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영동지방 의약분업 예외지역 약국들에서의 감기 증상 모의 환자에 대한 약물 처방 현황

Prescription Pattern for a Simulated Patient With the Common Cold at Pharmacies in a Region in Korea Without Separation of Dispensary From Medical Practice

보건의료산업학회지 2019년 13권 3호 p.115 ~ 125
이형철 ( Lee Hyeong-Cheol ) - 울산대학교 의과대학 강릉아산병원 가정의학과

박우주 ( Park Woo-Joo ) - 울산대학교 의과대학 강릉아산병원 가정의학과
오미경 ( Oh Mi-Kyeong ) - 울산대학교 의과대학 강릉아산병원 가정의학과

Abstract


Objectives: Korea has been practicing the separation of dispensary from medical practice since 2000 as a national policy to prevent misuse or overuse of medicines. This study aimed to investigate prescription patterns from except pharmacies in order to determine the appropriateness of drug usage among those patients.

Methods: Thirty-two pharmacies in the Yeongdong area of Gangwon Province were examined in this study. The same simulated patient complaining of cold symptoms for 3 days visited each pharmacy to obtain a prescription for medication.

Results: At pharmacies prescribing medicine, steroids (53.1%) and antibiotics (50.0%) were used to treat the common cold. Duplicate prescriptions of drugs, such as antihistamines (47.0%) and decongestants (31.3%) were common. The average number of drug prescriptions was 6.59, and 53.2% of pharmacies had prescribed more than seven drugs. The average total cost of the prescriptions was 6,093 won, and the daily cost was 2,544 won.

Conclusions: Steroids and antibiotics were frequently abused among patients whose medications had been prescribed by pharmacies. Also, there were a considerable number of drugs and duplicate prescriptions. The prices of the drugs were somewhat high.

키워드

감기; 스테로이드; 항생제; 약물남용
Common Cold; Steroids; Antibiotics; Drug Overuse
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