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Table. 3.

Table. 3.

Agenda and results of focus group interview for the healthcare professionals at the clinic

Main agenda Sub agenda Results of interview
DUR* modernization pilot project and patient safety Positive and negative opinions of healthcare professionals on the monitoring – Healthcare professionals were positive about sharing information about patients’ allergy history or renal/hepatic conditions.
– Even though the drug was prescribed with the reasonable medical evidence, doctors need to change prescription due to technical issues.
– Possibility of damaging rapport between patient and doctor due to mention of adverse effects.

Positive and negative opinions of patients on the monitoring – Monitoring definitely contributes to the patient's safety.
– Patients were generally positive because most of them had accumulated rapport with doctors.

Identifying and responding to adverse effects from the monitoring of additional safety activities – There was no need for pop-up hold function.
– The communication system is difficult to use in busy situations, and the established method was more preferred.
– The personal medication history review service was useful, but accessibility and interface improvements are required.

Obstacles to the DUR modernization pilot project Obstacles to monitoring – Since many patients feel repulsion to provide personal information, consent forms were written mainly for patients who already have medical records.
– The time required for monitoring was about 30 minutes per patient, which was burdensome to perform during the office hours.
– Compared to the wide range of monitored drugs, fewer target prescriptions were issued.

Possibility of the settlement of DUR modernization pilot project Appropriateness of incentives for additional safety activities of healthcare professionals – The incentive should be determined based on the time spent for monitoring.
– The incentive should consider the difference between medical specialty
– A method of paying more consultation’s fees would be better to settle monitoring system.

Improvements in the current DUR operating system and additional opinions for DUR advancement – Contraindication criteria of DUR were not appropriate for the real-world situation since it was established based on insert paper
– The administration timing and route of administration should be included in the prescription intervention criteria.
– Information on the patient’s eating habits and nutrient supplements will contribute to both of doctor and patients.

DUR, Drug Utilization Review

Korean J Clin Pharm 2021;31:104-14 https://doi.org/10.24304/kjcp.2021.31.2.104
© 2021 Korean J Clin Pharm