KCI등재
SCOPUS
Development of a Roadmap for the Antimicrobial Usage Monitoring System for Medical Institutions in Korea: a Delphi Study
저자
Kim Hyung-Sook (Department of Pharmacy, Seoul National University Bundang Hospital, Seongnam, Korea.Korean Society of Health-System Pharmacist, Seoul, Korea.) ; Park Kyung-Hwa (Department of Hospital Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.Centers for Digital Health, Yongin Severance Hospital, Yonsei University Health System, Yongin, Korea.) ; Choi Heun (Department of Infectious Disease, National Health Insurance Service Ilsan Hospital, Goyang, Korea.) ; Park Ji Young (Department of Pediatrics, Chung-Ang University Hospital, Seoul, Korea.) ; Lee Mi Suk (Division of Infectious Diseases, Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.) ; Eun Byung Wook (Department of Pediatrics, Eulji University Eulji General Hospital, Seoul, Korea.) ; Lee Hyukmin (Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.) ; Choi Jun Yong (Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.) ; Kim Hong Bin (Division of Infectious Diseases, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.) ; Jeong Su Jin (Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.) ; Uh Young (Department of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.) ; Kim Bongyoung (Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.) 연구자관계분석
발행기관
학술지명
권호사항
발행연도
2022
작성언어
English
주제어
등재정보
KCI등재,SCOPUS,ESCI
자료형태
학술저널
수록면
483-492(10쪽)
DOI식별코드
제공처
Background It is necessary to develop a roadmap for antimicrobial usage monitoring in order to perform monitoring of antimicrobial use at the national level properly. Therefore, this study aimed to develop a roadmap for establishing surveillance and monitoring of antimicrobial use in medical institutions at the national level.
Materials and Methods A modified Delphi study was conducted, including 3 rounds of an online survey and a virtual meeting with 16 expert panels. The survey items were developed based on a literature review of the surveillance systems for antimicrobial use in 12 countries and interviews with experts. The questionnaire was designed to include both the surveillance and benchmarking systems.
Results Regarding the scope of target institutions to be included in the surveillance system, medical institutions for sentinel surveillance had the highest proportion of agreement among the panels (75.0%, 9/12). For the benchmarking system, “tertiary- and secondary-care hospitals” were accepted as the scope of target institutions at the current moment. Furthermore, the National Health Insurance claims and prescription data of individual hospitals were considered appropriate data sources for the surveillance system. As for the measures to promote the participation of hospitals in the benchmarking system, “compensation through the establishment of antimicrobial management fees” and “set the participation in the program as a quality evaluation or accreditation index for hospital evaluation” were accepted.
Conclusion This study provides a roadmap for establishing an antimicrobial use monitoring and benchmarking system for medical institutions at a national level in Korea.
Background It is necessary to develop a roadmap for antimicrobial usage monitoring in order to perform monitoring of antimicrobial use at the national level properly. Therefore, this study aimed to develop a roadmap for establishing surveillance and monitoring of antimicrobial use in medical institutions at the national level.
Materials and Methods A modified Delphi study was conducted, including 3 rounds of an online survey and a virtual meeting with 16 expert panels. The survey items were developed based on a literature review of the surveillance systems for antimicrobial use in 12 countries and interviews with experts. The questionnaire was designed to include both the surveillance and benchmarking systems.
Results Regarding the scope of target institutions to be included in the surveillance system, medical institutions for sentinel surveillance had the highest proportion of agreement among the panels (75.0%, 9/12). For the benchmarking system, “tertiary- and secondary-care hospitals” were accepted as the scope of target institutions at the current moment. Furthermore, the National Health Insurance claims and prescription data of individual hospitals were considered appropriate data sources for the surveillance system. As for the measures to promote the participation of hospitals in the benchmarking system, “compensation through the establishment of antimicrobial management fees” and “set the participation in the program as a quality evaluation or accreditation index for hospital evaluation” were accepted.
Conclusion This study provides a roadmap for establishing an antimicrobial use monitoring and benchmarking system for medical institutions at a national level in Korea.
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