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신약의 적응증 확대와 가치평가 방안 연구 : 면역항암제와 표적항암제를 중심으로
하소영(So-Young Ha),강동원(Dong-Won Kang),황인경(Ingyoung Hwang),박미혜(Mi-Hai Park) 대한약학회 2021 약학회지 Vol.65 No.2
Anticancer drugs with multi-indications have recently increased, which creates the need for a new pricing system that reflects the value of each indication. This study aims to describe the current status of the expansion of reimbursement coverage of anticancer drugs in Korea. Immunotherapy and targeted therapy were analyzed to find out the status of approval and listing. We identified the status of the expansion of reimbursement coverage and the price reduction rate. A survey was conducted with pharmaceutical employees to find their opinions on the current and newly suggested pricing system. In South Korea, 54 anticancer drugs (four immunotherapy and 50 targeted therapy drugs) had been reimbursed by April 2020. Three out of the four immunotherapy drugs (75.0%) and 29 of the 50 targeted therapy drugs (58.0%) were confirmed to have multi-indications. Among them, all four immunotherapy drugs and 25 (86.2%) of the targeted therapy drugs had their reimbursement coverage expanded. The price reduction also stood out as the expansion of the reimbursement coverage increased. Most pharmaceutical employees had recognized a problem with the current drug pricing system and were aware of the need to improve it. Therefore, the drug pricing system needs to be changed to one that reflects the value of the drug when the indication is expanded.
건강보험 청구자료를 이용한 트라마돌 안전성 관련 사전예고 전후 소아환자 대상입원 및 외래 처방현황 분석
하소영(So-Young Ha),곽민주(Minjoo Kwak),권순홍(Sun-Hong Kwon) 대한약학회 2020 약학회지 Vol.64 No.6
Tramadol is a frequently prescribed opioid analgesic for moderate to severe pain. However, tramadol has thepotential for misuse by patients and leads to many adverse opioid effects such as central nervous system depression,respiratory depression, and death. Therefore, in December 2017, the Ministry of Food and Drug Safety announced thecontraindications for tramadol in pediatric patients under the age of 12 years. The purpose of this study was to analyzethe prescribing trends of tramadol in pediatric patients in Korea. To identify prescriptions that included tramadol, we usedthe 2017 and 2018 databases of the Health Insurance Review and Assessment Service - Pediatric and Adolescent PatientSample. Among patients under the age of 12, the number of prescriptions per million patients was recorded according toinpatient stay and outpatient visits. The results obtained for 2017 and 2018 were compared to evaluate change. The numberof prescriptions for patients under the age of 12 were 2,360 (8.33%) and 2,696 (10.24%) per million patients for inpatientstay and 25,959 (91.60%) and 23,618 (89.70%) per million patients for outpatient visits in 2017 and 2018, respectively. Compared to 2017, in 2018, the tramadol prescription for inpatient stay increased, whereas it decreased for outpatientvisits. However, the proportion of tramadol prescription remained high in the clinic. Therefore, our findings suggest theneed to promote awareness to reduce the inappropriate use of tramadol in pediatrics.
당일 감마나이프수술 환자의 표준진료지침 개발을 통한 질 향상 효과 측정
김무성,하소영,배윤혁,정용태,김성태,이원희,고연주,Kim, Moo Seong,Ha, So Young,Bae, Yoon Hyuk,Jung, Yong Tae,Kim, Sung Tae,Lee, Won Hee,Go, Yeon Joo 한국의료질향상학회 2012 한국의료질향상학회지 Vol.18 No.1
Objectives : A protocol called "critical pathway" was developed to standardize the management of hospital patients the day after they underwent gamma knife radiosurgery. The quality of improvement in patient outcomes was evaluated. Methods : Critical pathway was developed, according to the regulations of the I hospital, by analyzing the medical records of 22 inpatients who underwent gamma knife surgery within the period from January to April 2011 on the day of the surgery. The study included a group of 22 patients admitted to the hospital the day after they underwent gamma knife radiosurgery, between July and September 2011. The control group included 22 patients who had surgery employing the same method within the period from May to June 2011. To measure the effects on quality improvement, the average length of stay, the execution rate of the hospital discharge notice system, daily hospital revenue, and the satisfaction of the patients and the medical team were assessed. The patient questionnaire employed a four-point Likert scale while the medical-staff questionnaire employed a five-point Likert scale. Result : The average length of stay was significantly shorter in the study group compared to the control group (2.3 days vs. 3.8 days, P<0.05). The execution rate of the hospital discharge notice system was higher in the study group (100% vs. 72%) than in the control group. Daily hospital revenues were higher by 264,178 Korean won in the study group when compared to the control group. The study group showed greater satisfaction of patients compared to the control group based on a four-point Likert scale (P<0.05). The study group showed greater satisfaction in medical team compared to the control group based on a five-point Likert scale (P<0.05). Conclusion : The development and implementation of a critical pathway protocol for hospital admission the day after gamma knife radiosurgery is an effective care process that improves the clinical quality.
