Korean J Clin Pharm.  2019 Mar;29(1):9-17. 10.24304/kjcp.2019.29.1.9.

The Effects after Implementing a Drug Utilization Review System on Contraindicated Drug use: A Systematic Review

• Lee H
• Choi HS
• Ji E

• KMID: 2446870
• DOI: http://doi.org/10.24304/kjcp.2019.29.1.9

Abstract

OBJECTIVE
The objective of the present study was to evaluate the effects of implementing a systematic Drug Utilization Review (DUR) system on contraindicated drug use and pharmaceutical expenditures in Korea.
METHODS
A literature search was conducted using search engines such as PubMed, EMBASE, NDSL, and RISS for relevant systematic studies. The database search was performed and updated in April 2018. Two independent reviewers evaluated the abstracts to find potentially eligible articles.
RESULTS
In total, 1433 potentially eligible studies were selected, and 11 articles were eventually shortlisted for inclusion in the present review system. The outcome showed that contraindicated drug use decreased after implementation of the DUR system in Korea. The analysis also showed that the DUR system contributed to a reduction in pharmaceutical expenditures.
CONCLUSION
Our study showed that implementing the DUR system reduced both contraindicated drug use and pharmaceutical expenditures in Korea.

Keyword

Drug utilization review system; contraindicated drugs; pharmaceutical expenditure; systematic review; Korea

MeSH Terms

Drug Utilization Review*
Drug Utilization*
Health Expenditures
Korea
Search Engine