DOI QR코드

DOI QR Code

문헌고찰을 통해 본 의약분업정책 10년의 성과 평가

Performance evaluation for Ten-years of Government Separation Policy on Prescription and Dispensing of Drugs: A Literature Review Study

  • 이창우 (보험연구원) ;
  • 신의철 (가톨릭대학교 의과대학 예방의학교실) ;
  • 박소정 (가톨릭대학교 의과대학 예방의학교실) ;
  • 김호종 (가톨릭대학교 의과대학 예방의학교실) ;
  • 김원식 (건국대학교 경제학과)
  • Lee, Changwoo (Korea Insurance Research Institute) ;
  • Shin, Euichul (Department of Preventive Medicine, The Catholic University of Korea College of Medicine) ;
  • Park, Sojung (Department of Preventive Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Hojong (Department of Preventive Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Wonshik (Department of Economics, Konkuk University)
  • 투고 : 2013.05.30
  • 심사 : 2013.06.05
  • 발행 : 2013.06.30

초록

Background: The separation of pharmaceutical prescription and dispensing law was implemented in July 1st of 2000. This law was initiated by government without a through consensus among related stakeholders in the process of policy decision, eventually raising contention about decision making process rather than the performance of the policy. Methods: Therefore, this study tries to identify the accomplishment of the policy goals; based on the last decade's research we assessed inhibition of unnecessary prescription, drug misuse and overuse prevention, prevention of drug-related sentinel events, reducing unnecessary drug utilization, and reducing nation's medical cost. Results: Assessment results represent that government-suggested goal of the policy lacks sufficient evidence to evaluate accomplishment. Conclusion: Unlike other studies that evaluate problems regarding drug dispensing policy in the policy decision process, this study is meaningful in that it evaluated the policy goal based on the last ten years of related study results.

키워드

참고문헌

  1. Kim KH. Complexity and self-organization of policy system: focused on the policy of the separation of dispensary from medical practice. Korean Policy Stud Rev 2009;18(4):23-60.
  2. Kim SH. Cultural analysis of conflicts around medical reform: in case of pharmaceutical practices. Social Welf Policy 2009;36(1):89-116. https://doi.org/10.15855/swp.2009.36.1.89
  3. Kim SY. The dynamics of advocacy coalitions in Korean healthcare policy-making: a comparative case study. Korean Policy Stud Rev 2010;19(2): 1-44.
  4. Park MJ. The research for the new institutional analysis in change of the separation of the dispensing of drugs: on the focus of rational choice institutionalism. Korean J Health Policy Admin 2007;17(4):1-30. https://doi.org/10.4332/KJHPA.2007.17.4.001
  5. Yoo SH. The framework of policy argumentation and decisions: focused on the case of the separation of dispensary from medical practice. Korean Public Admin 2010;22(3):887-909.
  6. Yun HG. A study on the possible consensus on the medical issues through medical knowledge. Health Soc Sci 2003;14:29-57.
  7. Kim WS. Division of role between physician and pharmacist on drug and development of national health insurance: the ten years of love and hatred. Korean Soc Secur Stud 2010;26(4):159-193.
  8. Korean Medical Association. The 14th health care policy forum "the separation of prescribing and dispensing 5-year evaluation." Seoul: Research Institute for Healthcare Policy Korean Medical Association; 2005.
  9. Kim JY. Impact of seperation of prescribing and dispensing law on medical service utilization and physician's prescription behavior change. Seoul: Korea Institute for Health and Social Affairs; 2002.
  10. Lee SY, LEE YK, Cho JK. Song HJ. A basic study for the separation of prescribing and dispensing performance evaluation. Seoul: Korea Institute for Health and Social Affairs; 2005
  11. Jang SM, Lee EK, Kim Y, Bae EY, Han EA. Comparative analysis of drug misuse after the separation of prescribing and dispensing practice. Seoul: Korea Institute for Health and Social Affairs; 2001.
  12. Cho JK, Lee EK, Kim JY, Jang SM, Bae EY, Park HK. Enforcement evaluation for the separation of prescription and dispensing. Seoul: Korea Institute for Health and Social Affairs; 2001.
  13. Cho JK, Kim JY, Jang SM, BAE EY, Lee SH, Yun KJ. A study on the health behavior for prescription dispensing. Seoul: Korea Institute for Health and Social Affairs; 2002.
  14. Choi BH. Impact of the reform for separation between prescribing and dispensing of drugs upon financial situation of the national health insurance. Seoul: Korea Institute for Health and Social Affairs; 2002.
  15. Woo CM. Guideline for prevention of medication error. Seoul: Ministry of Health and Welfare; 2008.
  16. Jang SM, Kim JY, Bae EY, Oh YH, Hwang EH, Jin YR, et al. The separation of prescribing and dispensing: policy evaluation and improvement plans. Seoul: Korea Institute for Health and Social Affairs; 2002.
  17. Yun JW, Kim YG, Baek BS. An empirical study on the effect of the separation of dispensary from medical practice. Korean J Health Policy Admin 2011;21(2):179-194. https://doi.org/10.4332/KJHPA.2011.21.2.179
  18. Health Insurance Review Agency. Analysis on prescription before and after separation policy of prescribing and dispensing of Drugs. Seoul: Health Insurance Review Agency; 2004.
  19. Huh SI, Jung JC, Lee HY. A study of rational pharmaceutical expenditure. Seoul: National Health Insurance Service; 2006.
  20. Kim WS, Shin EC, Kim YK. Evaluation study on separation policy on prescription and dispensing of drugs. Seoul: Research Institute for Health Policy; 2012.
  21. Hwang HS. Principal-agent relations in the policy process: reinterpreting the formation process of the "drug prescription and dispensing separation" policy. Korean Policy Stud Rev 2005;14(4):29-57.

피인용 문헌

  1. Recovery of Adrenal Function in Patients with Glucocorticoids Induced Secondary Adrenal Insufficiency vol.31, pp.1, 2016, https://doi.org/10.3803/EnM.2016.31.1.153