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Published in: BMC Health Services Research 1/2019

Open Access 01-12-2019 | Research article

Physician and pharmacist satisfaction and clinical needs for the real-time medication surveillance program in South Korea

Authors: Sun Mi Shin, Hong-Ah Kim, Inmyung Song, Ha-Lim Jeon, Ju-Young Shin

Published in: BMC Health Services Research | Issue 1/2019

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Abstract

Background

Since December 2010, a nationwide real-time medication surveillance program has been implemented in Korea to prevent potential adverse drug reactions. Our goal was to evaluate physicians’ and pharmacists’ satisfaction and clinical needs for the medication surveillance program in Korea.

Methods

Both web- and paper-based surveys were conducted using a structured questionnaire among 1164 physicians and pharmacists from May 23, 2014 to August 11, 2014. The survey consisted of questions about the participant’s satisfaction with the medication surveillance program, clinical usefulness, clinical need for the medication surveillance program, and sociodemographic characteristics. Multivariate ordinal logistic regression was performed to investigate the factors influencing satisfaction levels with the medication surveillance program.

Results

We analyzed data from 1120 respondents, including 503 physicians and 617 pharmacists. Overall, 63.1% of the respondents were satisfied with the medication surveillance program. Pharmacists were more satisfied with the program than were physicians (69.1% vs. 55.6%; adjusted odds ratio, 2.13; 95% confidence interval, 1.65–2.76). Among the respondents, 77.8% cited a decrease in therapeutic duplication to be a major improvement resulting from the medication surveillance program, 82.6% considered the drug–drug interaction information useful, and 48.7% suggested that the program should include information on liver or kidney disease–drug interaction.

