Consumption of pharmaceutical drugs in exception region of separation for drug prescribing and dispensing program in South Korea

Sang Mi Yuk, Kyu Tae Han, Sun Jung Kim, Woorim Kim, Tae Yong Sohn, Byungyool Jeon, Young Man Kim, Euncheol Park

Research output: Contribution to journalArticle

Abstract

Background: In the year 2000, the South Korean government introduced a program for separation of drug prescribing and dispensing. The goals of the program are to reduce misuse of drugs and to contain drug expenditures. The government also designated exception regions for the program to reduce the inconvenience for people who reside in areas with a shortage of health care resources. However, according to government reports, many adverse events related to drug misuse occurred in these exception regions after the program reforms were introduced. Therefore, it is worth investigating the factors that relate to drug consumption so that misuse in exception regions can be reduced. Methods: Data from medical institutions, detailed drug supply data, and community health survey data were included in the analysis. Multilevel linear regression analysis using mixed models that included pharmacy-and regional-level variables were used to examine the associations regarding the percentages of drug types consumed (i.e., antipyretic, analgesic, anti-inflammatory drugs, psychotropic drugs, adrenal cortical hormones, and antibiotics). Results: The data used in this analysis were from a total of 16,455 pharmacies. There were 1.9 % pharmacies from program exception regions and 98.1 % pharmacies from program application regions. Compared with the pharmacies in the program application regions, the exception region pharmacies had higher values for percent consumption of the antipyretic, analgesic, anti-inflammatory drugs category, and of the adrenal cortical hormones category (antipyretic, analgesic, anti-inflammatory drugs = β: 3.19, Standard Error (SE): 0.82, t: 3.88, p-value < 0.05; adrenal cortical hormones = β: 0.72, SE: 0.07, t: 9.92, p-value < 0.05). Conclusion: Our results suggested that pharmacies in exception regions supplied more antipyretic, analgesic, anti-inflammatory drugs, and more adrenal cortical hormones compared with the pharmacies where separation of drug prescribing and dispensing had been implemented. Health care professionals and health policy makers should consider management of health care expenditure by the category of drugs consumed, especially in program exception regions.

Original languageEnglish
Article number36
JournalSubstance Abuse: Treatment, Prevention, and Policy
Volume10
Issue number1
DOIs
Publication statusPublished - 2015 Sep 16

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Drug Prescriptions
Republic of Korea
Pharmacies
Pharmaceutical Preparations
Antipyretics
Non-Steroidal Anti-Inflammatory Agents
Hormones
Health Expenditures
Delivery of Health Care
Health Resources
Psychotropic Drugs
Health Policy
Health Surveys
Administrative Personnel
Linear Models
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Health Policy
  • Psychiatry and Mental health

Cite this

Yuk, Sang Mi ; Han, Kyu Tae ; Kim, Sun Jung ; Kim, Woorim ; Sohn, Tae Yong ; Jeon, Byungyool ; Kim, Young Man ; Park, Euncheol. / Consumption of pharmaceutical drugs in exception region of separation for drug prescribing and dispensing program in South Korea. In: Substance Abuse: Treatment, Prevention, and Policy. 2015 ; Vol. 10, No. 1.
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title = "Consumption of pharmaceutical drugs in exception region of separation for drug prescribing and dispensing program in South Korea",
abstract = "Background: In the year 2000, the South Korean government introduced a program for separation of drug prescribing and dispensing. The goals of the program are to reduce misuse of drugs and to contain drug expenditures. The government also designated exception regions for the program to reduce the inconvenience for people who reside in areas with a shortage of health care resources. However, according to government reports, many adverse events related to drug misuse occurred in these exception regions after the program reforms were introduced. Therefore, it is worth investigating the factors that relate to drug consumption so that misuse in exception regions can be reduced. Methods: Data from medical institutions, detailed drug supply data, and community health survey data were included in the analysis. Multilevel linear regression analysis using mixed models that included pharmacy-and regional-level variables were used to examine the associations regarding the percentages of drug types consumed (i.e., antipyretic, analgesic, anti-inflammatory drugs, psychotropic drugs, adrenal cortical hormones, and antibiotics). Results: The data used in this analysis were from a total of 16,455 pharmacies. There were 1.9 {\%} pharmacies from program exception regions and 98.1 {\%} pharmacies from program application regions. Compared with the pharmacies in the program application regions, the exception region pharmacies had higher values for percent consumption of the antipyretic, analgesic, anti-inflammatory drugs category, and of the adrenal cortical hormones category (antipyretic, analgesic, anti-inflammatory drugs = β: 3.19, Standard Error (SE): 0.82, t: 3.88, p-value < 0.05; adrenal cortical hormones = β: 0.72, SE: 0.07, t: 9.92, p-value < 0.05). Conclusion: Our results suggested that pharmacies in exception regions supplied more antipyretic, analgesic, anti-inflammatory drugs, and more adrenal cortical hormones compared with the pharmacies where separation of drug prescribing and dispensing had been implemented. Health care professionals and health policy makers should consider management of health care expenditure by the category of drugs consumed, especially in program exception regions.",
author = "Yuk, {Sang Mi} and Han, {Kyu Tae} and Kim, {Sun Jung} and Woorim Kim and Sohn, {Tae Yong} and Byungyool Jeon and Kim, {Young Man} and Euncheol Park",
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Consumption of pharmaceutical drugs in exception region of separation for drug prescribing and dispensing program in South Korea. / Yuk, Sang Mi; Han, Kyu Tae; Kim, Sun Jung; Kim, Woorim; Sohn, Tae Yong; Jeon, Byungyool; Kim, Young Man; Park, Euncheol.

