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KMID : 0370220210650010010
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Yakhak Hoeji
2021 Volume.65 No. 1 p.10 ~ p.16
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A Comparative Study on Health Insurance Fees Related to Community Pharmacists’ Services in Korea and Japan
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Kwon Sun-Hong
Sohn Eun-Hae
Kim Hye-Lin
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Abstract
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In Korea, the service fee reimbursed to community pharmacists by national health insurance (NHI) is limitedto traditional dispensing and managing of medication. On the contrary, health insurance fees for various pharmaceuticalcare services are reimbursed in Japan, which has a similar healthcare system to that of Korea. This study aims to comparethe fees and types of reimbursable activities covered by NHI between Korea and Japan. The unit prices and coverageconditions for each medical fee-related community pharmacist were examined and extracted from the reimbursementschedule tables from NHI. The Japanese fee was converted into Korean won by the Purchasing-Power-Parities exchangerate. We compared the dispensing fees according to change of prescription days and several additional payment conditionssuch as night-time, narcotics prescriptions, and medication for infant/child. In Japan, various fees for pharmacists’ advancedpharmaceutical care activities were reimbursed comprehensively, not merely for traditional dispensing. The average feedispensed for a 3-day prescription in Korea was about 60.8% of that in Japan and estimated to 33.6~60.5% under variousadditional payment conditions. Therefore, this study suggests that Japan's cases need to be reviewed and benchmarked andthat we need to consider how to reflect them in Korea’s reimbursement scheme.
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KEYWORD
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community pharmacists, service fee, Korea, Japan
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FullTexts / Linksout information
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Listed journal information
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