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Prescription Drug Use in Primary Health Care Posts and Its Improvement Scheme

Article information

Res Community Public Health Nurs. 2013;24(2):123-134
Publication date (electronic) : 2013 June 30
doi : https://doi.org/10.12799/jkachn.2013.24.2.123
Chun Mi Kim1, Yeon Yi Song2, Kyung Ja June3, Sa Saeng Hyeon4, Hyun Ju Shin5
1Department of Nursing, Sunmoon University, Asan, Korea.
2Department of Nursing, Chungcheong University, Cheongwon, Korea.
3Department of Nursing, Soonchunhyang University, Chonan, Korea.
4Department of Nursing, Korea Nazarene University, Chonan, Korea.
5Namyangju City Hall, Namyangju, Korea.
Corresponding author: Song, Yeon Yi. Department of Nursing, Chungcheong University, 38 Wolgok-gil, Gangnae-myeon, Cheongwon 363-792, Korea. Tel: +82-43-230-2771, Fax: +82-43-230-2779, sye72@chol.com
Received 2013 February 15; Accepted 2013 May 27.

Abstract

Purpose

The prescription drug list for primary treatment by community health practitioners has been maintained for 30 years without any modification. Thus, this study will suggest an improvement scheme of prescription drug list for primary health care posts through an analysis of drug use in those posts.

Methods

A questionnaire survey was implemented with community health practitioners from April to June in 2012. A total of 1,249 copies were analyzed. As for the databases of drug use in the integrated information, a total of 154,229 diagnoses selected in the method of stratified cluster sampling from 39 primary health care posts'data were analyzed. We consulted some experts about the prescription medication list, and referred to the medication information on-line home page for up-to-date drug information.

Results

This study ultimately suggests 77 prescription drug items for primary health care posts by eliminating 35 items and replacing 1 item from the original list, and adding 4 items to it.

Conclusion

This study will provide basic data for revising the prescription drug list in primary health care posts by periodically reflecting adverse effects in the existing drugs, demographic and environmental changes, and development of new drugs.

Keywords: Primary health care; Prescriptions; Rural health

Notes

The study was supported by a grant from 2012 National Health Promotion Fund of the Ministry of Health and Welfare (Policy 12-01).

References

1. Choi MA, Kim GS, Park SO, Lim SO, Kim HK, Kim JS, et al. Introduction to clinical pharmacology 2010. Seoul: Elsevier Korea L.L.C;
2. Doctor's News. FDA, 'Serratiopeptidase' suspension of sale 2011. 03. 24. Retrieved July 3, 2012. from http://m.doctorsnews.co.kr/articleView.html?idxno=69218&menu=2.
3. Kim CY. Primary health care and the institution of community health practitioners 2011. Seoul: Graduate School of Public Health, Seoul National University;
4. Kim JS, Oh YA, Yoo HS. Report for community health practitioners job description of primary care 1985. Seoul: Korea Institute for Population and Health;
5. Ko IS, Lee TH, Lee KJ, Cho WJ, Hyun SS. 02-PJ1-PG5-P15-0001. Strategies to improve standardized practice guidelines for community health pratitioner 2003. Seoul: Yonsei University;
6. Koo BK, Kim GS, Kim SO, Kim YG, Park GH, Shin JJ, et al. Introduction to clinical pharmacology 2005. Seoul: Jungmungak;
7. Korea Pharmaceutical Information Center. Drug information 2012. 07. 02. Retrieved July 02, 2012. from http://www.health.kr/ingd_info/ingd_group/search.asp.
8. Korean Index of Medical Specialties. A Detailed search 2012. 07. 02. Retrieved July 02, 2012. from http://www.kimsonline.co.kr/001_Detail/DrugDetailSearch.aspx.
9. Ministry of Health & Welfare. Press release 2002. 01. 31. Retrieved July 02, 2012. from http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=21983&page=1.
10. Shin YA. 11-1051000-000240-01. 2011 Modularization of Korea's development experience: Healthcare improvement activities of public health centers in rural areas 2012. Seoul: Korea Foundation for International Healthcare;
11. Shin YA, Kang HK, Kim JS, Kim CM, Park DS, So AY, et al. Primary health care of community health practitioners 2011. Cheongwon: Korea Human Resource Development Institute for Health & Welfare;

Article information Continued

© 2013 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Funded by : 2012 National Health Promotion Fund of the Ministry of Health and Welfare
Award ID : Policy 12-01

Table 1

Prescription Rate Classified by Medication during This Last Year (Questionnaire)

Table 1

†Medication list sequence number on the work guidelines for CHPs.

Table 2

The Prescribed Number (Questionnaire and Integrated Information Database) Classified by Medication during This Last Year

Table 2

†Medication list sequence number on the work guidelines for CHPs.

Table 3

Improvement Scheme of the Prescription Medication in Primary Health Care Posts

Table 3

OTC=over the counter medication; P=prescription medication.

†Medication list sequence number on the work guidelines for CHPs.