Earticle

초록

영어

Background: With the increasing use of narcotic analgesics, the Ministry of Food and Drug Safety has been operating the National Narcotics Information Management System (NIMS) since 2018 in Korea. Some studies are related to the narcotic analgesics use, but the evaluation studies of system, including NIMS users are insufficient. Objective: This study evaluated the NIMS enforcement process through in-depth interviews on the experience of using NIMS of doctors and pharmacists who prescribe or dispense opioid analgesics. Methods: Participants in this study were selected through purposeful sampling as three doctors and two pharmacists in the metropolitan area. The interviews were conducted from August 27 to October 19, 2022. Each interview was analyzed using a phenomenological method. Results: Six components of this study included “Doctors and pharmacists come across drug abusers”, “They respond individually to drug abusers”, “They use NIMS tailored to the needs of system managers”, “They are concerned about the role of NIMS in practice settings”, “They face challenges against drug abusers” and “They find a way to utilize the system to deal with drug abusers.” The interviews confirmed that doctors and pharmacists used NIMS little in their work, and they only reported data. Therefore, it might be difficult for doctors and pharmacists to take measures for the safe use of narcotic analgesics. Conclusion: It is likely that adding data-feedback and medication-check function can reduce the abuse of narcotic analgesics. In the future, further studies on the evaluation of the empirical results of NIMS and review of systems in other countries will be required.

목차

ABSTRACT
연구 방법
정책평가를 위한 현상학적 질적 연구
연구참여자 선정
자료 수집
분석 방법
연구의 타당성과 윤리성 확보
연구자의 준비
연구 결과
연구참여자의 일반적 특성
분석 결과: 구성요소
구성요소 1: 처방자와 조제자가 마약 오남용 자를 마주하다
마약류 진통제를 요구하는 환자들
마약류 진통제를 찾아서 멀리서 오는 사람들
구성요소 2: 처방자와 조제자가 마약 오남용 자에 대해 개별 대응하다
처방자와 조제자의 대응 시도
처방자와 조제자의 대응 거부
구성요소 3: 처방자와 조제자가 제도 관리자의 필요에 맞추어진 NIMS을 사용하다
NIMS은 관리자 중심 제도
전산과 실제 재고 일치 불가
의무, 법이니까 순응, 귀찮음
구성요소 4: 처방자와 조제자가 환자를 마주한 현장에서 NIMS의 역할을 고민하다
처방자와 조제자가 NIMS의 역할에 대해 막연하게 예측함
처방자와 조제자가 NIMS을 활용하여 마약류 오남용 자에게 하는 역할 없음
구성요소 5: 처방자와 조제자가 마약류 오남용 자에 대해해결할 일들을 마주하다
처방자와 조제자의 현장에서의 역할
처방, 조제, 투약 업무 과정에서 해결할 일들
한국의 불필요한 마약류 진통제 사용 행태
구성요소 6: 처방자와 조제자가 마약 오남용 자에게 제도를 활용할 길을 발견하다
DUR (의약품안전사용서비스, Drug Utilization Review)사용으로마약 오남용 자 확인
고찰
결론
이해상충
연구 윤리
참고문헌

키워드

저자

• 김진이 [ Jinyi Kim | 한양대학교 보건학과 ]
• 신영전 [ Young-jeon Shin | 한양대학교 의과대학 예방의학교실 ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국임상약학회지 [Korean Journal of Clinical Pharmacy]

• 간기

  계간

• pISSN

  1226-6051

• 수록기간

  1991~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 518 DDC 615