Int J Med Inform - Evaluation of the pilot program on the real-time drug utilization review system in South Korea.

Tópicos

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Resumo

RPOSE: A pilot drug utilization review (DUR) program was initiated by the Korean government, which provided safety information in real-time at the stage of prescribing and dispensing. This study aimed to compare the "physician/pharmacist Co-DUR" system and the traditional "pharmacist-only DUR" system.METHODS: Data collected during a DUR pilot program from July 1 to October 31 of 2009 were obtained from the Health Insurance Review & Assessment Service. Descriptive analyses were conducted to investigate DUR-pop up alert rates, categories of alerts, the reasons for dispensing without prescription change after an alert, and changes in drug expenditures associated with the DUR.RESULTS: DUR pop-up alert rates were 8.55% at clinics and 1.90% at pharmacies in the physician/pharmacist Co-DUR, whereas the rate was 2.22% in the pharmacist-only DUR. Rates of pop-up alerts were high for between-prescription ingredient duplication at pharmacies, whereas for clinics, the rate for drug-pregnancy contraindications was high. A greater reduction in drug expenditure was estimated in the physician/pharmacist Co-DUR compared to the pharmacist-only DUR.CONCLUSIONS: The physician/pharmacist Co-DUR has better sensitivity at detecting potential adverse drug events than the pharmacist-only DUR. Pharmacists also have opportunities to double-check prescribed drugs when doctors do not voluntarily modify pop-up alerts. Further comprehensive study will be needed to confirm the results of pilot program that favored the physician/pharmacist Co-DUR.

Resumo Limpo

rpose pilot drug util review dur program initi korean govern provid safeti inform realtim stage prescrib dispens studi aim compar physicianpharmacist codur system tradit pharmaciston dur systemmethod data collect dur pilot program juli octob obtain health insur review assess servic descript analys conduct investig durpop alert rate categori alert reason dispens without prescript chang alert chang drug expenditur associ durresult dur popup alert rate clinic pharmaci physicianpharmacist codur wherea rate pharmaciston dur rate popup alert high betweenprescript ingredi duplic pharmaci wherea clinic rate drugpregn contraind high greater reduct drug expenditur estim physicianpharmacist codur compar pharmaciston durconclus physicianpharmacist codur better sensit detect potenti advers drug event pharmaciston dur pharmacist also opportun doublecheck prescrib drug doctor voluntarili modifi popup alert comprehens studi will need confirm result pilot program favor physicianpharmacist codur

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