In: Substance Abuse: Treatment, Prevention, and Policy, Vol. 10, No. 1, 36, 16.09.2015.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Consumption of pharmaceutical drugs in exception region of separation for drug prescribing and dispensing program in South Korea

AU - Yuk, Sang Mi

AU - Han, Kyu Tae

AU - Kim, Sun Jung

AU - Kim, Woorim

AU - Sohn, Tae Yong

AU - Jeon, Byungyool

AU - Kim, Young Man

AU - Park, Euncheol

PY - 2015/9/16

Y1 - 2015/9/16

N2 - Background: In the year 2000, the South Korean government introduced a program for separation of drug prescribing and dispensing. The goals of the program are to reduce misuse of drugs and to contain drug expenditures. The government also designated exception regions for the program to reduce the inconvenience for people who reside in areas with a shortage of health care resources. However, according to government reports, many adverse events related to drug misuse occurred in these exception regions after the program reforms were introduced. Therefore, it is worth investigating the factors that relate to drug consumption so that misuse in exception regions can be reduced. Methods: Data from medical institutions, detailed drug supply data, and community health survey data were included in the analysis. Multilevel linear regression analysis using mixed models that included pharmacy-and regional-level variables were used to examine the associations regarding the percentages of drug types consumed (i.e., antipyretic, analgesic, anti-inflammatory drugs, psychotropic drugs, adrenal cortical hormones, and antibiotics). Results: The data used in this analysis were from a total of 16,455 pharmacies. There were 1.9 % pharmacies from program exception regions and 98.1 % pharmacies from program application regions. Compared with the pharmacies in the program application regions, the exception region pharmacies had higher values for percent consumption of the antipyretic, analgesic, anti-inflammatory drugs category, and of the adrenal cortical hormones category (antipyretic, analgesic, anti-inflammatory drugs = β: 3.19, Standard Error (SE): 0.82, t: 3.88, p-value < 0.05; adrenal cortical hormones = β: 0.72, SE: 0.07, t: 9.92, p-value < 0.05). Conclusion: Our results suggested that pharmacies in exception regions supplied more antipyretic, analgesic, anti-inflammatory drugs, and more adrenal cortical hormones compared with the pharmacies where separation of drug prescribing and dispensing had been implemented. Health care professionals and health policy makers should consider management of health care expenditure by the category of drugs consumed, especially in program exception regions.

AB - Background: In the year 2000, the South Korean government introduced a program for separation of drug prescribing and dispensing. The goals of the program are to reduce misuse of drugs and to contain drug expenditures. The government also designated exception regions for the program to reduce the inconvenience for people who reside in areas with a shortage of health care resources. However, according to government reports, many adverse events related to drug misuse occurred in these exception regions after the program reforms were introduced. Therefore, it is worth investigating the factors that relate to drug consumption so that misuse in exception regions can be reduced. Methods: Data from medical institutions, detailed drug supply data, and community health survey data were included in the analysis. Multilevel linear regression analysis using mixed models that included pharmacy-and regional-level variables were used to examine the associations regarding the percentages of drug types consumed (i.e., antipyretic, analgesic, anti-inflammatory drugs, psychotropic drugs, adrenal cortical hormones, and antibiotics). Results: The data used in this analysis were from a total of 16,455 pharmacies. There were 1.9 % pharmacies from program exception regions and 98.1 % pharmacies from program application regions. Compared with the pharmacies in the program application regions, the exception region pharmacies had higher values for percent consumption of the antipyretic, analgesic, anti-inflammatory drugs category, and of the adrenal cortical hormones category (antipyretic, analgesic, anti-inflammatory drugs = β: 3.19, Standard Error (SE): 0.82, t: 3.88, p-value < 0.05; adrenal cortical hormones = β: 0.72, SE: 0.07, t: 9.92, p-value < 0.05). Conclusion: Our results suggested that pharmacies in exception regions supplied more antipyretic, analgesic, anti-inflammatory drugs, and more adrenal cortical hormones compared with the pharmacies where separation of drug prescribing and dispensing had been implemented. Health care professionals and health policy makers should consider management of health care expenditure by the category of drugs consumed, especially in program exception regions.

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