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약료경영 관점에서 본 우리나라 의약품 선별등재제도
Positive Drug Formulary System in Korea from a Managed Care Pharmacy Perspective

첫 페이지 보기
  • 발행기관
    한국보건사회약료경영학회 바로가기
  • 간행물
    한국보건사회약료경영학회지 바로가기
  • 통권
    Volume1 Number1 (2009.11)바로가기
  • 페이지
    pp.21-27
  • 저자
    손현순
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A148346

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원문정보

초록

영어
Formulary list that defines available drugs for use is developed to help physicians to select the most appropriate medication within a specific class of drugs under a specific health plan circumstances. Pharmaceuticals value can be maximized through sound formulary management. A positive list as a closed formulary type includes limited number of drugs reimbursed for preferred drugs only. Health plan is moving to more restrictive formulary system that has more strong power to control due to rising costs. In Korea, a positive list was implemented in Dec 2006, aiming at the appropriateness of pharmaceutical expenditure, under the drug expenditure rationalization plan. With the worldwide comparison of listing status for several products, Australia and New Zealand that implement a positive system have lower level in coverage than UK that has a negative system. At the point in time of UKyears with positive system, it is necessary to identify concerns and create possible solutions for its successful settlement. Formulary-based price control can be one of strategies to control drug expenditure, but it may jeopardize R&D of new drug, result in increased utilization of more costly alternatives, and not guarantee long-term savings to society. In a viewpoint of balancing of clinical effectiveness and cost-effectiveness as criteria for listing, economic evaluation is recommended to be used as a primary reference for optimal price to assure costeffectiveness when a drug is decided to include in the formulary list, rather than primary decision criteria for listing. Based on ultimate goal of positive system for efficient use of healthcare resource rather than reduction of drug expenditure itself, a range of effective mechanisms in the managed care pharmacy perspective that promote quality and optimal results such as drug utilization review and medical treatment guidelines should be considered to overcome the limitation of this system.

목차

Abstract
 참고문헌

키워드

Formulary list Positive system Negative system Managed care pharmacy

저자

  • 손현순 [ Hyun Soon Sohn | 숙명여자대학교 약학대학 ] Correspondence

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    한국보건사회약료경영학회 [Korean Academy of Social & Managed Care Phemacy]
  • 설립연도
    2009
  • 분야
    의약학>약학
  • 소개
    본 학회는 비영리 학술단체로서 환자의 삶의 질 향상을 위한 약료(pharmaceutical care)가 보장될 수 있도록 약료경영약학(managed care pharmacy)을 발전시키는 데 궁극 목적을 두고 다음과 같은 활동을 전개하여 사회에 기여하며 회원 상호간의 친목을 도모한다.

간행물

  • 간행물명
    한국보건사회약료경영학회지 [Journal of Korean Academy of Managed Care Pharmacy]
  • 간기
    반년간
  • pISSN
    2092-8394
  • 수록기간
    2009~2022
  • 십진분류
    KDC 518 DDC 615

이 권호 내 다른 논문 / 한국보건사회약료경영학회지 Volume1 Number1

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