• 제목/요약/키워드: drug policy

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가공식품 및 외식 영양표시에 대한 소비자인식조사 (A Survey on Customers' Perceptions of Nutrition Labeling for Processed Food and Restaurant Meal)

  • 권광일;윤성원;김소진;강하니;김해나;김지영;김서영;김길례;이준형;정선미;옥소원;이은주;김종욱;김명철;박혜경
    • Journal of Nutrition and Health
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    • 제43권2호
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    • pp.181-188
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    • 2010
  • 본 연구에서는 가공식품 및 외식업체 메뉴의 영양표시 시행에 대한 소비자들의 인식도를 조사하였다. 본 조사는 전국 20세~59세의 부모 1,507명을 대상으로 하여 전화면담으로 이루어졌다. 전체응답자의 89.8%가 가공식품에 영양표시가 있다는 것을 알고 있었으며, 응답자중 72.3%가 식품 구입시 영양표시를 확인하는 것으로 나타났다. 우선적으로 확인하는 영양표시 항목은 지방 (57.1%), 열량 (56.3%), 나트륨 (49.0%)이었으며, 알기 쉽고 눈에 잘 띄도록 표시되기를 원하는 항목은 트랜스지방 (62.1%), 콜레스테롤 (26.9%), 열량 (23.9%), 나트륨 (21.0%)순이었다. 외식에 영양표시를 시행할 경우 90.6%의 응답자는 영양표시가 메뉴선택에 영향을 미칠 수 있다고 응답하였다. 패스트푸드 이외에 영양표시 시행을 원하는 외식업체는 '피자 및 치킨'이 60.7%로 가장 높았다. 외식영양표시 시행 시우선적으로 표시하기를 원하는 영양성분은 열량 (62.0%), 지방 (60.3%), 나트륨 (50.9%)으로 나타났다. 본 조사결과 소비자들은 외식 영양표시 실시에 대하여 매우 호의적이며, 표시영양성분 중 열량을 가장 중요시 하는 것으로 조사되었다. 따라서 소비자가 현명하게 식품을 선택할 수 있는 제도가 마련되어야 할 필요가 있는 것으로 사료된다.

문헌고찰을 통해 본 의약분업정책 10년의 성과 평가 (Performance evaluation for Ten-years of Government Separation Policy on Prescription and Dispensing of Drugs: A Literature Review Study)

  • 이창우;신의철;박소정;김호종;김원식
    • 보건행정학회지
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    • 제23권2호
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    • pp.188-195
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    • 2013
  • Background: The separation of pharmaceutical prescription and dispensing law was implemented in July 1st of 2000. This law was initiated by government without a through consensus among related stakeholders in the process of policy decision, eventually raising contention about decision making process rather than the performance of the policy. Methods: Therefore, this study tries to identify the accomplishment of the policy goals; based on the last decade's research we assessed inhibition of unnecessary prescription, drug misuse and overuse prevention, prevention of drug-related sentinel events, reducing unnecessary drug utilization, and reducing nation's medical cost. Results: Assessment results represent that government-suggested goal of the policy lacks sufficient evidence to evaluate accomplishment. Conclusion: Unlike other studies that evaluate problems regarding drug dispensing policy in the policy decision process, this study is meaningful in that it evaluated the policy goal based on the last ten years of related study results.

선진국의 약가정책 고찰을 통한 건강보험 약가제도의 개선방안 (Suggestions for Redirection of Korean Price Policy for Reimbursement Drug in Health Insurance)

