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NTIS 바로가기약학회지 = Yakhak hoeji, v.58 no.2, 2014년, pp.129 - 140
남혜연 (숙명여자대학교 약학대학) , 조은 (숙명여자대학교 약학대학)
Background: As elderly population has been increasing, pharmacists need to possess special knowledge and skills to provide enhanced pharmaceutical care for senior patients. Purpose: This study aims to systematically review on (1) the certified geriatric pharmacists (CGP) system, (2) the curriculum r...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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노인은 어떤 특징을 가지고 있는가? | 8%에 달할 것이다. 1) 이 같은 노인인구의 증가는 노인환자의 증가와 연결되는데, 노인들은 생리적인 노화 과정을 겪으면서 일반적으로 건강이 약화되어 있고, 여러 가지 만성질환을 가지고 있으며, 한 가지 이상의 약물을 동시에 복용하고 있는 특징을 가진 집단이라는 것에 주목할 필요가 있다. 약물 간 상호작용으로 인한 부작용 외에도 노인들은 젊은 성인보다 감소된 약물 대사 및 배설기능으로 인한 체내 약물 축적 및 독성 부작용 위험이 높다. | |
노인 전문약사 자격 취득하려면 어떻게 해야하는가? | 노인전문약사(CGP) 자격제도는 노인전문약사위원회 (Commission for Certification in Geriatric Pharmacy, CCGP) 에서 관리하는 것으로 1997년 11월에 처음 시작되었다. 16) 노인 전문약사 자격을 취득하려면 약사 면허증을 소지하고 적어도 2년 이상 약사로서 활동 경험을 쌓은 뒤 자격시험에 응시하여 합격해야 한다. 17) 이 자격의 유효 기간은 5년으로, 5년 마다 갱신 해야만 자격을 유지할 수 있다(Fig. | |
약물치료관리서비스는 무엇인가? | 4) 또한, 10년 전 2003년 65세 이상 노인의 처방약 보험 Medicare Prescription Drug Plan(Part D)을 도입하면서 약물치료관리 (Medication Therapy Management, MTM) 서비스 제공을 법제화함으로써 최적의 약물치료를 위한 움직임을 더 강화하였다. 5) MTM 서비스란 Part D 가입자 중 (1) 복합 만성질환을 가지고 있고 (2) 처방 의약품을 여러 개 복용하고 있어 (3) 연간 $ 3,017이상 6) (2014년 기준) 비용을 지출하는 사람을 대상으로 하여 약물의 적절한 사용, 부작용 발생 위험요인 차단 및 환자의 복약 순응도 향상을 통해 약물치료 효과의 극대화를 목표로 하는 프로그램이다. 특히 Part D에 관해 제정된 법률 조항에 보건전문 인이 MTM 서비스를 제공할 것을 포함하고, 구체적으로 '약사'를 MTM 서비스의 제공자로 유일하게 언급함으로써 약사가 노인의 약물치료에 중심적인 역할을 할 수 있는 전문인임을 시사 했다. |
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