한국의 집중영양치료료와 주사제 무균조제료- 고영양수액제 현황 조사: 2014~2020

Abstract

Background : The purpose of this study was to describe the number and profiles of patients consulted by the nutrition support team (NST). Methods : We studied the claims data of the Health Insurance & Assessment Service (HIRA) in Korea August 2014 to December 2020. Results : Compared to 2015, the number of patients, count of NST consultation fee, and total amount of consultation fee increased 53.4%, 59.8%, and 75.0%, respectively, in 2020. However, the total number of patients and count of aseptic preparation fee of parenteral nutrition (PN) in 2020 compared to 2015 decreased by 17.3% and 11.7%, respectively. Both fees of NST consultation and aseptic preparation of PN were concentrated in the metropolitan area, and the aseptic preparation fees of PN were particularly focused on tertiary hospitals. NST consultation fees in patients age 65 or older accounted for 55.6% of all patients, while aseptic preparation fees of PN in patients age 5 or younger accounted for 47.9%. Though the count of aseptic preparation fees of PN continued to decrease, that of NST consultation fees are increasing. It suggests that clinical pharmacists have shifted from aseptic preparation-oriented work to consultation-oriented work. Conclusion : This study reported the economic aspects of NST consultation for the first time since its establishment in August 2014 in Korea. It indirectly suggests that the advisory activities of pharmacists, an essential human resource for nutrition therapy, are increasing.