Health Information Technology 기반 국내외 의료용 마약류 모니터링 시스템 비교 분석 - 처방·조제 단계를 중심으로

Abstract

This study was conducted to propose ways to improve the domestic system based on a comparative analysisof domestic and foreign Health Information Technology (HIT) system using cases to prevent misuse and abuse ofcontrolled substances. Korea, the United States, and Australia were selected as the countries to be investigated asrepresentative examples of nationwide use of HIT. Literature data was collected from the official website of the systemoperating organization and major literature databases and search engines such as Pubmed and Google Scholar using thename of each country's HIT system as a keyword. We focused on analyzing the purpose of system operation, target drugs,information collection method, system operation method, and compensation to system users. Korea’s Narcotics InformationManagement System (NIMS) is the only system that can track the serial numbers of controlled substances in connectionwith prescription and dispensing records, and is designed and operated with a focus on regulatory purposes to improvelegal compliance. NIMS had a relatively long reporting cycle, so there were limitations in checking the latest controlledsubstances prescription and dispensing records. It was also the only system in which pharmacists did not have the authorityand role to check and monitor prescription records. In order to effectively prevent misuse and abuse of controlledsubstances, the reporting cycle must be shortened by switching to a real-time monitoring system including nonreimbursementmedications. In addition, there is a need to guarantee pharmacists the authority to request prescriptionrecords before dispensing and the roles that accompany this.