YAKHAK HOEJI (약학회지)

The Pharmaceutical Society of Korea (대한약학회)
권호 표지

A Study of Recognition and Acceptance on Pharmacists for the Enforcement of Drug Utilization Review

처방조제지원시스템 시행에 따른 약사의 인지도 및 수용성에 대한 조사

  • Received : 2009.09.07
  • Accepted : 2009.12.15
  • Published : 2009.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

DUR (Drug Utilization Review) originally referred to the evaluation of drug usage details: however DUR refers to the system used to support the services of prescribing and dispensing through linking from Health Insurance Review and Assessment (HIRA) Service in Korea. HIRA is going to begin the DUR enforcement for extending to nationwide coverage after pilot test. Objectives: The aims for this study were to evaluate and clarify the current opinions of the pharmacists for the recognition and acceptance rates before nationwide coverage concerning DUR system. Methods: A 16-question-questionnaire was developed and pilot tested. For 40 days of survey by both on-line and fax paper, it was carried out on 80 pharmacists working at community pharmacy in Goyang-si, Gyeonggi-do. Results: Most of answers were broadly positive and interested in begining the DUR system and kept in mind that the goal of DUR is safety guarantee for people. On the other hand, most of answerers worry that delay of patient waiting time and inharmonious communication with doctors in DUR processing can be a major obstacle to begin the DUR system. Conclusion: To solve several problems, the most important things are to make good reciprocal relationships between doctors and pharmacists, investigate intervention tool to shorten patient waiting time, and activate educational program of inspecting items for the pharmacists.

Keywords

References

  1. OECD Health data 2009 : OECD Health Data 2009 주요지표 분석 결과, 보건복지가족부 보도자료 (2009)
  2. 최병철 : 의약품사용평가제도의 전반적인 이해, HIRA 정책동향 (건강보험심사평가원), 제3권 3호, p. 11 (2009)
  3. 대한약사회 : 의약품사용평가제도 해설, 의약품사용평가(DUR) 학술정보 (2004)
  4. Schulke, D. G. : A congressional perspective on innapropriate drug therapy and drug utilization review. Clin. Pharmacol. Ther. 50, 606 (1991) https://doi.org/10.1038/clpt.1991.191
  5. U.S. Senate Special Committee on Aging : Implementation of the Drug Use Review Provisions of the Medicaid Prudent Pharmaceutical Provisions of the Omnibus Budget Reconciliation Act of 1990, pp. 1-6 (1991)
  6. 숙명여자대학교 의약정보연구소, 전산화 약물사용평가 프로그램을 활용한 약제비 심사 효율성 향상 방안 연구 보고서 (2003)
  7. 건강보험심사평가원 : G5국가의 의료심사평가 제도. 미국의 의료 심사평가 현황 (2008)
  8. 건강보험심사평가원 : 해외 약제심사제도 연구-미국의 처방.조제 전산지원제도를 중심으로 (2008)
  9. Lyles, A., Sleath, B., Fulda, T. R. and Collins, T. M. : Ambulatory drug utilization review: opportunities for improved prescription drug use. Am. J. Manag. Care. 7, 75 (2001)
  10. http://www.access.gpo.gov; Code of Federal Regulations(CFR), Title 42 Public Health, Volume 4, Chapter IV, Health Care Financing Administration, Department of Health and Human Service Part 456 Utilization Control Subpart (revised Octer 1, 2006)
  11. Fulda, T. R., Soumerai, S. B. and Lipton, H. L. : Computer- Based Drug Utilization Review (risk, benefit, or bondoggle?). N. Engl. J. Med. 332, 1641 (1995) https://doi.org/10.1056/NEJM199506153322411
  12. Peng, C. C., Glassman, P. A., Marks, I. R., Fowler, C., Castiglione, B. and Good, C. B. : Retrospective drug utilization review: incidence of clinically relevant potential drug-drug interactions in a large ambulatory population. J. Manag. Care. Pharm. 9, 513 (2003) https://doi.org/10.18553/jmcp.2003.9.6.513
  13. Hennessy, S., Bilker, W. B., Zhou, L., Weber, A. L., Brensinger, C., Wang, Y. and Strom, B. K. : Retrospective drug utilization review, prescribing errors, and clinical outcomes. JMA 290, 1494 (2003)
  14. Yeom, J. H., Park, J. S., Oh, O. H., Shin, H, T. and Oh, J. M. : Identification of inappropriate drug prescribing by computerized, retrospective DUR screening in Korea. The Annals of Pharmacotherapy 39, 1918 (2005) https://doi.org/10.1345/aph.1E674
  15. Medco Health Solutions : Centralized DUR and Prescription-Leveraging the US Experience in Other Countries. KAMCP 발표자료(2008)
  16. Monane, M., Matthias, D. M., Nagle, B. A. and Kelly, M. A. : Improving prescribing patterns for the elderly through an online drug utilization review intervention: A system linking the physician, pharmacist, and computer. JAMA 280, 1249 (1998) https://doi.org/10.1001/jama.280.14.1249
  17. 보건복지부 : 병용금기 의약품 사전 점검을 위하여 의료기관, 약국에 "처방조제지원시스템" 설치 의무화, 보도자료 (2007)
  18. 최병철 : 의약품사용평가제도의 전반적인 이해, HIRA 정책동향 (건강보험심사평가원), 제3권 3호, p. 16 (2009)
  19. 박병주 : 의약품 처방·조제 지원 시스템 사업의 추진방향, HIRA 정책동향(건강보험심사평가원), 제3권 3호, p. 10 (2009)
  20. 전철수 : 의약품처방조제지원시스템 단계적 확대의 문제점 및 개선 방향, HIRA 정책동향(건강보험심사평가원), 제3권 3호, p. 21 (2009)
  21. 신광식 : 의역품사용평가제도의 발전 전망, HIRA 정책동향(건강보험심사평가원), 제3권 3호 (2009)