지역약국에서 시행하는 복약지도의 질적 수준 평가

Quality Evaluation of Medication Counseling in Korean Community Pharmacies

  • 이주현 (숙명여자대학교 약학대학) ;
  • 손현순 (숙명여자대학교 약학대학) ;
  • 신현택 (숙명여자대학교 약학대학)
  • 투고 : 2009.09.15
  • 심사 : 2009.12.16
  • 발행 : 2009.12.31

초록

Background: Medication counseling is important to improve qualify of pharmaceutical care, but there are lack of studies to investigate satisfied counseling practice in community pharmacies. Purpose: This study was to investigate current medication counseling provided by community pharmacists. Method: Questionnaires to assess medication counseling practices were mailed to nationwide 1,269 community pharmacists who were Sookmyung Women's University alumni. Result: One hundred sixty five pharmacists were responded to the questionnaires (response rate 13.63%). 16.8% of them all respondents had counseling room in their pharmacies. 75% and 29.9% of respondents provided patient counseling always for new and refilled prescriptions, respectively. Counseling was provided primarily by verbal, but especially for drug name, usage and storage, it was provided in written concurrently. 31.1% of respondents was satisfied with counseling practices by themselves, and a major barrier of unsatisfied counseling was lack of time in 64.6% of respondents. Majorities of respondents (66.3% and 76.3%) spent 1-3 minutes and <1 minute, for new prescription and refilled prescription, respectively. Approximate 99% of respondents presented necessity of standardized patient counseling information for drugs and 97.6% responded that quality of patient counseling would be improved by using software containing counseling information. Old respondent group had higher accumulative patient counseling practice scores and pharmacy owner group took much time for counseling, resulting in higher scores too. Conclusion: This study showed that qualified patient counseling practice has not been reached in community pharmacies. Much more discussion to seek ways to improve the quality would be necessary.

키워드

참고문헌

  1. 대한약사회. 복약지도 실무지침(안). 2005.1.
  2. 이병구. 복약지도의 필요성과 현황. 병원약사회지. 2002; 19(4):329-337.
  3. 손현순. 노인환자에 대한 개국약국 약료서비스의 경제성 평가. 숙명여자대학교 박사학위 논문. 2006.
  4. 보건복지부. 2007 의료기관 평가 지침서. 한국보건산업진흥원.
  5. 고미숙. 의약분업 이후 우리나라 약국업무 실태분석. 이화여자대학교 석사학위논문. 2003.
  6. 박성희, 서준규, 윤혜설, 홍진영, 박군제. 약국서비스 만족에 영향을 미치는 요인 분석-환자체감시간과 실제시간 비교를 중심으로. 한국의료QA학회지. 1998; 202-215.
  7. 신현택. 의약분업하의 복약지도 적정화 방안. 보건복지부 보건의료기술연구개발사업 연구보고서. 2002
  8. 황진숙. 복약지도 향상을 위한 교육과정 개발에 관한 연구. 중앙대학교 석사학위 논문. 2001
  9. 장상길. 미국의 의약분업과 복약지도. 의약정보. 2002; 28(8): 76-86.
  10. US Food and Drug Administration. Center for Drug Evaluation and Research. Draft guidance: guidance of useful written medication information(CMI). www.fda.gov/ cder/guidance/6520dft.htm. Accessed 2007 July.
  11. Koo M, Krass I, Aslani P. Factors influencing consumer use of written drug information. The Annals of Pharmacotherapy. 2003; 37: 259-67. https://doi.org/10.1177/106002800303700218
  12. 최선례. 복약지도의 실용적 접근, 일본 약국의 약 수첩 활용사례 소개. 의약정보. 2002; 28(5): 82-84.
  13. 홍명자 등. 근린약국약사를 대상으로 실시한 보조라벨의 이해도 및 사용의지에 관한 조사. 한국임상약학회지. 2006;16(1): 277-281.
  14. Brown C, Solovitz B, Bryant S et al. Short- and long-term effects of auxiliary labels on patient knowledge of precautionary drug information. Drug Intell Clin Pharm. 1988; 22: 470-4. https://doi.org/10.1177/106002808802200605
  15. Ines K. Bonnie L. Svarstad, Dara B. Using alternative methodologies for evaluation patient medicine leaflet. Patient education and counseling. 2002; 47(1): 29-35. https://doi.org/10.1016/S0738-3991(01)00171-9
  16. European Commission. European guideline on the readability of the label and package leaflet of medicinal products for human use. http://pharmacos.eudra.org.F2/ eudralex/vol-2/C/g1981002.pdf. Accessed Sep 28. 2007.
  17. 식품의약품안전청. 의약품 표시기재 가이드라인 발표자료. http://kfda.go.kr/index3.html. Accessed July 11. 2007.
  18. 김정란. 의약분업 후 복약실태조사 및 불순응 요인에 관한 연구. 중앙대학교 석사학위논문. 2001.