보훈환자 시각에서의 처방의약품 사용 행태와 영향요인
Prescription Drug Use Behavior and Influence Factors in Veteran Patients from the Perspective of Veterans
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: This study aimed to explore a veteran patients’ behavior of prescribing drug use and of which influencing factors from the veteran patients’ perspective through qualitative interviews. Methods: We recruited veteran patients through purposive sampling and interviewed 30 veteran patients aged 20 and over who had been taking prescription drugs. We developed and utilized an interview guide consisting of three themes for data collection. We made verbatim transcripts and analyzed data using the framework analysis. Results: Participants were aware that they had large amounts of prescribing medicines and discarded the medicines. They often used improperly by the person himself or his family or acquaintances. The factors that influenced these inefficient prescription drug usage were grouped into ‘factors procuring more drugs than necessary’ and ‘factors being prescribed more drugs than necessary’. Anxiety about downgrading from the upper class to the lower among reward classes for veterans, and suspicion or dissatisfaction with the veteran policy caused the participants to procure more drugs than necessary. Additionally, they received too many medicines due to long-term prescriptions and lack of communication with their doctors, and poor quality of veteran health services. Conclusion: To improve the medication use behavior of veteran patients, providing information or introducing interventions for the proper medication use is not enough. Efforts should be made to improve their negative recognition over relevant policies and health care services.
Abstract
Objective: This study aimed to explore a veteran patients’ behavior of prescribing drug use and of which influencing factors from the veteran patients’ perspective through qualitative interviews. Methods: We recruited veteran patients through purposive sampling and interviewed 30 veteran patients aged 20 and over who had been taking prescription drugs. We developed and utilized an interview guide consisting of three themes for data collection. We made verbatim transcripts and analyzed data using the framework analysis. Results: Participants were aware that they had large amounts of prescribing medicines and discarded the medicines. They often used improperly by the person himself or his family or acquaintances. The factors that influenced these inefficient prescription drug usage were grouped into ‘factors procuring more drugs than necessary’ and ‘factors being prescribed more drugs than necessary’. Anxiety about downgrading from the upper class to the lower among reward classes for veterans, and suspicion or dissatisfaction with the veteran policy caused the participants to procure more drugs than necessary. Additionally, they received too many medicines due to long-term prescriptions and lack of communication with their doctors, and poor quality of veteran health services. Conclusion: To improve the medication use behavior of veteran patients, providing information or introducing interventions for the proper medication use is not enough. Efforts should be made to improve their negative recognition over relevant policies and health care services.
참고문헌 (25)
- "Medical care benefits for veterans"[URL]
- 정인재, "고엽제 피해자에 대한 국가 보상 현황 및 보훈 정책 원리 수정 제안", 한국환경보건학회지, 40(2), pp.157~170 (2014), 한국환경보건학회[DOI]
- "Annual report of patriots and veterans affairs 2018" (2019)[URL]
- 정영진, "보훈병원 외래 이용 노인에서 다약제 복용 여부에 따른 사망률을 비롯한 건강결과 지표의 차이", 박사, 의학, pp.2011
- 이인향, "보훈의료지원 대상자의 외래 처방의약품 사용경향과 적정성 평가", 한국임상약학회지, 28(2), pp.107~116 (2018), 한국임상약학회[DOI]
- 이인향, "노령 보훈의료지원 인구의 외래 처방의약품 사용경향과 적정성", 약 학 회 지, 63(3), pp.164~172 (2019), 대한약학회[DOI]
- Kasbekar R, "The pharmacist's role in preventing medication errors in older adults", Consult Pharm, 29(12), pp.838~842 (2014)
- Pope C, "Qualitative methods in health research", pp.1~11 (2006), Blackwell Publishing Ltd
- Denscombe M, "The good research guide for smallscale social research projects", pp.173~205 (2007), Open University Press
- Onwuegbuzie, "The role of sampling in qualitative research", Acad Exch Q, 9(3), pp.280~284 (2005)
- Guest G, "How many interviews are enough? An experiment with data saturation and variability", Field Methods, 18(1), pp.59~82 (2006)
- Donovan J, "Handbook of health research methods: investigation, measurement and analysis", pp.515~532 (2005), Open University Press
- Ritchie J, "The qualitative researcher's companion", pp.305~329 (2002), SAGE Publications
- Pope C, "Qualitative research in health care", pp.63~81 (2006), Blackwell Publishing
- 김상균, "보훈 대상자 선정 기준 합리화를 위한 대상자 분류 체계 정립에 관한 연구", 사회복지연구, (25), pp.5~38 (2004), 한국사회복지연구회
- 오진영, "한국 보훈정책의 성찰적 회고와 전망 - 보훈대상과 보상수준의 문제점과 개선방안을 중심으로 -", 한국사회정책, 15(1), pp.39~90 (2008), 한국사회정책학회[DOI]
- "Improving the reimbursement scheme for veterans hospitals" (2007)[URL]
- "Research on the improvement of veteran health services" (2004)[URL]
- 손현순, "노인환자에게 제공하는 개국약국 약료서비스의 경제적 가치", 약 학 회 지, 51(4), pp.327~335 (2007), 대한약학회
- 전기홍, "우리나라 만성질환 관리를 위한 질환주치의 모형의 타당성 분석", 보건행정학회지, 19(3), pp.92~108 (2009), 한국보건행정학회
- Zoppi K, "Patient advocacy for health care quality: Strategies for achieving patientcentred care", pp.313~332 (2008), Jones and Bartlett Publishers
- Beardsley RS, "Communication skills in pharmacy practice", pp.1~13 (2012), Lippincott Williams &Wilkins
- 김용환, "보훈의료서비스 전달체계의 효과성과 만족도에 관한 성과평가 연구 : 공급자 측면과 수요자 측면을 중심으로", 사회복지연구, 47(3), pp.187~221 (2016), 한국사회복지연구회[DOI]
- Social Pharmacy Committee in Korean Association of Pharmacy Education, "Administrative and managerial pharmacy", pp.113~152 (2018), Panmun Education
- 양기용, "정책갈등의 구조와 사회적 합의의 조건", 한국행정논집, 21(3), pp.967~997 (2009), 한국정부학회