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Consumption of pharmaceutical drugs in exception region of separation for drug prescribing and dispensing program in South Korea

Authors
 Sang Mi Yuk  ;  Kyu-Tae Han  ;  Sun Jung Kim  ;  Woorim Kim  ;  Tae Yong Sohn  ;  Byungyool Jeon  ;  Young-Man Kim  ;  Eun-Cheol Park 
Citation
 SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY, Vol.10 : 36, 2015 
Journal Title
SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY
Issue Date
2015
MeSH
Adult ; Aged ; Drug Utilization/statistics & numerical data* ; Female ; Humans ; Male ; Middle Aged ; Pharmaceutical Services/statistics & numerical data* ; Practice Patterns, Physicians'/statistics & numerical data* ; Republic of Korea ; Surveys and Questionnaires
Keywords
Separation of drug prescribing and dispensing ; Pharmaceutical reform ; Pharmaceutical expenditures ; Misuse
Abstract
BACKGROUND: In the year 2000, the South Korean government introduced a program for separation of drug prescribing and dispensing. The goals of the program are to reduce misuse of drugs and to contain drug expenditures. The government also designated exception regions for the program to reduce the inconvenience for people who reside in areas with a shortage of health care resources. However, according to government reports, many adverse events related to drug misuse occurred in these exception regions after the program reforms were introduced. Therefore, it is worth investigating the factors that relate to drug consumption so that misuse in exception regions can be reduced.

METHODS: Data from medical institutions, detailed drug supply data, and community health survey data were included in the analysis. Multilevel linear regression analysis using mixed models that included pharmacy-and regional-level variables were used to examine the associations regarding the percentages of drug types consumed (i.e., antipyretic, analgesic, anti-inflammatory drugs, psychotropic drugs, adrenal cortical hormones, and antibiotics).

RESULTS: The data used in this analysis were from a total of 16,455 pharmacies. There were 1.9 % pharmacies from program exception regions and 98.1 % pharmacies from program application regions. Compared with the pharmacies in the program application regions, the exception region pharmacies had higher values for percent consumption of the antipyretic, analgesic, anti-inflammatory drugs category, and of the adrenal cortical hormones category (antipyretic, analgesic, anti-inflammatory drugs = β: 3.19, Standard Error (SE): 0.82, t: 3.88, p-value < 0.05; adrenal cortical hormones = β: 0.72, SE: 0.07, t: 9.92, p-value < 0.05).

CONCLUSION: Our results suggested that pharmacies in exception regions supplied more antipyretic, analgesic, anti-inflammatory drugs, and more adrenal cortical hormones compared with the pharmacies where separation of drug prescribing and dispensing had been implemented. Health care professionals and health policy makers should consider management of health care expenditure by the category of drugs consumed, especially in program exception regions.
Files in This Item:
T201503513.pdf Download
DOI
10.1186/s13011-015-0032-3
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141133
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