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KMID : 1138720140400040029
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Korean Public Health Research
2014 Volume.40 No. 4 p.29 ~ p.39
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A Survey of Physicians and Pharmacists Regarding Drug Utilization Review: Prescribing and Dispensing Drugs with Drug?Drug Interactions and Age Contraindications in Goyangsi
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Shin Ju-Young
Lee Ai-Young
Sohn Seong-Wook
Choi Nam-Kyong
Shin Sun-Mi
Park Hyo-Ju
Park Byung-Joo
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Abstract
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Objective : To evaluate the attitudes and awareness of healthcare professionals (physicians and pharmacists) toward Drug Utilization Review (DUR) and their experiences of prescribing drugs with drug-drug interactions and agecontraindications in Goyangsi, Korea.
Methods : Face-to-face interview was conducted using a structured questionnaire for 612 physicians and 342 pharmacists, who were registered with Korean Medical Association or Korean Pharmaceutical Association in Goyangsi between February 15th, 2008 and February 21st, 2008.
Results : The total number of respondent was 309, which included 219 physicians and 90 pharmacists. The total number of prescribing or dispensing of drug combinations with drug-drug interactions was 90 (29.1%). The most frequently prescribed drug combination was HMG-CoA reductase inhibitors and triazole antifungals or macrolides (26.8%), which was followed by ketorolac and NSAIDs (26.2%). And the total number of respondents who reported experiences with prescribing or dispensing drugs with age contraindications was 82 (26.5%). The frequency of using extended-release acetaminophen under 12 years of age was the highest. The main reason for prescribing or dispensing contraindicated drugs was that no adverse events were observed with previous use (34 of 118 cases (25.0%)). And 32 cases (23.5%) were due to unawareness of the contraindications by the physicians and pharmacists.
Conclusion : A substantial number of physicians and pharmacists had experiences of prescribing or dispensing contraindicated drugs. Continuous education with the development of credible DUR information is necessary for a successful DUR system in Korea.
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KEYWORD
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Drug Utilization Review (DUR), Drug?Drug Interaction, Age?Contraindicated Drug, Healthcare Professionals, Questionnaires, Survey
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