pISSN 1226-6051
eISSN 2508-786X
eISSN 2508-786X
The experience of using NIMS of doctors and pharmacists who prescribe or dispense narcotic analgesics
| Concept | Constituent | Sub-Constituent | Meaning unit |
|---|---|---|---|
| Patients | Doctors and pharmacists come across drug abusers | Patients requesting for narcotic analgesics | Patients who are really in pain |
| Patients who complain of pain but whose complaints are suspicious | |||
| Patients who are aware of their addiction | |||
| People coming from far away in search of narcotic analgesics | People who go to various hospitals to obtain narcotic analgesics | ||
| Young people, especially those in their 20s | |||
| People looking for fentanyl patches | |||
| People with experience living abroad | |||
| People who reported that they lost their drugs | |||
| Responding to the subjects | Doctors and pharmacists respond individually to drug abusers | Attempt to respond by doctors and pharmacists | Attempt to mediate on change of prescription |
| Attempt to report | |||
| Refusal to respond by doctors and pharmacists | Discontinue to prescribe and refuse to dispense | ||
| Cease involvement | |||
| Use of policy | Doctors and pharmacists use NIMS tailored to the needs of system managers | Manager-oriented system | In practice, NIMS does not make a lot of sense |
| Administration rather than treatment | |||
| Added administrative work | |||
| A policy of burning onés house to get rid of the mice | |||
| Inconvenience in using the system | |||
| Computational and actual inventory cannot be matched | Check the serial number of individual medicines | ||
| The serial number is hard to be matched in practice | |||
| Compliance because it is the law and obligation, but is troublesome. | The practice setting is termed as “administrative disposition” | ||
| Policy fatigues | |||
| Overburden | |||
| Concerns about the policy | Doctors and pharmacists are concerned about the role of NIMS in practice settings | Doctors and pharmacists have vague predictions about the role of NIMS | Narcotic analgesics that require management |
| No role for doctors and pharmacists to play against drug abusers using NIMS | Inventory management using the NIMS computer system is convenient | ||
| They cannot recognize the effects of NIMS | |||
| Unresolved problems | Doctors and pharmacists face challenges against drug abusers | Role of doctors and pharmacists in practice settings | Decisions about prescribing and dispensing |
| Feeling guilty about not intervening | |||
| Issues to be resolved in the process of prescribing, dispensing, and administering medication | Use of the word “opioids” | ||
| Medication counseling for accurate usage and dosage | |||
| Discreet prescription according to instructions | |||
| Counseling on arbitrary intake and disposition of remaining medications | |||
| Unnecessary narcotic analgesic use behavior in Korea | Mutual confirmation between prescribers and dispensers | ||
| Prohibiting use for mild symptoms | |||
| Resolving the causes of pain | |||
| Solving problems | Doctors and pharmacists find a way to utilize the system to deal with drug abusers | Identification of opioid abusers with Drug Utilization Review (DUR) | Identification of duplication of prescribed narcotic analgesics using DUR |