국내 만성질환 환자를 위한 약사에 의해 제공되는 약물치료관리 서비스 모델 개발 연구

Abstract

Development of Pharmacist-provided Medication Therapy Management (MTM) Service Models for Patients with Chronic Diseases in Korea

Huh Wan Advisor : Eun Joo Choi, Pharm.D., MSPharm. Department of Pharmacy Graduate school of Chosun university

The elderly population in Korea is rapidly increasing with global aging society. They take multiple drugs for a long time to treat chronic diseases, such as hypertension, dyslipidemia and diabetes mellitus. Taking multiple drugs, especially, in elderly people may cause drug-related problems (DRPs), including drug-drug interaction, adverse drug reaction, and reduced adherence. It is necessary to adopt medication therapy management (MTM) service to optimize therapeutic outcomes by improving medication use and reducing DRPs. However, there have been little studies related to MTM service model for patients with chronic diseases in Korea. We searched for several research related to MTM service through Pubmed, Medline and Embase, and also examined each pharmacy practice environment. We developed Korean MTM service model regarding hypertension, dyslipidemia, heart failure, diabetes mellitus, asthma, parkinson's disease, and HIV/AIDS based on the most recent clinical guidelines. The model contains 5 core elements such as Medication therapy review (MTR), Personal medication review (PMR), Medication-related action plan (MAP), Intervention, and Documentation. MTM tools which were included in this model consists of demographics, pharmacist-provide lifestyle modification, disease specific medication review, medication appropriateness, adverse drug reaction, and medication adherence. Further related studies which are performed through applying this MTM service model in real pharmacy practice settings should be requested.

Keywords □ medication therapy management, MTM, model, chronic disease, pharmacy practice