보건행정학회지 (Health Policy and Management)

  • 제23권4호
  • /
  • Pages.427-433
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  • 2013
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  • 1225-4266(pISSN)
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  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
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인천광역시 의원기반 건강포인트제도가 고혈압·당뇨병 환자의 지속치료에 미치는 영향

The Effect of a Clinic Based Incentive Program on Medication Adherence among Patients with Hypertension or Diabetes Mellitus in Incheon

  • 정원 (가천대학교 의학전문대학원 예방의학과) ;
  • 임준 (가천대학교 의학전문대학원 예방의학과) ;
  • 오대규 (가천대학교 의학전문대학원 예방의학과) ;
  • 임정수 (가천대학교 의학전문대학원 예방의학과) ;
  • 고광필 (가천대학교 의학전문대학원 예방의학과) ;
  • 박이병 (가천대학교 의학전문대학원 내분비내과)
  • Cheong, Won (Department of Preventive Medicine, Gachon University of Medicine and Science) ;
  • Yim, Jun (Department of Preventive Medicine, Gachon University of Medicine and Science) ;
  • Oh, Dae-Kyu (Department of Preventive Medicine, Gachon University of Medicine and Science) ;
  • Im, Jeong-Soo (Department of Preventive Medicine, Gachon University of Medicine and Science) ;
  • Ko, Kwang Pil (Department of Preventive Medicine, Gachon University of Medicine and Science) ;
  • Park, Ie Byung (Department of Internal Medicine, Gachon University of Medicine and Science)
  • 투고 : 2013.08.13
  • 심사 : 2013.11.05
  • 발행 : 2013.12.31
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초록

Background: This study was conducted to evaluate the factors affecting adherence in patients with hypertension and type 2 diabetes mellitus before and after a clinic based patient incentive program in Incheon. Methods: An observational follow-up study was done for 28,355 patients in one registered group and 245,598 patients in a non-registered group from March 16th 2009 to December 31th 2010 in Incheon. The registration, mandatory laboratory tests and number of clinic visits were collected by merging the Incheon Chronic Disease Management System data and the National Health Insurance Corporation (NHIC) data. As a measure of patient adherence, we used a variable of prescription days from the NHIC and defined above 80% of average prescription days as an appropriate patient adherence. Repeated measures analysis of variance and logistic regression were used to analyze the differences in patient adherence and factors affecting adherence. Results: The changes in prescription days for the registered group are larger than for the non-registered group. In the logistic regression model, including the variables with sex, age, income status and number of clinic visits, the registered group exhibited a higher Odds ratio in the patient adherence. Conclusion: This study revealed the association between registration and appropriate patient adherence in patients with hypertension or type 2 diabetes mellitus.

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