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영어

The impacts of guideline for digestives on physicians' prescription of GI medication Clinical practice guidelines pro-vide benefits to physicians, patients, and researchers. It also helps doctors to make decisions in medical services. Inmany countries, practice guidelines lead to activities of quality improvement and are developed using evidence basedmethods. This research was to assess the impacts of Korean Medical Association's guideline for digestives on thechange of physicians' behavior. This study was progressed as one-group pre-test post-test quasi-experimental designusing health insurance claims data. The unit of analysis was institution. Data was analyzed using paired t-test forchange of prescription rate before and after the distribution of practice guidelines. And the multiple regression analy-sis was performed to examine the independent impact of the guideline on the prescribing rate of GI medication. Pre-scription rates of GI medication per claim by medical institution increased significantly, 1.98%point(from 50.27% to52.25%) and multivariate regression analysis showed significant increase in the prescription rate of GI medicationafter the distribution of guideline(p<0.001). In conclusion, the distribution of guideline for digestive might not havethe effects on the change in provider's behavior. Furthermore, to activate the use of practice guideline, it would benecessary to educate the contents to physicians as well as to develop practice guideline.