Health Information Technology 기반 국내외 의료용 마약류 모니터링 시스템 비교 분석

Abstract

This study was conducted to propose ways to improve the domestic system based on a comparative analysis of domestic and foreign Health Information Technology (HIT) system using cases to prevent misuse and abuse of controlled substances. Korea, the United States, and Australia were selected as the countries to be investigated as representative examples of nationwide use of HIT. Literature data was collected from the official website of the system operating organization and major literature databases and search engines such as Pubmed and Google Scholar using the name 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 Information Management System (NIMS) is the only system that can track the serial numbers of controlled substances in connection with prescription and dispensing records, and is designed and operated with a focus on regulatory purposes to improve legal compliance. NIMS had a relatively long reporting cycle, so there were limitations in checking the latest controlled substances prescription and dispensing records. It was also the only system in which pharmacists did not have the authority and role to check and monitor prescription records. In order to effectively prevent misuse and abuse of controlled substances, the reporting cycle must be shortened by switching to a real-time monitoring system including nonreimbursement medications. In addition, there is a need to guarantee pharmacists the authority to request prescription records before dispensing and the roles that accompany this.