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KMID : 0897520000050010089
Journal of Korean Association of Social Psychiatry
2000 Volume.5 No. 1 p.89 ~ p.96
The View-point of Separation of Dispernsary from Medical Practice in Psychiatric Patients & Their Families
Park Jung-Soo

Kim Chan-Hyung
Park Yong-Chon
Jhung Eun-Kee
Choi Myoung-Hwan
Lee Choong-Koung
Abstract
The separation of dispensary from medical practice that is supposed be applied from July first, 2000 has two purposes. The first one is protecting people from the abuse of drugs and the second one is apparently distinguishing the roles, which are pharmacist and medical doctor, to accelerate people¡¯s access to correct medical treatment. In this context the ultimate purpose of it could be assumed to protect people¡¯s health. However actually people do not know much about the separation of pharmacy and clinic.
This Article is about the problems that mental patients and their families could think of and the perception they might have, when the separation of pharmacy and clinic is in effect nation-wide. The mental patients and their families, who were visited from september 20th, 1999 to October 30th, 1999 in civil, national, and private hospitals, were selected for survey target. The contents of questions consist of eight items including the followings. They were the perception of mental patients and their families for the separation of dispensary from medical practice and the problems that could be expected at the time of its enforcement. The number of returned questionnaire were 2,664 and 39 of them were excluded due to the unclear distinction between patients and families. Finally the patient responders were 2,330 and the family responders were 295. As a result of survey it is very rare that patients or families know clearly what the separation of dispensary from medical practice is, the policy of the separation of pharmacy and clinic is supposed to be enforced in the near future though. For the problems that could be raised after the enforcement of it, 60.3% of patients and 66.4% of families said that they felt complicated and it would be a burden to them economically and for the expected side effect most of patients and their families answered that the loss of consistent treatment and abuse of drug would be more deepened than before. Additionally they also answered that the policy of the separation of dispensary from medical practice should be exempted in the case of psychiatric treatment. Although the separation of dispensary from medical practice is a good system, there are several problems. Actually the fact, that the doctor-patient relationship is important in the psychiatric treatment, could cause more problems. The separation of dispensary from medical practice should be enforced with the consideration of possible problems and sufficient preliminary examination.
KEYWORD
Separation of dispensary from medical practice, Psychiatric treatment
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