Abstract
Rational drug use would lead to sustain health care financing. Currently, most hospitals have prescribing
data recorded in standard electronic databases. However, an analysis of these electronic data-bases providing a performance feedback on quality of prescribing is limited. The analysis algorithms to
assess prescribing indicators for 18 standard files on out-patient services using SQL program were developed.
Pharmacists and computer staff from 134 hospitals voluntarily attended the 3-day training sessions.
We reported the results of analyses of fiscal year 2553 data of the 88 attending hospitals. The information
presented could be used to guide not only health care settings, but also health policy makers, in terms of
rational antibiotic prescribing for common cold and diarrhea, inhaled coticostroid (ICS) prescribing for
asthma patients, and angiotensin converting enzyme inhibitors (ACEIs), angiotensin II receptor blockers
(ARBs), and statins prescribing for diabetes patients.
More than half of hospitals had greater than 50% of oral antibiotic prescriptions in common cold,
and quinolones prescriptions in non-infected diarrhea. ICS prescriptions in asthma patients, and ACEIs/
ARBs and statins in diabetes patients were moderately prescribed. However for the latter two conditions
high variations across hospitals were found. The findings urge that all hospitals should promote analysis
of the hospital electronic database to obtain the feedback information, which in turn can guide the implementation
of activities to increase quality of prescribing, at least for the reported conditions.
