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만성질환자 대상 맞춤형 투약상담 중재 프로그램 시범사업에 대한 평가

Title
만성질환자 대상 맞춤형 투약상담 중재 프로그램 시범사업에 대한 평가
Other Titles
Participants’ Evaluation on the Payer-driven Medication Counseling Intervention for Individuals with Chronic Disease
Author
이주연
Keywords
Medication adherence; counseling intervention; hypertension; diabetes; hyperlipidemia
Issue Date
2016-09
Publisher
한국임상약학회
Citation
한국임상약학회지, v. 26, No. 3, Page. 245-253
Abstract
Objective: This study was conducted to evaluate payer-driven medication adherence intervention program from the patient's and counselor's perspectives. Methods: Target patients for intervention were selected by retrospective adherence measures based on national health insurance claims data for hypertension, diabetes and hyperlipidemia. As a serial intervention for higher risk groups of medication non-adherence, initial direct mailing, the first direct telephone call and the second direct call or a home visit were followed. Interview approach to qualitative inquiry was used to evaluate intervention results. Results: Participants including 4 patients received telephone calls, and 4 National Health Insurance Service staff and 4 pharmacists participated as counselors were interviewed regarding their impression of the intervention program. Three major themes arose: overall perception; necessities; andsuggestions for success, of the intervention. Despite short period of intervention, educational intervention by telephone counseling involving pharmacists shows potential to improve self-management of chronic disease, and pharmacist-involvement. But more sophisticated selection of target patients requiring the intervention and complementation of electronic database system would be necessary. In addition, personal disposition of counselor was revealed to be an important factor for achieving successful outcome of intervention. Conclusion: The findings suggest that the individualized counseling intervention would be an efficient option for improved medication adherence. Further researches should include longer periods of interventions, a quantitative analysis using adherence measures based on claims data and consideration of clinical benefits associated with the intervention
URI
https://www.earticle.net/Article/A285232https://repository.hanyang.ac.kr/handle/20.500.11754/102708
ISSN
1226-6051
Appears in Collections:
COLLEGE OF PHARMACY[E](약학대학) > PHARMACY(약학과) > Articles
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