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장기요양시설에서의 약물 관리와 약사의 역할

Pharmacy-led Medication Management Services in Long-term Care Facilities: Lessons from other Countries for Korea

약학회지 2020년 64권 2호 p.166 ~ 172
문아름 ( Moon A-Rum ) - Gachon University College of Pharmacy

조혜민 ( Cho Hye-Min ) - Gachon University College of Pharmacy
장수현 ( Jang Su-Hyun ) - Gachon University College of Pharmacy
강은정 ( Kang Eun-Jeong ) - Soonchunhyang University Department of Health Administration and Management
장선미 ( Jang Sun-Mee ) - Gachon University College of Pharmacy

Abstract


The elderly usually have a high risk of drug-related problems by polypharmacy, therefore they are in need of drug management in long-term care facilities. This study aims to obtain the implications for developing a drug management system in long-term care facilities by pharmacists suitable for Korea by reviewing the drug management programs in long-term care facilities in countries that experienced population aging first. The United States, Canada, Australia, and Japan have enacted laws to optimize drug management in long-term care facilities according to the social demands of the aging population and operate specific programs based on those laws. Drug management programs in longterm care facilities operate in a variety of forms to suit the circumstances of each country. In long-term care facilities, pharmacists participate in the medication regimen review, in setting up drug related service frames and in developing relevant policies of the facilities. The results of the pharmacist's medication regimen review are not only provided to the doctor but also included in the medical record and kept for a while. Pharmacists emphasize cooperation with physicians and other health practitioners for proper drug management in long-term care facilities. In Korea, where the number of long-term care facilities is increasing along with the surge in the elderly population, it is necessary to develop a drug management system by pharmacists for safe drug use in long-term care facilities.

키워드

Aging; Pharmacy-led medication management; long-term care facility
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