정신과 의약분업에 대한 5년 후 추적조사

Abstract

Objectives：This study is designed to discuss the pros and cons related to the ‘separation of drug prescription and dispensation’ system when 5 years have passed by since the introduction of this system. Methods：The 592 psychiatrists from 1,107 working places took part in nationwide survey by mail or E-mail from June to September, 2005. The response rate was 23.8%, most of respondents came from private clinics. Results：The average age of psychiatrist was 44.6 years old, ranging from 25 to 75, most of them was predominantly male. The main results were as followings：1) The ratio of psychiatric prescription out of hospital based on out-patients departments was the lowest in clinics, following by hospitals, general hospitals and university hospitals by order. 2) The main reasons of customer’s preference for out of hospital prescription were economic advantage and self-awareness of prescription. As for the disliking for it, the most complaints were the anxiety about disclosure of psychiatric treatment, in convenience for delay and concern about drug change. Conclusion：Five years didn’t seem to give a change on how the psychiatrists perceive the ‘separation of drug prescription and dispensation’ system at all. The confidentiality and human right issues on the part of psychiatric patients should never be ignored in order to manage this system successfully. (J Korean Neuropsychiatr Assoc 2006;45 (4):382-386)