우리나라와 일본의 병원약사와 관련된 업무에 대한 수가 비교 = Comparative Study on Reimbursement Fees Related to Hospital Pharmacists’Services in Korea and Japan

다국어 초록 (Multilingual Abstract)

Background : Currently, the pharmacists at hospitals in Korea provide professional and diverse pharmaceutical care services. However, the service fee covered by national health insurance (NHI) is limited to the traditional dispensing and managing of medication. In Japan, with a similar health insurance system to Korea, health insurance fees for pharmaceutical care services are rewarded in various types. We aimed to compare the unit price and types of reimbursement activity covered by NHI between Korea and Japan.
Methods : The 2020 medical fee tables from NHI in Korea and Japan were examined and the unit price and condition were extracted for analysis. The insurance fee of Japan was converted into Korean won using the Purchasing-Power-Parities (PPP) exchange rate. We set various cases for comparison (1-day dispensing for peroral and external use medication and aseptic compounding) in inpatient and outpatient settings.
Results : In Japan, various fees were awarded for pharmacists’ clinical pharmaceutical care activities besides traditional dispensing and promoting participation in multidisciplinary team activities. Compared to Japan, the level of health insurance fees in Korea was 70–73%, 47–57%, and 19–31% for 1-day dispensing to inpatients, outpatients, and discharge patients, respectively.
For aseptic compounding for three-drug chemotherapy regimens and parenteral nutrition, the levels were estimated at 103–116% and 122%, respectively.
Conclusion : The hospital pharmacists’ services fees in Korea were lower than those in Japan for traditional dispensing activities. There were more types of health insurance fees in Japan, and the terms and conditions that must be met to be awarded were very specific.

참고문헌 (Reference)

1 도영경, "환자중심성 평가모형 개발 연구 개발 연구" 건강보험심사평가원·서울대학교 산학협력단 2015

2 "하나은행 환율/외화예금 금리 조회: 2019년 연평균"

3 이은숙, "의료기관 약제서비스 강화를 통한 의약품 안전사용 확보 방안 연구보고서" 보건복지부·한국병원약사회 2017

4 윤정현, "외래환자 대상 당뇨병 약료서비스 모델 개발" 한국임상약학회 27 (27): 1-8, 2017

5 한국병원약사회-보험위원회, "약제수가 신설 및조정"

6 송영천, "수가체계 내에서의 병원약제 업무의 위치및 가치평가" 31 (31): 1054-1066, 2014

7 남상요, "김영재 et al. 일본의 의료보험제도 및 진료비지불체계에 관한 연구" 대한의사협회 의료정책연구소 1-346, 2010

8 이소영, "국내 병원약사의 중재활동과 성과에 대한 체계적 문헌고찰" 한국임상약학회 29 (29): 193-201, 2019

9 한상완, "구매력평가 환율로 본 엔화 가치" 현대경제연구원 13 (13): 1-12, 2013

10 "診療報酬点数表Web"

11 ⽇医⼯医業経営研究所, "病院薬剤師が係わる主な医科診療報酬"

12 厚生労働省, "令和２年度診療報酬"

13 今日の臨床サポ一ト, "令和２年度診療報酬"

14 "The World Bank: GDP per capita (current US$)"

15 OECD.Stat, "Purchasing Power Parities for GDP and related indicators"

16 건강보험심사평가원, "2020년 3월판 건강보험요양급여비용 최종"