  • 이규식;정형선
    • 한국병원경영학회지
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    • 제8권1호
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    • pp.1-23
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    • 2003
  • General drug prices involve three stages: shipment stage, wholesaler stage and retail stage. Policies on drug price differ from country to country. Shipment stage prices are tightly regulated in countries like France and Netherlands. They are free in only a minority of advanced countries, even if these include some major players such as the US, Germany and, in a very limited sense, Japan. The situation in the UK is very complex with a semi-free system, where drug companies are free to set their own prices but cannot exceed a predetermined profit ceiling. Mark-up at both wholesaler and retail stages is formally admitted in most countries observed. Apart from the general drug prices, reimbursement price of insured drugs has been major policy concerns. Most countries reviewed in this study has exerted some control over reimbursement prices, but differ both in the way how and in the extent to which prices are admitted or fixed. Price fixing has been used in France and Japan. Some countries have transformed their system over time, particularly to move to reference pricing in the last decade. This mechanism has empowered the customer, and improved price competition on the market. Referring to the drug price policies in the advanced countries, this study makes some suggestions for the redirection of Korean price policy for reimbursement drug in health insurance as follows: to match appropriate policy tools to each policy goal; to maximize market mechanism through effective reimbursement price fixing which admits mark-ups in wholesaler and retail prices; to introduce reference pricing system in order to redirect patient's demand with a financial incentive to choose the best-priced drugs and to save the finance of health insurance; and to strengthen surveillance and monitoring mechanism in the drug market.

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의약분업이후 약국 경영수지 및 관련 요인 분석 (Analysis of Financial Performance and Its Factors of Community Pharmacies in Korea: After the Introduction of the Separation of Drug Prescription and Dispensing (SPD) Policy)

  • 박혜경;권창익;엄태훈;김예순;노연숙;정규혁;이의경
    • 약학회지
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    • 제52권6호
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    • pp.507-513
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    • 2008
  • The purpose of this study is to analyze the factors affecting financial performance of community pharmacies after the implementation of the new drug policy in Korea: separation of drug prescription and dispensing (SPD). The online survey questionnaires were sent to the active pharmacists of the total 20,633 community pharmacies in Korea and 1,147 pharmacists responded to the survey (the response rate was 5.5%). The questionnaire asked simple financial data in order to compare their financial performances before and after the policy. With the SPSS package (version 12.0), two levels of data analysis were used: 1) descriptive statistics to see the financial status of the pharmacies; and 2) multiple regression analysis to find the factors. {or A multiple regression method was used for the data analysis.} The finding illustrated that the average net benefit of the pharmacies was 4,870 thousand won in August 2006, and the major factors affecting the net benefit were the location of pharmacy (geographical proximity to medical institutions), number of prescriptions, drug management services for patients, chain pharmacy membership. The findings of this study suggest that service improvement for patients, revitalization of non-prescription drug sales, professional management will contribute to promote community based pharmacy business.

의료보험 의약품 관리원가의 정의 및 산정모형 개발 (Definition of Medical Drug Administration Cost and Development of Its Costing Model under the Korean Medical Insurance Fee-for-Service System)

  • 황인경
    • 보건행정학회지
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    • 제9권1호
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    • pp.1-29
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    • 1999
  • The Government has recently planned to improve the medical insurance drug price systems by removing the drug margin occurring from the difference between the official and purchasing prices, and instead by setting prices through adding drug administration casts calculated to the purchasing costs. In the circumstances, the major policy and implementing issues are how to define the drug administrance cost and how to calculate them. This study attempts to provide for the conceptional and operational definitions and thereby develop a costing model for the cost. The relationship between the current systems of medical services costs and prices were reviewed to define the concept of the costs. The study defined the costs from the narrow and wide prospective of meaning, and three operational definitions were provided. The costing model was developed applying the departmental costing principles. Finally, several prerequisites that have to be considered for the implementation of the definition and the model from the practical viewpoint.

외국인 마약사범 증가에 따른 국내 마약정책 개선방안 (A Study on Measures of Korean Drug Policy Improvement Against Increasing Foreign Drug Offenders)

  • 신재헌
    • 한국재난정보학회 논문집
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    • 제18권4호
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    • pp.795-805
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    • 2022
  • 연구목적: 이 연구는 최근 증가하고 있는 외국인 마약사범 문제를 살펴보고 현재 우리나라의 마약정책의 개선방안을 제시하기 위한 목적을 가지고 연구를 수행하였다. 연구방법: 이 연구의 목적을 달성하기 위하여 관련분야 선행연구 및 통계자료 등을 분석하고 해외사례 등을 참고하여 개선방안을 제안하였다. 연구결과: 2000년대 들어와 외국인의 국내 거주가 증가함에 따라 외국인마약범죄가 증가하고 있다. 실제 외국인 마약범죄 발생 실태를 살펴보면, 한국인의 마약범죄 계수 대비 1.2~3.3배 이상 더 발생하는 것으로 나타났으며, 2012년에 비해 2021년에는 6.5배 이상 증가한 모습을 보였다. 특히, 향정신성의약품과 관련된 마약범죄가 폭발적으로 증가하는 모습을 보였고, 마약 밀수로 많은 돈을 벌수 있는 사례가 등장하며 2016년을 기점으로 마약밀수가 폭발적으로 증가하였다. 결론: 외국인 마약범죄에 효과적으로 대응하기 위하여 외국인마약사범에 대한 집중 단속과 마약사범의 출신국별 가중치를 부여하여 마약류를 유입시킬 가능성이 높은 외국 출신자에 대한 입국의 기준을 강화하는 등의 방법을 제안하였다.

