커뮤니티 케어에서 방문약료 경험에 관한 사례 연구: 천안, 전주지역을 중심으로

Abstract

As our society enters an aging society, community care is emerging to enable the elderly to spend the rest oftheir lives in their own neighborhoods. This is a case study of pharmacists who provided home-based pharmaceuticalservices as part of the leading community care programs in Jeonju and Cheonan city. By interviewing pharmacists whoprovided home-based pharmaceutical services, we identified the status of pharmaceutical services in community care basedon their experiences. Cheonan city has provided pharmaceutical services for poly-pharmacy users, visiting them three tofour times a year, and most of the initial recipients have been retained. Jeonju city has provided three types ofpharmaceutical services: medication counseling, medication counseling during the transition period after discharge, andmedication counseling for diabetics. Both medication counseling and the discharge transition period service were providedtwice per patient. The services provided were medication reorganization and medication counseling. The pharmacistthought that they had a better understanding of the senior and could focus on patient care. They had difficulty in preparingfor the service in advance due to inadequate records of medication history, and medication reconciliation, and neededvarious contents to increase patient interest and pharmacist expertise. In order for the visiting pharmacy program to operatemore effectively in community care in the future, it is necessary to increase the effectiveness of visiting pharmacy programby establishing an information-sharing platform and developing and disseminating various visiting pharmacy program.