건강보험 약국 급여비 분석과 약국 유형화 연구

• 영문명: Variations in Pharmacy Payment of Korea National Health Insurance and a New Taxonomy of Community Pharmacies
• 발행기관: 대한약학회
• 저자명: 정채림 최상은 이화영 김진이
• 간행물 정보: 『약학회지』제57권 제1호 (2013년), 63~69쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2013.02.28

영문 초록

The objectives of the study are to investigate pharmacy remuneration levels stratified by the number of pre- scriptions dispensing and the type of nearby medical facilities using the Korean National Health Insurance (NHI) database,and to classify community pharmacies based on the characteristics. Claims data of all community pharmacies were extractedfrom the Korean NHI database from January 1 to June 30, 2010. A total of 14,985 pharmacies were included for the analysis.The remuneration amounts per pharmacist were directly associated with the number of prescription dispensing, and variedby the type of nearby medical facilities where more than 90% of prescriptions dispensed at the pharmacy are issued from.We classified pharmacies to six groups according to the number of prescription dispensing and the type of nearby medicalfacilities; (1) pharmacies with equal to or less than 200 prescriptions per month per pharmacist, (2) pharmacies near a gen-eral hospital, (3) pharmacies near a regular hospital, (4) pharmacies near a clinic, (5) pharmacies near multi clinics, and (6)pharmacies that do not belong to the above types. Compared to pharmacies near a clinic or multi clinics, pharmacies neara general hospital showed a lower number of prescription dispensing per pharmacist, but the income from dispensing fees was higher (p<0.05). The new taxonomy of community pharmacies can be a useful basis for further policy development in pharmacy remuneration system.

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키워드

community pharmacy pharmaceutical services pharmacy practice remuneration systems health policy Korea