한국 조현병 환자에서 벤조다이아제핀의 사용 : 건강보험심사평가원 자료 분석

• 영문명: Benzodiazepine Use among Patients with Schizophrenia in Korea: Analysis of Database of Health Insurance Review Agency
• 발행기관: 대한신경정신의학회
• 저자명: 최성구 이상욱 황태연
• 간행물 정보: 『신경정신의학』제56권 제4호, 168~174쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2017.11.30

영문 초록

Objective This study was designed to examine the pattern of benzodiazepine use in a representative sample of patients with schizophrenia in Korea. Method Data generated by the Health Insurance Review Agency of Korea was used to examine the frequency of benzodiazepine use. Demographic and geographic factors, hospital types in which patients received prescriptions, health insurance coverage, and the number of concomitant antipsychotics associated with benzodiazepine use were explored by multivariate logistic regression analysis. Results Among the 183427 patients with schizophrenia, the frequency of benzodiazepine use was 67.5% (n=122859). Use of benzodiazepines was highly associated with female patients treated in hospitals located in Gyeonggi, Gyeongsang, and Gangwon provinces, medicaid patients, patients treated in mental hospitals and private psychiatric clinics, and patients using concomitant antipsychotic agents. Conclusion The study demonstrated that benzodiazepine use was highly prevalent among patients with schizophrenia. Long-term use of benzodiazepine may be at higher risk of neurocognitive side effects and risk of mortality. Therefore, patients with schizophrenia taking benzodiazepine concomitantly should be closely monitored for benefits and risks of benzodiazepine use. For the medicaid patients, policy change is urgently needed in order for patients to receive equal quality of treatment with that of non-medicaid patents.

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Benzodiazepine Schizophrenia Multivariate logistic regression analysis 벤조다이아제핀 조현병 다변량 로지스틱 회귀분석