본문 바로가기 주메뉴 바로가기
국회도서관 홈으로 정보검색 소장정보 검색

초록보기

Background : This study aimed to evaluate the relative value of pharmacists’ work in managing narcotics in healthcare institutions, assess the appropriateness of narcotics management fee introduced in 2019, and propose appropriate workforce sizes and reimbursement fees for safe narcotics management.

Methods : A survey was conducted to examine narcotic management workload, the time spent on each task, and the relative value of each task. Tasks were categorized by opioid and psychotropic medication. They were also categorized by outpatient and inpatient settings. Workforce sizes were calculated using the hours spent per day in full-time equivalent (FTE) units. Relative importance and intensity of each task were examined to estimate relative value of narcotics management workload.

Results : From 50 hospitals with a survey response rate of 49.5%. In June 2023, the number of inpatient narcotic prescriptions per 100 beds was 1,033.0, while the number was 624.2 for psychotropic drugs. On a per 100-bed basis, 0.45 FTE (10.1% of the total pharmacists) were involved in narcotics management out of the 4.46 FTE pharmacists.

Average monthly fee for narcotics management was KRW 1,997,356, approximately 9% of the labor cost of pharmacists engaged in this field. The analysis indicated that 1 FTE pharmacist was required for every 156 opioid prescriptions and every 180 psychotropic prescriptions. Relative values of dispensing-counseling for opioid/psychotropic drugs in inpatient and outpatient settings were found to be 1.62 to 2.46 times higher, while relative values for medication management were 3.33 to 6.20 times higher for opioids and psychotropic drugs in these settings compared to standard dispensing-counseling.

Conclusion : This study identified a discrepancy between measured relative values reflecting actual workload and current reimbursement for narcotic management, which should be revised to reflect actual workload and improve manpower.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
의료기관 마약류관리 업무의 제도적 개선을 위한 정책 연구 = Policy research for enhancing institutional narcotic management systems 김규리, 한지민, 천승현, 조윤희, 최임순, 이형순, 손현아, 안숙희, 정경주, 정지은 p. 337-353

간세포암 환자에서 바이러스 병인에 따른 면역관문억제제의 효과 및 안전성 비교 = Comparative effectiveness and safety of immune checkpoint inhibitors in patients with hepatocellular carcinoma based on viral etiology 이재연, 금민정, 고종희, 손은선, 유윤미 p. 354-372

단일 상급종합병원에서 PNAC 소아 환자 치료 현황 = Treatment status of parenteral nutrition-associated cholestasis in pediatric patients at a single tertiary hospital 박소연, 손유정, 금민정, 고종희, 손은선, 유윤미, 이은주 p. 373-388

데이터 모니터링 위원회 지침의 최신 동향 = Recent status of data monitoring committee guidelines : focus on the clinical trial guidelines of foreign regulatory authorities : 주요 해외 규제 당국의 임상시험 관련 지침을 중심으로 김채정, 정다연, 장민정, 한종성, 최경희 p. 389-401

항암면역세포치료제의 국제 규제 체계 비교 연구 = A comparative study of international regulatory framework for anti-cancer immune cell therapies 김종윤, 오경선, 이향미 p. 402-413