병원약사에 의해 수행되는 약제서비스의 현황 및 업무량 분석

Background : In Korea, the reimbursement price is determined based on the resource-based relative value scale (RBRVS) system comprising physician (pharmacist) work, practice expense, and the professional liability insurance component. The purpose of this study was to define and measure pharmacists’ activities in hospital to compute appropriate reimbursement prices for pharmacists’ services. Methods : We defined the activities of hospital pharmacists as 38 duties/124 tasks/489 task elements and surveyed all pharmacists in the pharmacy department of Seoul National University Hospital. The conducting duration for each task depended on the daily (or monthly) occurrence via the self-reporting method. The proportion of duration for each task during the total working period (480 minutes/day) was calculated and compared by sector. Results : For the 110 respondents, the duration proportion of work related to dispensing was the highest at 63.3%, followed by clinical pharmacy services and medication counseling at 16.7%, drug information and administration at 7.0%, education and research at 4.5%, indirect activity at 4.0%, and work for clinical trials at 1.5%. Facilities & environmental management, quality improving activity, managing health information systems, monitoring adverse drug reactions, and participating in committee activities had a lower proportion at under 1%. Conclusion : Our results present a good reflection of the working activities for the actual hospital pharmacy, and it shows that work related to dispensing continues to consume a large portion of time among hospital pharmacy services. The definition of the detailed work performed by the hospital pharmacist and the survey of the workload from our study are meaningful in that it could be used as necessary evidence when needed to compute reimbursement prices for new pharmaceutical care services in the future.