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Health Information Technology 기반 국내외 의료용 마약류 모니터링 시스템 비교 분석
이해원(Haewon Lee),김하린(Harin Kim),김주희(Juhee Kim),김수빈(Subin Kim),김대진(Daejin Kim) 대한약학회 2024 약학회지 Vol.68 No.1
This study was conducted to propose ways to improve the domestic system based on a comparative analysis of domestic and foreign Health Information Technology (HIT) system using cases to prevent misuse and abuse of controlled substances. Korea, the United States, and Australia were selected as the countries to be investigated as representative examples of nationwide use of HIT. Literature data was collected from the official website of the system operating organization and major literature databases and search engines such as Pubmed and Google Scholar using the name of each country's HIT system as a keyword. We focused on analyzing the purpose of system operation, target drugs, information collection method, system operation method, and compensation to system users. Korea’s Narcotics Information Management System (NIMS) is the only system that can track the serial numbers of controlled substances in connection with prescription and dispensing records, and is designed and operated with a focus on regulatory purposes to improve legal compliance. NIMS had a relatively long reporting cycle, so there were limitations in checking the latest controlled substances prescription and dispensing records. It was also the only system in which pharmacists did not have the authority and role to check and monitor prescription records. In order to effectively prevent misuse and abuse of controlled substances, the reporting cycle must be shortened by switching to a real-time monitoring system including nonreimbursement medications. In addition, there is a need to guarantee pharmacists the authority to request prescription records before dispensing and the roles that accompany this.
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Current status of opioid prescription in South Korea using narcotics information management system
( Soo-hyuk Yoon ),( Jeongsoo Kim ),( Susie Yoon ),( Ho-jin Lee ) 대한통증학회 2024 The Korean Journal of Pain Vol.37 No.1
Background: Recognizing the seriousness of the misuse and abuse of medical narcotics, the South Korean government introduced the world's first narcotic management system, the Narcotics Information Management System (NIMS). This study aimed to explore the recent one-year opioid prescribing patterns in South Korea using the NIMS database. Methods: This study analyzed opioid prescription records in South Korea for the year 2022, utilizing the dispensing/ administration dataset provided by NIMS. Public data from the Korean Statistical Information Service were also utilized to explore prescription trends over the past four years. The examination covered 16 different opioid analgesics, assessed by the total number of units prescribed based on routes of administration, type of institutions, and patients’ sex and age group. Additionally, the disposal rate for each ingredient was computed. Results: In total, 206,941 records of 87,792,968 opioid analgesic units were analyzed. Recently, the overall quantity of prescribed opioid analgesic units has remained relatively stable. The most prescribed ingredient was oral oxycodone, followed by tapentadol and sublingual fentanyl. Tertiary hospitals had the highest number of dispensed units (49.4%), followed by community pharmacies (40.2%). The highest number of prescribed units was attributed to male patients in their 60s. The disposal rates of the oral and transdermal formulations were less than 0.1%. Conclusions: Opioid prescription in South Korea features a high proportion of oral formulations, tertiary hospital administration, pharmacy dispensing, and elderly patients. Sustained education and surveillance of patients and healthcare providers is required.
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