotic Control Policies in South Korea, 2000-2013
Kim Baek-Nam

Kim Hong-Bin
Oh Myoung-Don
Abstract
Antibiotic stewardship is a key strategy for limiting antibiotic resistance. Over the last decade the South Korean government has implemented a series of healthcare policies directed to this end, consisting of legislative separation of drug prescribing and dispensing, antibiotic utilization reviews, healthcare quality assessment, and public reporting. As a result, the proportion of antibiotic prescriptions for acute upper respiratory tract infections in primary healthcare facilities decreased from 72.9% in 2002 to 42.7% in 2013. However, no significant decrease in antibiotic resistance occurred over the same period in clinically important bacteria such as Streptococcus pneumoniae. These government-driven policies played a pivotal role in improving antibiotic use for outpatients and surgical patients in South Korea. However, to achieve long-lasting successful outcomes, coordinated efforts and communications among the stakeholders, including physicians and medical societies, are needed.
KEYWORD
Inappropriate prescribing, Bacterial drug resistance, Health policy, Drug utilization review, Health care quality assurances
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