DUR 시스템의 임부금기 예외사유 현황 분석과 정책적 함의

• 영문명: A Current Analysis on Alert Override Reasons of Pregnancy Contraindication in the Drug Utilization Review system and the Policy Implication
• 발행기관: 대한약학회
• 저자명: 조문주(Moon-Joo Jo) 김정기(Jung Ki Kim) 정동극(Dong Geuk Jung) 김영호(Young Ho Kim)
• 간행물 정보: 『약학회지』제62권 제6호(2018년), 410~418쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2018.12.31

영문 초록

The purpose of this study was to analyze the patterns of alert override reasons for the pregnant women and to find ways to improve the Drug Utilization Review (DUR) system. The target of the study was the texts data about Grade 1 and M drugs after pregnant contraindication DUR check of institutions from January to December 2016. In this study, we extracted the key texts of alert override reasons and categorized them into the standard items. In order to figure out the pattern of alert override reasons in respect of whether the criteria was appropriate for the reasons or not, they were classified into the umbrella concepts which were named as operational definitions. Descriptive statistics was carried out using R program for empirical analysis of the cases described alert override reasons during pregnancy contraindication DUR check. In conclusion, the number of the clinics was 332, the most in the institutions describing alert override reasons. Moreover, ‘insufficient reason’ was 38.9%, the most among the patterns of alert override reasons, and there were many ‘meaningful reason (30.9%)’ and ‘clerical mistake (27.2%)’ in the following order. In addition, ‘insufficient reason’ of the tertiary hospitals was 37.4%, the most among them, and ‘clerical mistake’ of the clinics was 11.6% in the following order. Among the ingredients of pregnancy contraindication that corresponded to the significant reason, dydrogesterone oral agents accounted for the highest, 46.1%.

목차

연구방법(Study Methods)

결 과(Results)

고 찰(Discussion)

결 론(Conclusion)

키워드

retrospective drug utilization review pregnancy contraindication alert override reason