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http://dx.doi.org/10.12811/kshsm.2019.13.3.115

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

Lee, Hyeong-Cheol (Department of Family Medicine, University of Ulsan, College of Medicine)
Park, Woo-Joo (Department of Family Medicine, University of Ulsan, College of Medicine)
Oh, Mi-Kyeong (Department of Family Medicine, University of Ulsan, College of Medicine)
Publication Information
The Korean Journal of Health Service Management / v.13, no.3, 2019 , pp. 115-125 More about this Journal
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.
Keywords
Common Cold; Steroids; Antibiotics; Drug Overuse;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=TX_354_2009_H1008&vw_cd=MT_ZTITLE&list_id=354_35402&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
2 H.J. Cheung, H.J. Lee, J.S. Lee, M.H. Chung, E.S. Kim(2007) Antibiotic Prescription by primary Care Physicians for Upper Respiratory Infections, infetion & Chemotherapy, Vol.39(3);125-132.
3 A.M. Harris, L.A. Hicks, A. Qaseem(2016), High Value Care Task Force of the American College of Physicians and for the Centers for Disease Control and Prevention. Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention, Annals of Internal Medicine Vol 164(6):425-34.   DOI
4 M.A. Raeessi, J. Aslani, N. Raeessi, H. Gharaie, A.A. Karimi Zarchi, F. Raeess(2013), Honey plus coffee versus systemic steroid in the treatment of persistent post-infectious cough: a randomised controlled trial. Primary Care Respiratory Journal, Vol.22(3):325-30.   DOI
5 M. Oray, K. Abu Samra, N, Ebrahimiadib, H. Meese, C.S. Foster(2016), Long-term side effects of glucocorticoids, Expert Opinion on Drug Safety, Vol.15(4):457-65.   DOI
6 https://news.joins.com/article/12019345
7 G. Hayward, M.J. Thompson, R. Perera, C.B. Del Mar, P.P. Glasziou, C.J. Heneghan(2015), Corticosteroids for the common cold. Cochrane Database Syst Rev. Oct 13;(10):CD008116. doi:10.1002/14651858.CD008116.pub3.   DOI
8 O. Laccourreye, A. Werner, J.P. Giroud, V. Couloigner, P. Bonfils, E. Bondon-Guitton(2015), Benefits, limits and danger of ephedrine and pseudoephedrine as nasal decongestants. Eurpean Annals of Otorhinolaryngy, Head and Neck Disese,Vol.132(1):31-4.   DOI
9 https://www.medigatenews.com/news/3325115470
10 https://www.kpanews.co.kr/article/show.asp?idx=179004&table=article&category=&search=title&keyword=의약분업예외&page=1&go_back=1
11 https://www.kpanews.co.kr/article/show.asp?idx=177805&category=B
12 S.R. Lee, E.W. Park, Y.S. Cheong, E.Y. Choi, S.J. Lim, H.J. Sung, Y.J. Kim, S.O. Ha(2009), Patient's Perspective of Common Cold and Health Care Utilization, Korean Journal of Family Medicine, Vol.30(6):440-448.   DOI
13 http://www.law.go.kr/LSW/admRulInfoP.do?admRulSeq=2100000121421
14 D.H. Kim, M.K. Cho, M.N. Hong, J.Y. Choi(2017), A Survey in the General Population on the Perception of the Common Cold Treatment at the Korean Medical clinic, Journal of Internal Korean Medicine, Vol.38(3);336-352.   DOI
15 J.A. Kim, J. ParkJ, B.Y. Kim, D.S. Kim(2017). The Trend of Acute Respiratory Tract Infections and Antibiotic Prescription Rates in Outpatient Settings using Health Insurance Data. Korean Journal of Clinical Pharmacy. Vol.27(3):186-194.   DOI
16 HJ. Cho, S.K. Woo, C.T. Hong, E.K. Suh(2001), Comparison of prescription behaviors between practicing physicians and pharmacists by simulated patients with common cold, Korean Journal of Family Medicine, Vol.22(9):1394-1399.
17 G.M. Jin, B.D. Hwang(2017) Characteristics of Prescription Drugs for Acute Upper Respiratory Tract Infection in Outpatient Clinics, Korean Journal of Health Service Management, Vol.11(3);37-49.   DOI
18 H.Y. Lee, K.J. Kim, S.H. Yoo, S.W. Sung(2016), A Study Regarding Practice Pattern for Upper Respiratory Infections in Outpatient Settings according to a Physician's Position in a University Hospital, Korean Journal of Family Practice Vol.6(5);387-394.   DOI
19 http://www.kpanews.co.kr/article/show.asp?idx=193379&table=article&category=P
20 https://blog.naver.com/polungga/221380096914
21 http://kosis.kr/statHtml/statHtml.do?orgId=101tblId=DT_1YL20631&vw_cd=MT_GTITLE01&list_id=101&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_GTITLE01
22 M.L. van Driel, S. Scheire, L. Deckx, P, Gevaert, A. De Sutter(2018), What treatments are effective for common cold in adults and children? BMJ, 10;363:k3786. doi:10.1136/bmj.k3786.   DOI
23 J.J. Byeon(1997), Prescription of Digestive System Drugs to the Patients with No Digestive Symptoms, Korean Journal of Family Medicine, Vol. 18(1):78-84.
24 I.K. Choi, H.K. Lee, Y.J. Ji, I.H. Hwang, S.Y. Kim(2013), A Comparison of the Efficacy and Safety of Non-Steroidal Anti-Inflammatory Drugs versus Acetaminophen in Symptom Relief for the Common Cold: A Meta-Analysis of Randomized Controlled Trial Studies. Korean Journal of Family Medicine, Vol.34(4):241-249.   DOI
25 A. Lanas, R. Hunt(2006), Prevention of anti-inflammatory drug-induced gastrointestinal damage: benefits and risks of therapeutic strategies, Annals of Medicine, Vol.38(6):415-28.   DOI