Korean Journal of Clinical Pharmacy (한국임상약학회지)

Korean College Of Clinical Pharmacy (한국임상약학회)
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Effect of Patient's Satisfaction with Pharmacist's Medication Counseling on Medication Compliance Among Outpatients

복약지도 만족도가 복약순응도에 미치는 영향 : 외래환자를 대상으로

  • Heo, Jae-Heon (Graduate School of Public Health, Seoul National University) ;
  • Kim, Su-Jin (Graduate School of Public Health, Seoul National University) ;
  • Kim, Joo-Hyek (Graduate School of Public Health, Seoul National University) ;
  • Huh, Soon-Im (University of Seoul)
  • 허재헌 (서울대학교 보건대학원) ;
  • 김수진 (서울대학교 보건대학원) ;
  • 김주혁 (서울대학교 보건대학원) ;
  • 허순임 (서울시립대학교 행정학과)
  • Received : 2009.10.20
  • Accepted : 2009.12.10
  • Published : 2009.12.31
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Abstract

Medication compliance is essential to improve person's health status through pharmacotherapy. Since separation of dispensing and prescription has been implemented, the importance of pharmacist's role on medication counseling have been emphasized, especially among outpatients. The objective of this study is to investigate the effect of patient's satisfaction with pharmacist's medication counseling on medication compliance among outpatients. We used the 2005 Korea National Health and Nutrition Survey data to examine medication compliance of persons who visited pharmacy. Ordered logistic regression analysis was conducted to assess whether patient's satisfaction with pharmacist's medication counseling was associated with medication compliance. Overall, 86.17% of study subjects(5,494) reported to take the prescribed medicines correctly and 80.54% of respondents were satisfied with pharmacist's medication counseling. Logistic regression analysis presents patient's satisfaction with pharmacist's counseling is significantly associated with medication compliance after controlling patient's characteristics(proxy-measured by age, family income, educational attainments, comorbid conditions). Interestingly, even patients who are dissatisfied with pharmacist's counseling have slightly higher odds of better compliance to medication therapy than those without pharmacist's counseling. In addition, higher educational attainments and older age groups are associated with better medication compliance. In conclusion, pharmacist's medication counseling appears to be effective in improving medication compliance. Further research that assess medication counseling in detail needs to develop strategies to improve medication adherence.

Keywords

References

  1. Cramer JA. Partial medication compliance: the enigma in poor medical outcomes. American Journal of Managed Care 1995; 1(2):167-174.
  2. Edward F, Duh, MS, Weiner, JR., et al. Guerin, A., Cunnington, M. C. Nonadherence to antiepileptic drugs and increased mortality: Findings from the RANSOM Study, Neurology 2008; 71:1572-1578 https://doi.org/10.1212/01.wnl.0000319693.10338.b9
  3. 이의경, 박경영. 의료기관 외래 이용자의 복약순응관련 요인 분석. 한국의료QA학회지 2002; 9(2):164-175
  4. Somerset NJ. Conference on patient compliance Healthcare Compliance Packaging Council 1993:18-19
  5. National Pharmaceutical Council(NPC). Emerging issues in pharmaceutical cost containment. Reston 1992:1-16
  6. 권준수, 신성웅, 정영미, 박경호. 대학병원 정신과 외래환자의 약물 순응도. 신경정신의학 1997; 36:523-529
  7. 홍선식. 호르몬 대체요법을 받는 여성의 폐경에 대한 인지도 및 복약실태에 관한 연구. 석사학위 논문. 중앙대학교의약식품대학원. 1999
  8. 권지혜, 황의태, 김현정, 김하영, 박병현, 남문석, 조정구, 김은정. 제2형 당뇨병환자에서 복약순응도가 혈당 조절에 미치는 영향. 대한당뇨병학회 추계학술대회. 2006
  9. 김현지, 강진숙, 박정연, 나현오. 원외처방환자에 대한 복약지도 현황 및 만족도 조사. 한국임상약학회지 2006; 16(2): 92-95
  10. 대전 YMCA. 약국 복약지도 의식 및 실태조사. 2008년 8월
  11. 박재현. 우리나라 건강보험가입자의 고혈압약 투약순응도와 요인. 박사학위논문. 서울대학교 대학원. 2006
  12. 윤혜설, 유승흠, 손태용. 의약분업 이후 병원문전약국과 동네약국 이용자의 만족도 비교. 병원경영학회지 2001; 6(1):62-84
  13. 최수연, 강창렬. 외래환자 복약지도와 환자만족도 영향요인. 대한보건연구 2007; 33(2):147-161
  14. 한국사례연구회 역. 복약순응도 높이기. 현문사 2007:9
  15. 강이주, 이상협. 의료서비스에 대한 서비스 부문별 중요도와 만족도에 관한 연구. 한국가정관리학회지 1997; 15(1):129-146
  16. 김정란. 의약분업 후 복약실태조사 및 불순응에 관한 연구. 석사학위논문. 중앙대학교 의약식품대학원. 2001
  17. Haynes RB, Taylor D, Sackett DL, Gibson Es, Bernholz CD, Mukherjee J. Can simple clinical measurements detect patient noncompliance? Hypertension 1980; 2:757-764 https://doi.org/10.1161/01.HYP.2.6.757
  18. Westfall UE. Methods for assessing compliance. Topics in Clinical Nursing 1996; 7(4):23-30