Earticle

초록

영어

BACKGROUND The number of patients with polypharmacy has been steadily increasing. Since polypharmacy can lead to various drug-related problems, a systematic review and monitoring led by experts is needed. OBJECTIVE National Health Insurance Service(NHIS) started a pilot project for polypharmacy management in 2018. The purpose of this study is to analyze the characteristics of patients with polypharmacy and identify their drug-related problems. METHODS Pilot project was conducted from July 2018 to December 2018. Participants living in community (n=477) were selected using National Health Insurance Claims Data (NHICD) from July 2017 to December 2017. They had taken more than 10 medicines for over 90 days in six months. All people living in two long-term care facilities (n=207) in Seoul and GyeongGi also participated in this project. The pattern of medical utilization, social-demographic factors and clinical characteristics of all patients were identified using NHICD, National Health Check-up Data and Long Term Care Insurance Data from 2014 to 2018. Drug-related problems reported by pharmacists were reorganized. RESULTS Among the community dwellers, there were more men than women and their average age was 71.7. 19.7% of participants were living alone, and 25.8% of them were disabled. 51.2% of people visited more than six medical institutions for six months, and 40.3% of them have been hospitalized at that time. In long-term care facilities there were more women and the average age was 83. 24.2% of total were one person household and 33.3% of them were disabled. All patients had taken 11 medicines in average. People living in community showed overdose and duplication of analgesic anti-inflammatory drug, digestive medicine, tranquilizer, while duplication of central nervous system medicine among people in long- term care facilities were mainly reported. CONCLUSION To effectively manage polypharmacy, standardized counseling manual focusing on high risk medicine is necessary. Also, a policy is needed to handle drug-related problems in cooperation with doctors and pharmacists.

목차

Abstract
서론
연구방법
1. ‘올바른 약물이용지원’시범사업 개요
2. 분석방법
연구결과
1. 시범사업 참여 다약제 복용자의 특성
2. 시범사업 참여자의 약물관련 문제의 유형과 양상
고찰
결론
감사의 말씀
참고문헌

키워드

저자

• 장선미 [ Sunmee Jang | 가천대학교 약학대학 가천약학연구소 ]
• 이주연 [ Ju-Yeun Lee | 서울대학교 약학대학 ]
• 아영미 [ Youngmi Ah | 영남대학교 약학대학 ]
• 신용문 [ Yongmoon Shin | 차의과학대학교 약학대학 ]
• 강신우 [ Cinoo Kang | 서울대학교 보건대학원 ]
• 조혜민 [ Hyemin Cho | 가천대학교 약학대학 가천약학연구소 ]
• 양소영 [ Soyoung Yang | 성균관대학교 약학대학 ]
• 이은지 [ Eunji Lee | 가천대학교 약학대학 가천약학연구소 ]
• 박혜경 [ Hyekyung Park | 서울대학교 약학대학 ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국보건사회약료경영학회지 [Journal of Korean Academy of Managed Care Pharmacy]

• 간기

  반년간

• pISSN

  2092-8394

• 수록기간

  2009~2022

• 십진분류

  KDC 518 DDC 615