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Review Article

지역사회 통합돌봄에서 통합약물관리의 필요성: 호주 사례와 한국 시범사업의 시사점

원문정보

Integrated Medication Management in Community-Based Care: Insights from Australia and Korea’s Pilot Initiative

안화영, 유현주, 윤예빈, 박선경

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초록

영어

Beginning in March 2026, South Korea will implement the Community Care Integration Act to establish a nationwide system linking healthcare, long-term care, and social services—particularly for the elderly, who face high risks from chronic diseases and polypharmacy. Although the Act formally acknowledges pharmacists’ roles in integrated care (Article 15, Clause 7), their participation remains limited and their clinical expertise underutilized. This study investigates strategies to enhance the integration of pharmacists into South Korea’s community care system by analyzing pharmacist-led medication management services in Australia. Australia has developed a robust healthcare and medication safety framework through national and state-level agencies (e.g., Home Medicines Review (HMR), and Residential Medication Management Review (RMMR)). These services improve medication safety and adherence through structured medication reviews and interdisciplinary collaboration. In contrast, pharmacist-led services in Korea remain fragmented and are not yet systematically embedded within the integrated care infrastructure, despite a series of pilot initiatives since 2018 aimed at managing polypharmacy in both hospital and community settings. These pilots, however, offer a foundational platform for national-scale adoption. Based on the Australia’s experience, this paper recommends establishment standardized medication review protocols, expanding pharmacist roles services within interdisciplinary teams, and provision of financial and institutional support to ensure sustainable implementation. Deploying clinically trained pharmacists in community settings will be critical to safeguarding medication use and advancing person-centered care for Korea’s aging population.

목차

ABSTRACT
한국 노인의 약물복용 실태와 문제점
한국의 방문약물관리사업
1. 다제약물관리사업
2. 경기도 약사회 방문약료사업
3. 지역통합돌봄 사업
호주의 약물관리 정책 및 제도
1. Home Medicines Review (HMR)
2. Residential Medication Management Review (RMMR)
3. 호주의 보건의료안전관리체계와 약물안전정책
한국과 호주의 방문약물관리 정책 비교
지역사회 돌봄통합지원법과 약물관리
결론 및 고찰
이해 상충
References

저자정보

  • 안화영 Hwayoung Ahn. 가톨릭대학교 약학대학
  • 유현주 Hyunju Yoo. 아주대학교 약학대학
  • 윤예빈 Yebin Yoon. 가톨릭대학교 약학대학
  • 박선경 Sun-Kyeong Park. 가톨릭대학교 약학대학

참고문헌

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