다제약제 관리를 위한 시범사업: 현황 분석 및 정책적 함의

• 영문명: Pilot Project for Polypharmacy Management: Empirical Aanalysis and Policy Implications
• 발행기관: 한국사회약학회 (구.한국보건사회약료경영학회)
• 저자명: 장선미(Sunmee Jang) 이주연(Ju-Yeun Lee) 아영미(Youngmi Ah) 신용문(Yongmoon Shin) 강신우(Cinoo Kang) 조혜민(Hyemin Cho) 양소영(Soyoung Yang) 이은지(Eunji Lee) 박혜경(Hyekyung Park)
• 간행물 정보: 『한국사회약학회지』제8권 제1호, 31~42쪽, 전체 12쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2020.05.30

영문 초록

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.

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키워드

polypharmacy demonstration project drug-related problems