지연 수술로 호전된 간문맥 내 가스와 장관 기종을 동반한 괴사성 장염
유지연 ( Ji Yeon Yoo ),유영욱 ( Young Wook Yoo ),김지혜 ( Ji Hye Kim ),유상훈 ( Sang Hoon Yoo ),하소영 ( So Young Ha ) 영남대학교 의과대학 2015 Yeungnam University Journal of Medicine Vol.32 No.1
Portal vein gas and pneumatosis cystoides intestinalis are uncommon conditions and have been associated with poor prognosis. They are most commonly caused by necrotizing enterocolitis but may have other causes, and they can be associated with necrotizing and ischemic colitis, intra-abdominal abscess, small bowel obstruction, diverticulitis, colon cancer, and acute pancreatitis. With the more frequent use of computed tomography (CT) scans, portal vein gas and pneumatosis cystoides intestinalis have been increasingly detected in recent years. Because of its high mortality rate, necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis may be treated with emergent exploratory laparotomy. We report a case of necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis in a 47-year-old man treated with intensive medical management and delayed operation due to unstable condition and surgical mortality. He had good clinical results without complications after the delayed operation.
이현교 ( Hyun Kyo Lee ),송태준 ( Tae Jun Song ),최종욱 ( Jong Wook Choi ),하소영 ( So Young Ha ),김정욱 ( Jung Wook Kim ),신종수 ( Jong Soo Shin ),김철남 ( Chul Nam Kim ),장선희 ( Sun Hee Chang ) 대한췌장담도학회 2015 대한췌담도학회지 Vol.20 No.3
Gastrointestinal bleeding from the biliary tree, called hemobilia, is an uncommon event. It may clinically present as hematemesis or melena. Ruptured cystic artery pseudoaneurysm is a rare cause of hemobilia, with 2 cases reported in Korea. We present this unusual condition in a 65-year-old man whose chief complaint was abdominal pain. His final diagnosis was ruptured cystic artery pseudoaneurysm, and he was successfully treated by transcatheter arterial embolization and laparoscopic cholecystectomy.
혈액종양 : 원발성 식도 미만성 거대 B세포 림프종 2예: 치료와 문헌적 고찰
김지혜 ( Ji Hye Kim ),정윤화 ( Yun Hwa Jung ),우인숙 ( In Sook Woo ),한치화 ( Chi Wha Han ),서민우 ( Min Woo Seo ),유상훈 ( Sang Hoon Yoo ),하소영 ( So Young Ha ) 대한내과학회 2015 대한내과학회지 Vol.88 No.2
Primary esophageal lymphoma is very rare, and most reported cases are histologically mucosa-associated lymphoid tissue lymphoma. Therefore, the principle treatment strategy for primary esophageal lymphoma focuses on local treatments, such as endoscopic mucosal resection or radiation therapy, but systemic chemotherapy plays the central role in the treatment of diffuse large B cell lymphoma (DLBCL). Generally, standard treatment for DLBCL is six or three cycles of R-CHOP chemotherapy followed by involved field radiation therapy according to stage. However, the optimal treatment strategy for primary esophageal DLBCL, and the role of additional radiation is not settled, due to a paucity of cases. Moreover, the clinical characteristics related to the etiology and natural course are also unknown. Here, we present two cases of primary esophageal DLBCL with a literature review. (Korean J Med 2015;88:224-230)
김기인,김선옥,노수진,도진회,배지혜,윤지현,이민희,정미현,최선아,하소영 이화여자대학교 간호과학대학 2010 이화간호학회지 Vol.- No.44
PURPOSE: This study aims to investigate the status of sexual intelligence, attitude and behavior of the army soldiers and to explore the relationship between sexual intelligence, attitude and behavior. This study focused on sex of the soldiers under the closed situation from the society where not only sex and culture are open, but the sexual values are distorted on the whole. METHODS: In this study, 500 army solders were selected by convenience sampling, currently in the service at the army unit in Daegu and Gwangju. The survey was performed from July to August 2009 with a questionnaire regarding sexual intelligence, attitude and behavior in terms of the sociology of population. The questionnaire was prepared based on the previous study. For analysis of the results, T-test was employed to analyze the difference of sexual intelligence, attitude and behavior according to the general characteristics of each. Also, the correlation between sexual intelligence, attitude and behavior was analyzed by Pearson's correlation. RESULTS: The sexual status of the subjects are calculated as percentage of the total: sexual intelligence is 39.43; sexual attitude 65.01; sexual behavior 55.21. In the level of sexual intelligence, the educational background has a significant difference from the level of sexual intelligence that the subjects think. In the level of sexual attitude, there revealed a significant difference between the rank of subjects and subjective level of sexual attitude realized by own. On the level of sexual behavior, the results reveal a significant difference between experiences having sexual education and the level of the subjective sexual attitude and sexual intelligence. The higher sexual intelligence is, the more desirable and positive sexual attitude was; the more desirable and positive sexual attitude was, The more sexual behavior was open. CONCLUSION: This study indicated that the sexual intelligence is significantly correlated with the sexual attitude while the sexual attitude is significantly correlated with the sexual behavior.