부산시 개원 의사와 개국 약사의 의약분업 정책목적 달성도와 손익에 대한 인식도 (Physicians and Pharmacists' Perceptions about the Goal Achievement of the Separation Policy of Drug Prescribing and Dispensing, and Benefit and Loss Caused by the Policy in Busan)

  • 박재성;남은우;권영철
    • 보건행정학회지
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    • 제11권4호
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    • pp.70-87
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    • 2001
  • The purpose of this study was to identify health care providers' perceptions about the goal achievement and benefit/loss caused by the separation policy of drug prescribing and dispensing after the policy implemented on July 1, 2001. Uslng stratified sampling method based on the administration area, Ku, 315 physicians and pharmacists were sampled from the rosters of physician and pharmacist association in the city of Busan on 2001. There were 122 and 115 responses from physician and pharmacist sample, respectively. 78.3% of physicians and 50.4% of pharmacists evaluated that the goal of the policy was not achieved. Moreover, 75.3% of physicians and 40.7% of pharmacists did not support the policy. Most physicians and pharmacists considered preventing the citizens with drug abuse and misuses as the most important benefit derived from the policy. However, physicians and pharmacists concerned over raising health care cost that could be patients' burden. The most important physicians' benefit derived from the policy was free choice of all possible medicine that might result in effectiveness of medication. In physicians' the most important loss, most physicians worried about that breaking traditional patient and physician relationship might cause physicians' authority in treating diseases to be damaged. Pharmacists considered the most important policy benefit as hiked social status resulted from enforcement of profession due to the policy whereas they considered the most significant loss as expected financial problems of small pharmacies compared to that of large pharmacies or pharmacies adjacent to hospitals. In the current problems of the policy, physician and pharmacists blamed the government for inadequate preparations of the policy implementation. Physicians and pharmacists also considered citizens' mature attitudes toward the policy as a crucial success factor.

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외래 본인부담률 인상이 상급종합병원과 종합병원 외래 의료이용에 미친 영향 (The Impact of Outpatient Coinsurance Rate Increase on Outpatient Healthcare Service Utilization in Tertiary and General Hospital)

  • 김효정;김영훈;김한성;우정식;오수진
    • 보건행정학회지
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    • 제23권1호
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    • pp.19-34
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    • 2013
  • Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.

선별등재 제도에 대한 전문가와 제약회사의 인식도 비교분석 (A comparative Analysis of Perception of Health Professionals and Pharmaceutical Companies on the Positive List System)

  • 하동문;이수경;김대업;정규혁;이의경
    • 약학회지
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    • 제54권4호
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    • pp.309-315
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    • 2010
  • The Positive List System was newly introduced in South Korea as of January 2007. This study aims to survey and compare perception of and attitudes toward the Positive List System in the process of new drug listing that health professionals and pharmaceutical companies have. 50 professionals and 52 companies answered the questionnaire regarding health policy environments, policy decision/enforcement process, policy effects and satisfaction related to introducing the Positive List System. SAS 9.1 was used for statistical analyses. The results showed that participants had the general sympathy with health policy environments for the introduction of the Positive List System into South Korea. However, the response rates of policy decision/enforcement process and effects were negative and these tendencies were more striking in pharmaceutical companies. As for policy satisfaction, participants marked positive responses more than negative ones. It is necessary to remedy and supplement problems with policy decision/enforcement policy and effects revealed in this study and to improve the Positive List System through gathering opinions among groups and organization concerned.