Browse > Article

Concomitant Medication by Multiple Prescriptions Causing Duplication and Severe drug Interaction: During DUR Pilot Projects in Goyangsi and Jejudo  

Shin, Kwang-Shik (Korea Pharmaceutical Association)
Publication Information
Korean Journal of Clinical Pharmacy / v.21, no.2, 2011 , pp. 106-114 More about this Journal
Abstract
While multiple medication is an important global medication safety issue, ununified concomitant medication by multiple prescriptions may cause more severe problems by the fact that those are neither intended nor watched. This could cause therapy duplication and severe drug interaction and etc. Korean Government made region wide scale programs twice to detect such problems and give warnings to pharmacists and doctors through the internet system in 2009-2010, which are called Drug Use Review Services Pilot Project. This study is an analysis and comparison of the results of the two DUR pilot projects. There were 5.0 and 4.2 cases of severe drug interaction by the concomitant medication of multiple doctors' prescriptions per 10 thousand prescriptions, while only 0.37 and 0 cases by the medication of same doctor's prescription(s). There were 426 and 381 cases of drug duplication by the concomitant medication of multiple doctors' prescriptions per 10 thousand cases, while only 197 and 23 cases by medication of same doctors' prescription(s). Doctors' participation to those projects improved at Jejudo the later one compared to Goyangsi the former, which means the efforts of them to make less prescription problems succeeded to decrease the number of cases caused from same doctor's prescription. But they could not decrease the number of problem cases caused from concomitant medication by multiple doctors prescriptions enough. The findings support the issue of strengthening and widening the project nation wide and the issue of recommending the patients to designate their own pharmacy, which can provide them counseling for unified and safety controlled medication.
Keywords
concomitant medication by multiple prescription; drug duplication; severe drug interaction; unified medication;
Citations & Related Records
연도 인용수 순위
  • Reference
1 조경환. 일차 의료 인력의 추계에 관한 연구 : 의료보험 자료를 중심으로. 석사. 서울대학교 보건대학원. 2000.
2 張元基 外.. 一次醫療傳達體系의 改善方案 硏究 : 主治醫制度 導入方案을 中心으로. 한국 보건사회 연구원 2000.
3 보건복지 통계연보. 2010., 보건복지부.
4 Tangiisuran B., Gozzoli MP Davies JG et al., Adverse drug reactions in older people. Reviews in Clinical Gerontology. Cambridge University Press. 2010; 20; 246-259.
5 Mark. L., Seniors' risk high for adverse drug reactions. Star-Phoenix. Saskatoon, Sask.: Sep 9. 2010; pg. A.11.
6 Highlights of the 2009 Drug Abuse Warning Network Findings on Drug-related Emergency Department Visits. Substance Abuse and Mental Health Services Administration. December 28, 2010.
7 Tangiisuran B., Gozzoli MP Davies JG et al., Adverse drug reactions in older people. Reviews in Clinical Gerontology. Cambridge University Press. 2010; 20; 246-259.   DOI
8 Leone R, Magro L., Moretti U. et al., 2010., Identifying Adversive Drug Reactions Associated with Drug-Drug Interactions. Drug Saf. 2010; 33(8): 667-675.   DOI   ScienceOn
9 배윤영, 우리나라 65세 이상 노인 인구의 다약품 복용 실태 분석. 석사. 서울대학교 보건대학원. 2010.
10 Bergman A., Olsson J., Calsten A., et al., Evaluation of the quality of drug therapy among elderly patients in nursing homes. Scand J Prime Health Care 25, 9-14.
11 Montgomery A. T., Lindblad A. K.,, Eddby P. et al., Counselling Behaviour and content in a pharmaceutical care service in Swedish community pharmacies. Pharmacy World & Science. Dortrecht: Aug 2010. Vol. 32, iss 4; pg. 455
12 Darby D., Get advice on prescriptions. The Ottawa Citizen. Ottawa, Ont.: Jan 20, 2011. pg. A. 10
13 이승욱, 통계학의 이해 제2판2쇄, 서울: 자유아카데미, 1994: 391-402.
14 이의경 김철환 류시원 등, 2단계 의약품처방조제지원시스템 시범사업 평가 연구. 숙명여자대학교, 건강보험 심사평가원 2010; 39-61.
15 권순만 최상은 송정국, 제주도 약국판매약 포함 의약품처방조제지원서비스 시범사업 평가연구. 서울대학교 보건대학원 건강보험 심사평가원 2010; 45-70.
16 이의경 김철환 류시원 등, 2단계 의약품처방조제지원시스템 시범사업 평가 연구. 숙명여자대학교, 건강보험 심사평가원 2010; 39-61.