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조혜민(Hyemin Cho),이유민(Yumin Lee),장선미(Sunmee Jang) 대한약학회 2022 약학회지 Vol.66 No.5
Pharmacy utilization among immigrants in Korea is increasing amid the rapidly rising number of immigrants living in the country. However, few studies have investigated immigrants’ pharmacy utilization. This qualitative study used group interviews to explore immigrants’ experiences and perceptions of drug use and pharmacist services in Korea. The study participants consisted of 30 immigrants who had lived in Incheon and Gyeonggi for at least one year and had used pharmacies. The analysis results are grouped under three themes: “Reasons for visiting and selecting a pharmacy,” “Experience and perception of pharmacy and pharmacists’ services,” and “Experience and perception of taking medicine.” Our study shows that immigrants in Korea face language barriers when visiting pharmacies and struggle with Korea’s prescription-dispensing systems, forcing them to rely on their home country communities. However, immigrants who build a relationship of trust with a certain pharmacy tend to visit it regularly. Therefore, Korean pharmacists must strive to build good relationships with immigrants in order to help them adapt to Korea’s healthcare system.
문아름(Arum Moon),조혜민(Hyemin Cho),장수현(Suhyun Jang),강은정(Eunjeong Kang),장선미(Sunmee Jang) 대한약학회 2020 약학회지 Vol.64 No.2
The elderly usually have a high risk of drug-related problems by polypharmacy, therefore they are in need of drug management in long-term care facilities. This study aims to obtain the implications for developing a drug management system in long-term care facilities by pharmacists suitable for Korea by reviewing the drug management programs in long-term care facilities in countries that experienced population aging first. The United States, Canada, Australia, and Japan have enacted laws to optimize drug management in long-term care facilities according to the social demands of the aging population and operate specific programs based on those laws. Drug management programs in longterm care facilities operate in a variety of forms to suit the circumstances of each country. In long-term care facilities, pharmacists participate in the medication regimen review, in setting up drug related service frames and in developing relevant policies of the facilities. The results of the pharmacist s medication regimen review are not only provided to the doctor but also included in the medical record and kept for a while. Pharmacists emphasize cooperation with physicians and other health practitioners for proper drug management in long-term care facilities. In Korea, where the number of long-term care facilities is increasing along with the surge in the elderly population, it is necessary to develop a drug management system by pharmacists for safe drug use in long-term care facilities.
정주형 이민자에서 상용치료원이 투약순응도에 미치는 영향
강희진 ( Hee-jin Kang ),강신우 ( Cinoo Kang ),조혜민 ( Hyemin Cho ),장선미 ( Sunmee Jang ) 한국보건경제정책학회(구 한국보건경제학회) 2020 보건경제와 정책연구 Vol.26 No.4
당뇨는 지속적으로 적절한 관리가 필요한 만성질환으로 상용치료원이 있거나 투약순응도가 높은 당뇨 환자는 입원이나 응급실 방문 횟수가 줄어들고, 당뇨관련 합병증 발생 가능성이 낮아진다. 그러나 당뇨를 앓고 있는 정주형 이민자의 의료이용 및 투약순응 양상에 대하여 연구가 거의 이루어지지 못했다. 본 연구는 국내 장기간 거주하는 정주형 이민자들의 당뇨 치료를 위한 상용치료원과 투약순응도를 분석하고자 한다. 2011년-2015년 국민건강보험공단의 건강보험 심사데이터를 이용하여 분석하였으며 이민자는 건강보험 대상자로 한정하였다. 2012년 당뇨로 진단받고 처음으로 혈당 강하제를 복용하는 당뇨환자를 만 3년간 추적 관찰하였다. 3년 동안 당뇨 치료를 위해 방문한 의료기관을 확인하여 상용치료원이 있는지 여부와 투약순응도를 Medication Possession Ratio(MPR)를 이용하여 산출하고, MPR 80%이상인 경우를 투약순응군으로 정의하였다. 또한 연령, 성별, 이민유형, 거주 지역, 가족 구성원 수, 동반질병 등을 보정하여 상용치료원과 투약순응도의 관계를 로지스틱회귀분석을 적용하여 검정하였다. 방문한 의료기관이 3년 동안 1개소(단골)인 경우가 15.6%, 5곳 이상인 경우도 27.2%였다. 투약순응도는 3년 동안의 평균은 64.0%였고, 처음 6개월 동안 평균 73.0%였으나 24개월이 경과되었을 때는 60%로 시간이 지나면서 낮아졌다. 투약순응도에 영향을 미치는 요인 분석결과, 투약비순응군이 될 가능성이 통계적으로 유의하게 영주권자에 비해 결혼이민자가 더 높았고, 방문한 의료기관 수가 1곳인 곳에 비해 5곳인 경우에서 더 높았다. 정주형 이민자에서도 상용치료원이 있는 경우가 투약순응도를 더 높일 수 있어 상용치료원의 중요성을 확인하였으며, 국내 이민자에서도 적용됨을 확인하였다. Diabetes is a chronic disease that requires continuing medical care and self-management. Diabetes patients with a usual source of care or high medication adherence are less likely to be hospitalized or visited the emergency room or to develop diabetes-related complications. However, Little study has been done on a usual source of care and medication adherence in domestic immigrants with diabetes. Therefore, this study aims to identify a usual source of care and medication adherence in immigrants with diabetes. We analyzed using the health insurance claim data from 2011 to 2015 and included immigrants enrolled in health insurance. We selected immigrants who had prescriptions at the time of diabetic diagnosis in 2012 and followed them for 3 years. A usual source of care and medication adherence by Medication Possession Ration (MPR) were calculated and high medication adherence was defined by greater than or equal to 80% of MPR. To explore an association between medication adherence and a usual source of care among immigrants, multiple logistic regression was conducted. For 3 years, 15.6% of the patients visited one medical institution (regular) and 27.2% of the patients visited more than five. The mean MPR for 3-year durations was 64.0%. The MPR decreased by 60% at 24 months. As a result of the analysis of factors influencing medication adherence, the likelihood of becoming a non-adherence group was higher in marriage immigrants than in permanent residents, and higher in patients visited more than five medical institutions compared to one. As patients who had a usual source of care could further increase the medication adherence, the importance of the usual source of care was confirmed, and it was also applied to domestic immigrants.