국내 건강보험 의약품 사용량 관리 정책 현황과 향후 과제
Overview and Challenges of National Health Insurance Pharmaceutical Use Control Policy
- 김동숙(Dong-Sook Kim)
- 제9권 제1호
- 62 - 69 (8 pages)
OBJECTIVE To control growth of pharmaceutical expenditure, it is necessary to establish volume control policy considering aging and increase of multiple chronic diseases. The aim of this study was to examine the overall pharmaceutical use control policies. METHODS Literature search for press release of Ministry of Health and Welfare (MoH), policies report, KMbase, and report of Organization for Economic Cooperation and Development (OECD) were conducted. Descriptive review of statistical year book of Prescribing Trend Analysis, Drug Utilization Review (DUR) program, and OECD Health Statistics were carried out. RESULTS To control pharmaceutical use, numerous policies targeting physicians and pharmacists have been implemented. However, the pharmaceutical use for acute diseases are high in Korean patients compared to other countries. Also, considering rapid aging, the policies to promote appropriate drug use targeting pharmacists and patients should be encouraged. CONCLUSION To influence demand side of pharmaceutical use, it is important to draw social consensus and design carefully. This review could help provide directions for the development of pharmaceutical volume control policies as future medicine policy option.
고찰 및 결론