의료용 마약류 빅데이터(NIMS)를 활용한 의료용 마약류 약물의 처방 경향 및 처방량 관련 요인 분석

• 영문명: Analysis of Prescription Patterns and Factors Related to Prescription Volume of Medical Narcotics Using the Narcotics Information Management System (NIMS)
• 발행기관: 한국사회약학회 (구.한국보건사회약료경영학회)
• 저자명: 안은지(Eun-Ji An) 하동문(Dong-mun Ha) 이의경(Eui-Kyung Lee)
• 간행물 정보: 『한국보건사회약료경영학회지』제13권 제1호, 45~52쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2025.05.31

국문 초록

The potential for dependence and abuse of medical narcotics has emerged as a serious public health concern worldwide. This study analyzed prescription patterns and factors associated with the volume of medical narcotic prescriptions. Using the Narcotics Information Management System (NIMS) database from 2021 to 2023, we compared the prescription status of various medical narcotics over three years. Prescription volumes were calculated using the defined daily doses for statistical purposes (S-DDD). A multivariate regression model was constructed to identify factors associated with prescription volumes. Prescription volumes for fentanyl (patch) and diazepam declined, while prescription volumes for methylphenidate increased significantly. Diazepam and Zolpidem were more frequently prescribed to females, whereas Methylphenidate was more commonly prescribed to males. Methylphenidate showed the highest prescription volume among teenagers, whereas Fentanyl (patch), Zolpidem, and Diazepam were more frequently prescribed to the elderly. Prescription volumes also varied significantly by region, with higher rates observed in urban areas and specialized healthcare settings. These findings suggest the need to strengthen prescribing guidelines to secure the safe use of Fentanyl (patch), Diazepam, and Zolpidem, especially among the elderly. Furthermore, a prescription management system should be implemented to ensure the safe use of Methylphenidate among adolescents.

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Conflict of Interest

References

키워드

Medical narcotics Narcotics Information Management System (NIMS) Prescription patterns S-DDD (Defined Daily Dose) International Narcotics Control Board (INCB)