New Health Minister: Will Drug Dispensing Separation Policy Change?
As a new Minister of Health and Welfare takes office, discussions on the full separation of drug prescribing and dispensing are intensifying. This separation aims to enhance patient safety and prevent drug misuse by separating the roles of doctors (prescribing) and pharmacists (dispensing). While partially implemented since its introduction in 2000, the complete separation remains a contentious issue.
The appointment of a new minister signals potential policy shifts, drawing significant attention from the medical community and civil society. Some argue that full separation can further strengthen pharmacist expertise and provide patient-centered healthcare services. Others worry that it could create difficulties for pharmacy management and hinder patient access.
Civic Groups and Pharmacists: Mixed Expectations and Concerns
Civic groups supporting full separation hope the new minister will actively pursue the policy. They argue that it can guarantee patients' right to know and increase the transparency of healthcare services. They also emphasize that strengthening pharmacists' medication guidance and counseling roles can enhance patient safety.
A representative from a civic group stated, "Full separation of drug dispensing is a core task for establishing a patient-centered healthcare system, and the new minister should actively promote it."
However, some pharmacists express concerns that full separation could create difficulties for pharmacy management and hinder patient access. In particular, reducing the scope of over-the-counter (OTC) drugs that can be sold without a prescription could lead to decreased pharmacy revenue, ultimately impacting pharmacy operations. Additionally, patients may face inconvenience by having to visit both a hospital and a pharmacy to obtain medication.
Full Separation of Drug Dispensing: In-Depth Analysis of Key Issues
The main issues surrounding the full separation of drug dispensing are:
- Strengthening Pharmacist Expertise: Can enhancing pharmacists' medication guidance and counseling roles improve patient safety?
- Changes in Pharmacy Management Environment: Should the scope of OTC drugs be adjusted, and pharmacy operations be improved?
- Patient Access and Convenience: How can inconvenience in purchasing medication be minimized, and patients' freedom to choose a pharmacy be guaranteed?
- Potential Increase in Healthcare Costs: Can the increase in healthcare costs due to drug dispensing separation be controlled?
To resolve these issues, it is necessary to gather opinions from various stakeholders, including pharmacists, doctors, civic groups, and the government, and to reach a social consensus. In particular, to strengthen pharmacist expertise, improvements in pharmacist education, expansion of pharmacists' roles, and improvements in pharmacists' working conditions should be prioritized.
A professor of pharmacy stated, "To strengthen pharmacist expertise, clinical pharmacy education should be enhanced, and pharmacists should be supported to provide high-quality medication guidance to patients in various medical settings."
Preparation for changes in the pharmacy management environment is also necessary. Instead of adjusting the scope of OTC drugs, pharmacies should be supported to create new revenue models. For example, government support is needed to develop various business models such as selling health functional foods, providing health counseling services, and providing chronic disease management services.
To improve patient access and convenience, various measures should be considered, such as introducing medication delivery services, strengthening pharmacy location information services, and extending pharmacy operating hours. In particular, policy efforts are needed to improve medication access for patients living in remote areas or medically vulnerable areas. Special support measures for these areas are expected to be prepared in 2025.
To alleviate concerns about potential increases in healthcare costs, efforts should be made to analyze the factors contributing to increased healthcare costs due to drug dispensing separation and to implement policies to control them. For example, healthcare cost increases can be controlled through drug price reduction policies, generic drug use promotion policies, and improving the efficiency of drug prescribing and dispensing processes.
Future Prospects and Challenges: Setting Policy Directions for Promoting Public Health and Improving Healthcare Service Quality
The new Minister of Health and Welfare should gather diverse opinions on the full separation of drug dispensing and set policy directions that can achieve the goals of promoting public health and improving healthcare service quality. It is also important to build consensus for policy implementation through sufficient communication and cooperation with stakeholders related to drug dispensing. To successfully establish drug dispensing separation, various challenges must be addressed, including strengthening pharmacist expertise, improving the pharmacy management environment, and enhancing patient convenience.
In particular, drug dispensing separation policy is an important policy that directly affects the health and quality of life of the people, beyond simply changing the healthcare system. Therefore, the new minister should pursue policies with a cautious and responsible attitude. The government plans to conduct research services to improve policies related to drug dispensing from the second half of 2024, and based on the results obtained, plans to present more specific policy directions in 2026. The Ministry of Health and Welfare will do its best to ensure that people can use healthcare services more safely and conveniently through these policy changes.
An official from the Ministry of Health and Welfare stated, "As the drug dispensing separation policy is an important issue directly related to public health, we will approach it carefully and strive to achieve the best possible results."
In conclusion, the new Minister of Health and Welfare should gather diverse opinions on the full separation of drug dispensing and set policy directions that can achieve the goals of promoting public health and improving healthcare service quality. To this end, sufficient communication and cooperation with various stakeholders, including pharmacists, doctors, civic groups, and the government, is essential. In addition, to successfully establish drug dispensing separation, various challenges must be addressed, including strengthening pharmacist expertise, improving the pharmacy management environment, and enhancing patient convenience.