Conclusions

Overall, 63.0% of physicians and pharmacists were satisfied, and a decrease in therapeutic duplication was regarded as the most beneficial component. Further improvements by considering clinical needs of physicians and pharmacists will be needed to increase satisfaction.
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Literature
1.
go back to reference Jeon HL, Park JH, Kim DS, Choi BC. Review of the drug utilization review program of United States 47 states and suggestion of policy. Health Soc Welf Rev. 2014;34:192–221.CrossRef Jeon HL, Park JH, Kim DS, Choi BC. Review of the drug utilization review program of United States 47 states and suggestion of policy. Health Soc Welf Rev. 2014;34:192–221.CrossRef
2.
go back to reference Park BJ. Drug utilization review. J Pharmacoepidemiol Risk Manag. 2008;1:13–9. Park BJ. Drug utilization review. J Pharmacoepidemiol Risk Manag. 2008;1:13–9.
3.
go back to reference Choi NK, Park BJ. Strategy for establishing an effective Korean drug utilization review system. J Korean Med Assoc. 2010;53:1130–8.CrossRef Choi NK, Park BJ. Strategy for establishing an effective Korean drug utilization review system. J Korean Med Assoc. 2010;53:1130–8.CrossRef
5.
go back to reference Yi MH, Chung WJ, Cho E, Kim RE, Lee SM. Factors associated with changes in pharmaceutical expenditures of outpatient care in clinic setting: focusing on the incentive scheme to reduce total prescribed drug expenditure and the drug utilization review system. Korean J Health Policy Adm. 2012;22:561–78.CrossRef Yi MH, Chung WJ, Cho E, Kim RE, Lee SM. Factors associated with changes in pharmaceutical expenditures of outpatient care in clinic setting: focusing on the incentive scheme to reduce total prescribed drug expenditure and the drug utilization review system. Korean J Health Policy Adm. 2012;22:561–78.CrossRef
6.
go back to reference Chung SY, Jung SY, Shin JY, Park BJ. The role of KIDS for enhancing drug safety and risk management in Korea. J Korean Med Assoc. 2012;55:861–8.CrossRef Chung SY, Jung SY, Shin JY, Park BJ. The role of KIDS for enhancing drug safety and risk management in Korea. J Korean Med Assoc. 2012;55:861–8.CrossRef
8.
go back to reference Shin JY, Shin SM, Park BJ. Policy directions for the CMS DUR system in the USA. J Pharmacoepidemiol Risk Manag. 2013;6:87–92. Shin JY, Shin SM, Park BJ. Policy directions for the CMS DUR system in the USA. J Pharmacoepidemiol Risk Manag. 2013;6:87–92.
9.
go back to reference Park HJ, Shin JY, Shin SM, Park BJ. Current status of prospective DUR system running and retrospective DUR research in European countries. Korean Public Health Res. 2013;38(2):98–108. Park HJ, Shin JY, Shin SM, Park BJ. Current status of prospective DUR system running and retrospective DUR research in European countries. Korean Public Health Res. 2013;38(2):98–108.
10.
go back to reference Van der Sijs H, Aarts J, Van Gelder T, Berg M, Vulto A. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. JAMIA. 2008;15:439–48.PubMed Van der Sijs H, Aarts J, Van Gelder T, Berg M, Vulto A. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. JAMIA. 2008;15:439–48.PubMed
11.
go back to reference Landerdahl M. Overview of the utilisation of automated decision support tools at dispensing in the pharmacies in the European countries: University of Gothenburg; 2010. Landerdahl M. Overview of the utilisation of automated decision support tools at dispensing in the pharmacies in the European countries: University of Gothenburg; 2010.
14.
go back to reference Wartman SA, Morlock LL, Malitz FE, Palm E. Impact of divergent evaluations by physicians and patients of patients’ complaints. Public Health Rep. 1983;98(2):141–5.PubMedPubMedCentral Wartman SA, Morlock LL, Malitz FE, Palm E. Impact of divergent evaluations by physicians and patients of patients’ complaints. Public Health Rep. 1983;98(2):141–5.PubMedPubMedCentral
15.
go back to reference Chem ED, Anong DN, Akoachere JKT. Prescribing patterns and associated factors of antibiotic prescription in primary health care facilities of Kumbo east and Kumbo west health districts, North West Cameroon. PLoS One. 2018;13(3):e0193353.15.CrossRef Chem ED, Anong DN, Akoachere JKT. Prescribing patterns and associated factors of antibiotic prescription in primary health care facilities of Kumbo east and Kumbo west health districts, North West Cameroon. PLoS One. 2018;13(3):e0193353.15.CrossRef
16.
go back to reference Kelly DV, Bishop L, Young S, Hawboldt J, Phillips L, Keough TM. Pharmacist and physician views on collaborative practice: findings from the community pharmaceutical care project. Can Pharm J (Ott). 2013;146(4):218–26.CrossRef Kelly DV, Bishop L, Young S, Hawboldt J, Phillips L, Keough TM. Pharmacist and physician views on collaborative practice: findings from the community pharmaceutical care project. Can Pharm J (Ott). 2013;146(4):218–26.CrossRef
17.
go back to reference Jansman FG, Reyners AK, van Roon EN, Smorenburg CH, Helgason HH, le Comte M, Wensveen BM, van den Tweel AM, de Blois M, Kwee W, Kerremans AL, Brouwers JR. Scientific Institute for Dutch Pharmacists (WINAp); Dutch Society for Medical Oncology (NVMO); Dutch Society of Clinical Pharmacology and Biopharmacy (NVKF&B). Consensus-based evaluation of clinical significance and management of anticancer drug interactions. Clin Ther. 2011;33(3):305–14.CrossRef Jansman FG, Reyners AK, van Roon EN, Smorenburg CH, Helgason HH, le Comte M, Wensveen BM, van den Tweel AM, de Blois M, Kwee W, Kerremans AL, Brouwers JR. Scientific Institute for Dutch Pharmacists (WINAp); Dutch Society for Medical Oncology (NVMO); Dutch Society of Clinical Pharmacology and Biopharmacy (NVKF&B). Consensus-based evaluation of clinical significance and management of anticancer drug interactions. Clin Ther. 2011;33(3):305–14.CrossRef
18.
go back to reference Shin JY, Lee AY, Shon SW, Choi NK, Shin SM, Park HJ, Park BJ. A survey of physicians and pharmacists regarding drug utilization review: prescribing and dispensing drugs with drug-drug interactions and age contraindications in Goyangsi. Korean Public Health Res. 2014;40(4):29–39. Shin JY, Lee AY, Shon SW, Choi NK, Shin SM, Park HJ, Park BJ. A survey of physicians and pharmacists regarding drug utilization review: prescribing and dispensing drugs with drug-drug interactions and age contraindications in Goyangsi. Korean Public Health Res. 2014;40(4):29–39.
19.
go back to reference Kim DS, Park JH, Jeon HR, Park CM, Kang HA. The effect of Korean prospective drug utilization review program on the prescription rate of drug-drug interactions. Korean J Health Policy Adm. 2014;24(2):120–7.CrossRef Kim DS, Park JH, Jeon HR, Park CM, Kang HA. The effect of Korean prospective drug utilization review program on the prescription rate of drug-drug interactions. Korean J Health Policy Adm. 2014;24(2):120–7.CrossRef
20.
go back to reference Kreling DH, Mott DA. The cost effectiveness of drug utilisation review in an outpatient setting. Pharmacoeconomics. 1993;4(6):414–36.CrossRef Kreling DH, Mott DA. The cost effectiveness of drug utilisation review in an outpatient setting. Pharmacoeconomics. 1993;4(6):414–36.CrossRef
21.
go back to reference Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM, Burdick E, Hickey M, Kleefield S, Shea B, Vander Vliet M, Seger DL. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280(15):1311–6.CrossRef Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM, Burdick E, Hickey M, Kleefield S, Shea B, Vander Vliet M, Seger DL. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280(15):1311–6.CrossRef
23.
go back to reference Geerts AF, Scherpbier-de Haan ND, de Koning FH, van der Sterren TM, van Weel C, Vervoort GM, de Smet PA, de Grauw WJ. A pharmacy medication alert system based on renal function in older patients. Br J Gen Pract. 2012;62(601):e525–9.CrossRef Geerts AF, Scherpbier-de Haan ND, de Koning FH, van der Sterren TM, van Weel C, Vervoort GM, de Smet PA, de Grauw WJ. A pharmacy medication alert system based on renal function in older patients. Br J Gen Pract. 2012;62(601):e525–9.CrossRef
24.
go back to reference Bergk V, Gasse C, Schnell R, Haefeli WE. Requirements for a successful implementation of drug interaction information systems in general practice: results of a questionnaire survey in Germany. Eur J Clin Pharmacol. 2004;60:595–602.CrossRef Bergk V, Gasse C, Schnell R, Haefeli WE. Requirements for a successful implementation of drug interaction information systems in general practice: results of a questionnaire survey in Germany. Eur J Clin Pharmacol. 2004;60:595–602.CrossRef
Metadata
Title
Physician and pharmacist satisfaction and clinical needs for the real-time medication surveillance program in South Korea
Authors
Sun Mi Shin
Hong-Ah Kim
Inmyung Song
Ha-Lim Jeon
Ju-Young Shin
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-019-4686-9

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