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The Status and Perception on Compounding Powdered Medicine for Adult Patients in Community Pharmacies
Yakhak Hoeji 2019;63(4):185-191
Published online August 31, 2019
© 2019 The Pharmaceutical Society of Korea.

Kyong Eun Kwon*,†, Myeong Gyu Kim*,†, Mi Kyong Shim**, and Hyun Soon Sohn**,#

*Graduate School of Clinical Pharmacy, CHA University, **College of Pharmacy, CHA University
Correspondence to: #Hyun Soon Sohn, College of Pharmacy, CHA University, Pocheon-si, Gyeonggi-do, 11160, Korea Tel: +82-31-881-7171. Fax: +82-31-881-7077 E-mail: sohn64@cha.ac.kr

These authors contributed equally to this work.
Received May 21, 2019; Revised July 1, 2019; Accepted July 4, 2019.
Abstract
Dysphagia associated with geriatric diseases such as dementia and Parkinson’s disease demands powdered medicine which increases workloads in community pharmacies. This study was conducted to investigate the current practice status of pulverizing into powder drug formulation in community pharmacies. On-line and off-line surveys were conducted on 288 community pharmacists using a questionnaire consisting of 22 items from April to May, 2016. 51.7% of respondents had 1-9 prescriptions per month for powdered medicine for adults, and 24.7% had zero. The more prescriptions a general hospital prescribed, the more powdered medicine for adults (p<0.001) and the longer the prescription days (p<0.001). The time required for preparing before- and cleaning after-dispensing was usually 3 to 5 minutes and that for dispensing was also 3 to 5 minutes per prescription. An additional ≥7 minutes were needed for the inappropriate prescription, mostly due to formulation prohibited for grinding (52.8%). 86.1% of community pharmacists thought that preparation of powdered medicine for adults was more difficult than that of children, and 96.9% thought that it needed reimbursement charge. Of them, 61.8% suggested the higher level of current reimbursement charge for children. 65.3% agreed to designate compounding pharmacy for long-term (more than 30 days) powdered medicine for adults. In conclusion, increased dispensing time and difficulty for powdered medicine for adults with dysphagia require a continuous open discussion about rational compensation for the service provided by community pharmacists.
Keywords : Community pharmacist, pharmacy service, dispensing, powdered medicine, reimbursement


August 2019, 63 (4)
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