Table 3 Results of the Delphi survey on a plan to involve medical institutions in qualitative antibiotic assessments and a plan to utilise these results
Items | Agree (%) | Disagree (%) | Neutral (%) | CVR |
|---|---|---|---|---|
Engaging organizations in qualitative antibiotic assessment | ||||
Reflect ‘antibiotic quality assessment’ in medical quality assessment | 19 (100.0) | 0 | 0 | 1.000 |
Reflect ‘antibiotic quality assessment’ in medical centre accreditation evaluation | 19 (100.0) | 0 | 0 | 1.000 |
Antibiotic stewardship fee/incentive payment | 19 (100.0) | 0 | 0 | 1.000 |
Establish mandatory provisions for hiring personnel in charge of antibiotic quality assessment | 17 (89.5) | 0 | 2 (10.5) | 0.789 |
Provide penalties for non-participating organizations (compulsory participation) | 0 | 18 (94.7) | 1 (5.3) | − 1.000 |
Minimise labour input by individual institutions (e.g., evaluation using data from the Korea Health Insurance Corporation or the Korea Health Insurance Review and Assessment Service) | 9 (47.4) | 4 (21.1) | 6 (31.6) | − 0.053 |
Reporting/feedback methods for antibiotic quality assessment results | ||||
Publishing individual institutions’ inappropriate prescribing rates in an annual report or on a public website that is open to the public | 0 | 16 (84.2) | 3 (15.8) | − 1.000 |
Maintaining a website where individual healthcare organisations can view only their institution’s results | 13 (68.4) | 0 | 6 (31.6) | 0.368 |
Allowing individual providers to view institutional, regional, and national results through a private website (anonymised without disclosing provider names) | 19 (100.0) | 0 | 0 | 1.000 |
Disclosure of qualitative evaluation results along with quantitative evaluation and antibiotic resistance rates through the Antibiotic Use/Resistance Report, which is open to the public (anonymised without disclosing the name of the institution) | 19 (100.0) | 0 | 0 | 1.000 |
Disclose regional and national results by adding them as indicators to sites that disclose individual evaluation results of medical institutions, such as the Health Insurance Review and Assessment Service website (individual institution results are not disclosed) | 5 (26.3) | 5 (26.3) | 9 (47.4) | − 0.474 |
How antibiotic quality assessments can be linked to an antibiotic stewardship program | ||||
Individual healthcare organisation representatives reporting quality assessment results to leadership/staff within the healthcare organisation | 19 (100.0) | 0 | 0 | 1.000 |
Publicising and disseminating the results of the antibiotic quality assessments to the general public | 16 (84.2) | 0 | 3 | 0.684 |
Implement healthcare provider education on common antibiotic misuse identified in the quality assessment (e.g., mandatory medical association education) | 19 (100.0) | 0 | 0 | 1.000 |
Policy and regulatory approaches (e.g., incentives, inclusion in healthcare quality measures, etc.) to address common antibiotic misuse identified in the quality assessment results | 19 (100.0) | 0 | 0 | 1.000 |