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KMID : 0950020060320020029
Journal of Health Science & Medical Technology
2006 Volume.32 No. 2 p.29 ~ p.38
The Behavior Changes and Satisfaction of the Consumers of Hospitals and Pharmacies after the Separation of Prescription and Dispensation
Rhim Kook-Hwan

Kim Jin-Hee
Choi Man-Kyu
Abstract
The separation of prescription and dispensation has been implemented with a purpose to restrict efficiently the overuse or misuse of drugs by attributing the roles of diagnosis and prescription just to the doctor and the roles of the preparation and administration of the medicine to the pharmacist. In spite of the benefits of this system, this separation system has resulted in several problems and immediately raised complaints from the patients and their family. Therefore, in order to evaluate the success of the new system, it is important to check how to minimize the inconveniences and to maintain the quality of the health services. The purpose of this study is to produce baseline data from the viewpoint of the healthcare consumers in order to improve the problems of the separation system of prescription and dispensation. For this, we interviewed 500 patients or families who visited pharmacies with a prescription. The survey was conducted from June 18, 2006 to July 7, 2006. The results of the study are as follows : First, half of the patients received one copy of the prescription from the hospitals in contrast to two copies - one for the pharmacy and one for the patient to keep. Also, only half of the patients received a receipt of the treatment from the medical institutions, which implies that many hospitals do not issue receipts to their patients. Second, some patients had to visit numerous pharmacies in order to receive the proper medication prescribed by their doctor. The main reasons for this were that certain pharmacies did not carry out the prescribed medication and that there were too many patients waiting in line in the pharmacies. Third, 61.2% of the patients said that they experienced no difference in their habits in taking medicine. 6.1% said that they even take more medicine than before. Fourth, 61.7% more than twice as many patients answered that they find it more complicated to get proper medicines after the separation system than before. The main reason was the troubles they take in going from the hospital to a pharmacy. Others include the complicated procedure from prescription to dispensation and lack of medication in certain pharmacies. The satisfaction of the consumers of hospitals and pharmacies is one of the important contributing factors in the stability and success of the separation policy. The problems identified by this study must be solved immediately.
KEYWORD
prescription, dispensation, hospital, pharmacy
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