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노인의료센터 다학제 팀의 약물 조정이 약물사용 및 약제비 절감에 미치는 효과
박세진,최나예,서예원,이정화,이은숙,김은경,김선욱,김광일 한국병원약사회 2019 병원약사회지 Vol.36 No.4
Background : Older adults tend to experience multiple chronic conditions on polypharmacy with consequent increase in adverse drug events and medication costs, requiring more medication reconciliation. To date, the effects of medication reconciliation for the inpatients by geriatric pharmacists in multidisciplinary teams have been rarely known in Korea. The purpose of this study was to assess the effects of medication reconciliation by analyzing the changes in prescription and reductions in medication costs for inpatients who received multidisciplinary team care. Methods : Records of patients age 65 and older, admitted to the geriatric center July 1, 2016-June 30, 2017, were retrospectively analyzed in this study. The list of the medications prior to the admission and upon the hospital discharge was obtained from the comprehensive geriatric assessment and electronic medical records, respectively to assess the reduction of the total number of medications, drug duplication, and potentially inappropriate medications (PIM). The cost of drugs was calculated by multiplying the daily price of medicine by the number of days of medication. Results : The mean age of 300 patients was 83.7 (SD 6.9), and 38.7% were males. The patients taking five or more medications were 87.3% before the admission, and 45.0% were mainly diagnosed with infectious disease at admission. With the medication reconciliation, the mean number of medication per patients decreased 10.5 (SD 5.0)-6.5 (SD 3.4) (p 0.001). The number of patients who received the medications listed under PIMs and duplicated was reduced 227-114, and 59-3, respectively (all p 0.001). A total of 458,573 won was saved per person through medication reconciliation. Conclusions : The multidisciplinary team care with the geriatric pharmacist led to safer and more appropriate medication therapy. As a result, it subsequently improved patient safety and medication cost-saving for geriatric patients
지역산업정책의 경제적 성과에 대한 연구 : 기계부품소재산업을 중심으로
박세진,김영덕 한국산업경제학회 2019 산업경제연구 Vol.32 No.5
This paper estimates it based on econometrics methods the relations between the growth of labor productivity and regional industrial policy implemented by means of infrastructure stock, R&D stock, human training stock and the service for business of firms. Particularly, this paper takes an industry-based approach, that is, analyzed the effects of industrial policy stock for Mechanical Parts & Materials Industry assuming the existence of the R&D based production function. we gather the government investments related to the targeted industry of 13 regions during 18 years(1999~2016) for empirical assumption. The main results from this empirical analysis are summarized as follows. First, we find that the infrastructure stock and R&D stock has been influenced positive effects of labour productivity. Second, interaction between the characteristic of regional industry like a regional competition index and infra stock and R&D stock has been influenced positive labour productivity. Third, each of industrial policy stock differently influenced labour productivity in four metropolitan areas. According to estimates results, regional industrial policy related to specific target industry need to be differently considered by each of the method of the industrial policy and region. 본 연구는 1999년 이래로 지속되어 오고 있는 대표적인 지역산업정책인 ‘지역산업진흥사업’이 전략산업의 경제적 성과에 미치는 영향을 분석하기 위하여, 부산시의 전략산업 중의 하나인 기계부품소재 산업을 대상으로 1999년부터 2016년까지 13개 지역의 산업지역패널자료를 이용하여 인프라, 기술개발, 인력양성, 기업지원 등 각 정책수단별 노동생산성 제고효과에 대하여 실증 분석하였다. 분석결과에 따르면, 첫째, 인프라스톡 및 연구개발스톡의 노동생산성 제고효과는 양(+)의 관계가 존재하였다. 둘째, 지역산업 정책과 지역의 특성을 나타는 변수의 교호(interaction effect)항을 추가하여 분석한 결과 지역 내 경쟁이 낮을수록 인프라스톡과 기술개발스톡의 노동생산성 제고효과가 큰 것으로 나타났다. 셋째, 정책수단별 지역별 노동생산성 제고효과를 살펴보면, 인프라스톡 및 기술개발스톡의 경우, 동남권과 충청권에서, 인력양성스톡의 경우 동남권에서 노동생산성 제고효과가 양(+)으로 나타났고, 호남권의 경우 인력양성스톡과 노동생산성이 음(-)의 관계로 나타났다. 이를 통해 향후 기계부품소재산업의 정책지원에 있어 정책수단별, 지역별로 차별성을 둘 필요가 있음을 확인할 수 있다.