경기도 방문약료 사업에 대한 다년간 성과 분석 연구

• 영문명: Analysis of the Achievements of the Pharmacist Home-visit Service in Gyeonggi-do
• 발행기관: 한국보건사회약료경영학회
• 저자명: 변보경(Bo-Kyung Byun) 안화영(Hwayoung An) 강동원(Dong-Won Kang) 윤선희(Sun Hee Yun) 박영달(Young-Dal Park) 박선경(Sun-Kyeong Park)
• 간행물 정보: 『한국보건사회약료경영학회지』제12권 제1호, 45~52쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2024.05.31

영문 초록

BACKGROUND We evaluated the effectiveness of a pharmacist home-visit service by analyzing changes in medication adherence and general medication knowledge among polypharmacy users. METHODS The pharmacist’s home-visit service was conducted from 2017 to 2019, targeting the medical aid population with chronic diseases taking polypharmacy who wanted to participate in this service. Pharmacists conducted a minimum of two face-to-face education and counseling sessions. Medication adherence was measured using the Morisky scale, and the effects of home visit education and counseling were assessed by comparing medication adherence and general medication knowledge between initial and final consultations using the McNemar test. Adverse event occurrence was also compared. RESULTS 1194 patients participated in the study over three years, with 534 patients included in the analysis after excluding those with missing data in the outcome variables. The medication adherence rate to the question “Do you ever forget to take your medicine?” significantly increased from 51.3% before pharmacist education and counseling to 73.6% thereafter (p<0.05). The item assessing knowledge about discarding expired medication significantly increased from 40.3% to 83.3% (p<0.05). The average number of adverse events significantly decreased by approximately 0.50 incidents (p<0.05). CONCLUSIONS The study findings indicate that pharmacist-led home visit services can effectively improve medication adherence and knowledge and reduce adverse events among polypharmacy users. Emphasizing the importance of pharmacist-led services in promoting proper medication use, future healthcare policies should consider providing professional guidance and continuous medication management to polypharmacy users.

목차

연구배경 및 목적

연구 방법

연구 결과

고 찰

결 론

감사의 말씀

참고문헌

키워드

Elderly patients Medication adherence Medication knowledge Pharmacist home-visit Polypharmacy Adverse events