델파이 기법을 이용한 한국형 처방약 라벨링 가이드라인 개발 및 평가
Development and Evaluation of a Korean Labeling Guideline for Prescription Medicines Using the Delphi Technique
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background : Providing proper drug information so that the patient takes medication as prescribed is essential for patient safety. Labels for prescription medicines include core information and are effective tools for achieving this end. The aim of this study was to propose a Korean labeling guideline for outpatient prescription medications. Methods : We compared and analyzed the current status and guidelines for prescription drug labeling in Korea, Australia, the UK, and the US. We performed a focus group interview and a two-round Delphi survey with hospital pharmacists in order to improve and evaluate an initially proposed guideline. We evaluated the reliability and validity of the Delphi survey and constructed a final draft of the guideline. Results : In Australia, the UK, and the US, labeling guidelines for prescription medicines were provided to prevent drug misuse. The UK released the most structured and practical guide. The items in the amended draft of our guideline were divided into five groups based on the results of the Delphi survey on necessity, urgency, and feasibility. For the items with high necessity, urgency and feasibility which has already been implemented in hospitals, an urgent need for standardization of labelling across hospitals was found. For items that were assessed high in necessity and urgency but low in feasibility, a need to give priority in resource distribution was found. For items ranking low in all aspects, society needs to seek fundamental changes in perception and culture from each stakeholder’s view. Conclusions : Through international comparison and qualitative research, a final draft of the Korean labeling guideline for prescription medications was proposed. To put the proposed guideline into practice, further investigation and ongoing society-wide efforts are required.
Abstract
Background : Providing proper drug information so that the patient takes medication as prescribed is essential for patient safety. Labels for prescription medicines include core information and are effective tools for achieving this end. The aim of this study was to propose a Korean labeling guideline for outpatient prescription medications. Methods : We compared and analyzed the current status and guidelines for prescription drug labeling in Korea, Australia, the UK, and the US. We performed a focus group interview and a two-round Delphi survey with hospital pharmacists in order to improve and evaluate an initially proposed guideline. We evaluated the reliability and validity of the Delphi survey and constructed a final draft of the guideline. Results : In Australia, the UK, and the US, labeling guidelines for prescription medicines were provided to prevent drug misuse. The UK released the most structured and practical guide. The items in the amended draft of our guideline were divided into five groups based on the results of the Delphi survey on necessity, urgency, and feasibility. For the items with high necessity, urgency and feasibility which has already been implemented in hospitals, an urgent need for standardization of labelling across hospitals was found. For items that were assessed high in necessity and urgency but low in feasibility, a need to give priority in resource distribution was found. For items ranking low in all aspects, society needs to seek fundamental changes in perception and culture from each stakeholder’s view. Conclusions : Through international comparison and qualitative research, a final draft of the Korean labeling guideline for prescription medications was proposed. To put the proposed guideline into practice, further investigation and ongoing society-wide efforts are required.
참고문헌 (25)
- 구본기, "약물사용과정에서의 환자 안전관리: 의약품사용과오의 예방과 관리", 대한의사협회지, 55(9), pp.835~842 (2012), 대한의사협회
- Britten N., "Medicines in the lifeworld. Medicines and society: Patients, professionals and the dominance of pharmaceuticals", pp.45~63 (2008), Palgrave MacMillan
- Kasbekar R, "The pharmacist's role in preventing medication errors in older adults", Consult Pharm, 29(12), pp.838~842 (2014)
- "USP-NF General Chapter <17> Prescription Container Labeling", ~ (2012)
- Design for patient safety: A guide to the design of dispensed medicines, "National Patient Safety Agency", National Patient Safety Agency, ~ (2007)
- A guideline for preventing medication errors, "Ministry of Health & Welfare", Ministry of Health & Welfare, ~ (2008)
- Cho Y, "drug consumers" (2004), Green Consumer Network in Korea, Korean Food & Drug Administration
- 유봉규, "근린약국약사를 대상으로 실시한 보조라벨의 이해도 및 사용의지에 관한 조사", 한국임상약학회지, 16(1), pp.9~13 (2006), 한국임상약학회
- Safety guideline of medication management in medical institution, "Ministry of Food and Drug Safety", Ministry of Food and Drug Safety, ~ (2016)
- Roh S, "Delphi Technique : Predict the future with professional insignts", Planning and Policy, 2006(9), pp.53~62 (2006)
- Park K, "Real-time Delphi technique : Experts forecasting guaranteed anonymity", Planning and Policy, 2008(3), pp.132~139 (2008)
- 최용석, "델파이기법을 이용한 U-city사업의 핵심성공요인 도출", 인터넷전자상거래연구, 8(3), pp.183~209 (2008), 한국인터넷전자상거래학회
- van Zolingen SJ, "Selection processes in a Delphi study about key qualifications in Senior Secondary Vocational Education", Technological Forecasting and Social Change, 70(4), pp.317~340 (2003)
- Kitzinger J., "Qualitative research in health care", pp.21~31 (2006), Blackwell Publishing
- Kim S, "Research on patient safety system" (2015), National Evidence-based Healthcare Collaborating Agency
- Pope C, "Qualitative research in health care", pp.63~81 (2006), Blackwell Publishing
- Social Pharmacy Committee in Korean Association of Pharmacy Education, "Health promotion and community pharmacy. Administrative and managerial pharmacy", pp.113~152 (2018), Panmun Education
- Information design for patient safety: A guide to the graphic design of medication packaging, "National Patient Safety Agency", National Patient Safety Agency, Helen Hamlyn Research Centre, ~ (2006)
- Design for patient safety: A guide to the graphic design of medication packaging, "National Patient Safety Agency", National Patient Safety Agency, Helen Hamlyn Research Centre, ~ (2007)
- 이인향, "일반의약품 설명서의 이해도와 적정 사용가능성 평가", 약 학 회 지, 56(5), pp.333~345 (2012), 대한약학회
- 손미경, "노인 인구에 있어 환자용 의약품 안전사용 설명서의 활용성 평가", 한국임상약학회지, 26(1), pp.6~12 (2016), 한국임상약학회
- 김진, "수행능력 기반 사용자 평가를 활용한 노인용 고혈압치료제 안전사용설명서 개발", 한국임상약학회지, 26(3), pp.254~263 (2016), 한국임상약학회
- 김진, "노인용 당뇨치료제 안전사용설명서 개발 및 평가: 수행능력 기반 사용자 평가 활용", 한국임상약학회지, 27(3), pp.171~177 (2017), 한국임상약학회[DOI]
- 이인향, "국내 의약품정보에 대한 소비자의 시각 및 활용도", 한국임상약학회지, 23(4), pp.334~343 (2013), 한국임상약학회
- National survey in basic literacy of Korean, "National Institute of Korean Language", National Institute of Korean Language, 81~82 (2008)