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KMID : 1002520190130030115
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Korean Journal of Health Service Management
2019 Volume.13 No. 3 p.115 ~ p.125
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Prescription Pattern for a Simulated Patient With the Common Cold at Pharmacies in a Region in Korea Without Separation of Dispensary From Medical Practice
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Lee Hyeong-Cheol
Park Woo-Joo
Oh Mi-Kyeong
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Abstract
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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.
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KEYWORD
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Common Cold, Steroids, Antibiotics, Drug Overuse
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