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KMID : 0613620200400030563
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Health Social Welfare Review
2020 Volume.40 No. 3 p.563 ~ p.591
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Effectiveness of the Pilot Project for Polypharmacy Management
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Yang So-Young
Jang Sun-Mee
Kwon Sun-Hong
Lee Ju-Yeun
Ah Young-Mi
Kang Cin-Oo
Hong Sung-Hyun
Park Hye-Kyung
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Abstract
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The purpose of our study was to evaluate the effectiveness of the pilot project for polypharmacy management, in which pharmacists visit participants’ residences to identify the appropriateness of medication use and the incidence of adverse events, provide medication reconciliation, and educate how to manage medication. In the pilot program, health insurance claims data were used to identify the polypharmacy patients with chronic diseases, and a total of four counseling sessions were conducted for patients who agreed to participate in the program. The status of the patients’ medication adherence, medication-related awareness, and medication duplication was identified, and the results from the first and fourth rounds of consultation were compared. The medication-related awareness, medication adherence, and general knowledge of medication were improved. The incidence rate of unused medication according to the decision of healthcare provides increased, while that of unused medication due to patients’ own decisions decreased. This pilot project is a new comprehensive program for medication management. However, the medication- related problems identified by pharmacists have not been sufficiently reconciled due to the lack of a cooperative system among healthcare providers, which is a task to be improved in the future. Combining this program with Community-based Primary Medical Support Center, which currently conducts exercise and nutrition management, can be also considered.
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KEYWORD
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Medication Management, Medication Review, Medication Reconciliation, Public Health Intervention
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