의약분업 예외지역 주민들의 복용약물에 대한 인식도 조사 = A Survey on the Awareness of Current Medication of Residents in a Region without Separation of Dispensary from Medical Practice

다국어 초록 (Multilingual Abstract)

The patients in the regions without separation of prescribing and dispensing practicein Korea do not have sufficient opportunities for drug education due to the shortage of hospitalsand pharmacies. Especially, most of residents in these areas are elderly people whose cognitionand understandings have been gradually declined, which may contribute to low awareness andsuboptimal compliances of current medication. According to some studies, suboptimal complianceson current medication of patients can lead to increase in drug-related problems (DRPs),medical cost, hospitalization rate, and mortality rate. However, there have been few studiesrelated to enhancing the awareness and compliance of the residents on medications in theseregions. Therefore, the goal of this study was to provide basic data for improving the awarenessand compliance of residents on medications in these regions through examining and analyzing the surveys. The self-questionnaire surveys were performed by the residents who received pharmaceuticalhealth services from the volunteers for 3 days in Eomda-Myeon of Hampyeong, SouthJeolla Province in Korea. Of those questionnaires, 200 were selected to be analyzed, and 82%(n=164) of the total respondents (n=200) had more than one chronic disease. Seven respondents(4.3%) answered that they greatly knew the drugs for their chronic diseases, 43 respondents(26.2%) answered that they mostly knew them, and 114 respondents (69.5%) answered that theydid not know them. In addition, a total of 87 residents (43.5%) responded that they greatly andmostly knew the name and efficacy of their current medications including drugs for the chronicdiseases. This result showed the considerably low awareness of the current medications. NSAIDswere mainly dispensed by these pharmaceutical health volunteer services for 3 days. The averagenumber of dispensed NSAIDs per resident was 1.11. Further related studies to improve thepatients’awareness and compliance of medications as well as the accessibilities of the healthcareservices should be implemented through the expansion of the opportunities for effective drugeducation by pharmacists in the regions.

참고문헌 (Reference)

1 Ministry of Health & Welfare.,

2 Kimsonline,

3 주성식, "일개 섬 지역 주민의 미충족 의료와 관련 요인" 한국농촌의학.지역보건학회 35 (35): 151-164, 2010

4 Korean Statistical Information Service, "인구총조사: 총조사인구 총괄(시군구/성/5세연령별)"

5 이원옥, "의약분업 이후 의약품 오남용 실태와 국민인식도 분석" 한국지방정부학회 8 (8): 27-51, 2004

6 Ministry of Health & Welfare, "의약분업 예외지역 등에 관한 규정"

7 Korea Institute for Health and Social Affairs, "의약분업 성과평가를 위한 기초연구"

8 박정숙, "농촌주민의 건강증진행위, 건강문제, 지각된 건강상태 및 농부증" 한국농촌의학.지역보건학회 34 (34): 47-57, 2009

9 박정숙, "노인건강증진프로그램이 농촌 노인의 자기효능감, 건강문제, 농부증 및 삶의 질에 미치는 효과" 성인간호학회 18 (18): 10-21, 2006

10 Rhim K. H, "The behavior changes and satisfaction of the consumers of hospitals and pharmacies after the separation of prescription and dispensation" 32 (32): 29-38, 2006

11 Spiers M. V., "Self-reported memory of medication use by the elderly" 52 (52): 985-990, 1995

12 허순임, "Policy options to tackle unmet health needs" 8 (8): 15-21, 2009

13 Tarn D. M, "Older patient, physician and pharmacist perspectives about community pharmacist's roles" 20 (20): 285-293, 2012

14 Peterson A. M, "Meta-analysis of trials of interventions to improve medication adherence" 60 : 657-665, 2003

15 Jones J. F, "Medication use by persons with chronic fatigue syndrome: results of a randomized telephone survey in Wichita, Kanas" 1 : 2003

16 Vik S. A, "Medication nonadherence and subsequent risk of hospitalisation and mortality among older adults" 23 (23): 345-356, 2006

17 Gray S. L., "Medication adherence in elderly patients receiving home health services following hospital discharge" 35 (35): 539-545, 2001

18 Kim H. J, "Lessons from Korea's pharmaceutical policy reform:the separation of medical institutions and pharmacies for outpatient care" 68 : 267-275, 2004

19 Ministry of Health & Welfare, "Korea health statistics 2011 : Korea National Health and Nutrition Examination Survey"

20 Williams A., "Interventions to improve medication adherence in people with multiple chronic conditions" 63 (63): 132-143, 2008

21 Conn V. S., "Interventions to improve medication adherence among older adults: metaanalysis of adherence outcomes among randomized controlled trials" 49 (49): 447-462, 2009

22 Vinks T. H. A. M., "Identification of potential drug-related problems in the elderly: the role of the community pharmacist" 28 : 33-38, 2006

23 Marvanova M, "Health literacy and medication understanding among hospitalized adults" 6 (6): 488-493, 2011

24 "Hampyeong Statistical Year Book"

25 Kim E. Y., "Does knowledge matter?: intentional medication nonadherence among middle-aged Korean Americans with high blood pressure" 22 (22): 397-404, 2007

26 Sturgess I. K., "Community pharmacy based provision of pharmaceutical care to older patients" 25 (25): 218-226, 2003

27 Chou K. L., "Chronic fatigue and affective disorders in older adults: Evidence from the 2007 British National Psychiatric Morbidity Survey" 145 : 331-335, 2007

28 Osterberg L., "Adherence to medication" 353 (353): 487-497, 2005

29 Higgins N., "A systematic review of the effectiveness of interventions to help older people adhere to medication regimens" 33 : 224-229, 2004

30 Park J. S., "A study health problem and perceived health status of the rural elderly" 14 (14): 274-285, 2003

31 Kim K. Y., "A pattern of Chronic disease and health risk factor of island inhabitants presenting medical health service practice" 14 : 627-633, 1993

32 Joo K., "A comparative study on medical utilization between urban and rural Korea" 29 (29): 311-330, 1996