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보건행정학회지 = Korean journal of health policy and administration v.20 no.2 = no.61, 2010년, pp.128 - 143   피인용횟수: 5
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

우리나라 성인 2형 당뇨환자에서의 외래 투약 순응도와 관련요인 분석
Oral Antihyperglycemic Medication Adherence and Its Associated Factors among Ambulatory Care with Adult Type 2 Diabetes Patients in Korea

홍재석    (건강보험심사평가원 심사평가정책연구소   ); 강희정    (건강보험심사평가원 심사평가정책연구소  );
  • 초록

    Objectives : This study aims to estimate the oral antihyperglycemic medications adherence among ambulatory care with adult type 2 diabetes patients and to identify factors affecting the medication adherence in Korea. Methods : This study used the Korean National Health Insurance Database. Study population was 40,082 patients who were 20 years of age or older and first diagnosed with type 2 diabetes (ICD-10: E11) in 2004. The patients were followed up for two years in order to measure adherence with oral antihyperglycemic medications. The level of medication adherence was measured by the medication possession ratio (MPR). Results : The average MPR in the study population was 49.5%. The appropriate adherence rate (MPR $\geq$ 80%) was 29.4% and showed variation according to the characteristics of individual patients. Multiple logistic regression analysis revealed that the odds of appropriate adherence increased with female (OR:1.21, CI:1.14-1.27), older age, increasing ambulatory care visits, health insurance (OR:1.53, CI:1.33-1.76), decreasing ambulatory care providers, using a specialized general hospital as their main attending medical institution (OR:10.08, CI:8.96-11.33), having co-morbidity, using polytherapy (OR:1.07, CI:1.01-1.13). Conclusions : The medications adherence for patient with type 2 diabetes is low in Korea, and shows variation according to the characteristics of patients. For proper management of diabetes, health care policy is expected to be enacted to improve medications adherence continuously. In particular, more intensive management is needed for patients with low medications adherence. Also, health care policy makers need to develop the program to induce health care utilization by a patient to be more concentrated with the same provider.


  • 주제어

    Antihyperglycemic drugs .   Medication adherence .   Type 2 diabetes mellitus.  

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  • 이 논문을 인용한 문헌 (5)

    1. Cho, Su-Jin ; Chung, Seol-Hee ; Oh, Ju-Yeon 2011. "Differences between Diabetic Patients' Tertiary Hospital and Non-tertiary Hospital Utilization According to Comorbidity Score" 보건행정학회지 = Korean journal of health policy and administration, 21(4): 527~540     
    2. Seo, Yeong-Mi ; Choi, Won-Hee 2016. "The Mediating Effect of Regimen Distress in the Relationship between Medication Adherence and Glycemic Control in Men with Type 2 Diabetes Mellitus" 동서간호학연구지 = Journal of East-West nursing research, 22(2): 170~177     
    3. Song, Youngshin 2016. "Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes" Journal of Korean academy of nursing = 대한간호학회지, 46(3): 443~453     
    4. Jung, Youn ; Byeon, Jinok 2016. "The Association between having a Usual Source of Care and Adherence to Medicines in Patients with Chronic Diseases" 한국임상약학회지 = Korean journal of clinical pharmacy, 26(2): 128~136     
    5. Sohn, Hyun Soon ; Jang, Sunmee ; Lee, Ju-Yeun ; Han, Euna 2016. "Participants' Evaluation on the Payer-driven Medication Counseling Intervention for Individuals with Chronic Disease" 한국임상약학회지 = Korean journal of clinical pharmacy, 26(3): 245~253     

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  • 강희정 (4)

    1. 2009 "우리나라 외래서비스 이용 당뇨환자의 특성에 따른 당화혈색소(HbA1c)검사 시행률 변이 분석" 보건행정학회지 = Korean journal of health policy and administration 19 (1): 49~61    
    2. 2009 "건강보험 현지조사제도에서 일반적 억제이론에 대한 경험적 연구" 보건행정학회지 = Korean journal of health policy and administration 19 (3): 109~124    
    3. 2009 "우리나라 성인 2형 당뇨환자의 외래진료 지속성과 관련요인 분석" 보건행정학회지 = Korean journal of health policy and administration 19 (2): 51~70    
    4. 2010 "약제비 제외가 의원의 진료비 효율성 순위에 영향을 미치는가?" 보건행정학회지 = Korean journal of health policy and administration 20 (4): 45~57    

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