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醫藥分業制度의 實施에 關한 基礎調査

A Basic Study Concerning Implementation of functional Division Between Physicians and Pharmacists

공중보건잡지 1970년 7권 2호 p.627 ~ 636
박민수 (  ) - 서울대학교 보건대학원

Abstract


During the period of August 20 to October 20, 1970 opinion polls were conducted regarding the implementation of functional division between physicians and pharmacists, prepared questionnaire sheets were distributed to the 648 pharmacists practising in Youndungp´o-gu, Seoul (as of August 20, 1970), and to 200 ordinary citizens living in the same area Questionnaire sheets were collected from 247 pharmacists and 135 ordinary citizens. As the results of studies and analysis of the questionnairs collected form the total of 382 respondent pollees, the following conclustion was reached:
1. Out of the total of 247 pharmacists who responded to the questionnaires, 61.5 per cent conditionally supported the division of labor between hpysicians and pharmacists, 25.9 per cent opposed it, and 12.6 per cent gave miscellaneous answers.
2. The groups of pharmacists who supported or opposed the division of labor were broken down by sex as follows: 61.3 per cent of male pharmacists and 62.0 per cent of female pharmacists conditionally supported it while 26.8 per cent of male pharmacists and 24.1 per cent of female pharmacists opposed it.
3. As for ordinary citizens, 41.5 per cent conditionally supported the division of labor between physicians and pharmacists, 34.8 per cent gave miscellaneous asnwers, and 23.7 per cent opposed it.
4. Mass-communications media were regarded as the most importance source of information for the pollees concering the division of laborbetween physicians and pharmacists in as much as 44.5 per cent of respondent practising pharmacists and 43.0 per cent of respondent ordinary citizens termed masscommunications media as their main sourees of information on this matter.
5. The greatest respective proportions, or 45.7 per cent of respondent practising pharmacists and 33.3 per cent of ordinary citizens, supported the step-by-step implementation of functional division between physicians and pharmacists by extending the system from selected model areas to other areas.
6. The idea of deisgnating one specific ward of the city as amodel area was supported by 43.7 per cent of respondent pollees, and the idea of implementing division of labor between physicians and pharmacists in a model area on a trial basis for one year by 41.2 per cent. These groups consituted the greatest porportions respectively.
7. As for the enforcement system of functional division 37.2 per cent of repondent physicians preferred a voluntary implementation, and 30.4 per cent preferred a mandatory implementation, while 31.1 per cent of respondent ordinary citizens gave miscellaneous answers(´I don´t kow") and 27.4 per cent preferred a voluntary system.
8. As for the number of pharmaceuticals to be subject to functional division between physicians and pharmacists, 38.5 per cent of respondent practising pharmacists preferred the simultaneous control of two or more kinds of pharmaceuticals (including narecotics and antibiotics), 32.8 per cent preferred the control of only narcotics, 17.0 per cent preferred the control of only antibiotics, and 11.7 preferred the control of only habitual durgs. Meanwhile, 38.5 per cent of respondent ordinary citizens wanted the control of only narcotics in the initial stage, and 28.1 per cent wanted the contro, of antitiotios first.
9. The greatest proportion or 42.9 per cent of respordent practising pharmacists said that they filled 20 cases of prescription on the daily average. As for the ratio of profit form the preparation of pharmaceuticals on the basis of prescriptions, 37.2 per cent or the greatest proportion said that such profit constituted 31 to 40 per cent of gross sales, and 14.2 per cent or the smallest proportion said that is constituted 10 to 20 per cent.
10. 46.0 per cent of respondent practising pharmacists predicted that gross income of pharmacies would decrease if functional division between physicians and pharmacists was enforced while 32.0 pear cent believed that there would be no remarkable change in their gross income.
11. 40.0 per cent of respondent practising pharmacists said that pharmaceutical companies would concentrate their development of pharmaceuticals on therapeutical preparations if functional division between physicians and pharmacists was realized, while 36.3 per cent of respondent ordinary citizens predicted that its implementation would restrain excessive advertisements on pharmaceuticals.
12. 55.9 per cent of respondent practising pharmacists opposed the designation of Yongdungp´o-gu, Seoul as a model area for the trial-basis implementation of functional division between physicians and pharmcists, while 32.0 per cent supported it and 12.1 per cent gave miscellaneous answers.
On the basis of the above results of survey, the following matters are considered prerequisite tofunctional division between physicians and pharmacists in Korea
1. Functional division between physicians and pharmacists Should be implemented after these social conditions are achieved the elimination of doctor-less areas and pharmacists-less areas, and the implementation of the medical insurance system.
2. In should be implemented after occupational functions are systematically classfied between physicians and pharmacists regarding their in come and professional skills.
3. Adequate legal protection and a definite government policy are necessary for fair distribution of income between physicians and pharmacists. Parmaceutical items to be subject to its enforcement should be designated step by step. The System should then be implemented gradually through trial implementation in model districts.

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