병원약사회지

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[논문] 한국의 집중영양치료료와 주사제 무균조제료-고영양수액제 현황 조사: 2014~2020(Report on the Current Trend of Nutrition Support Team
Consultation Fee and Fee for Aseptic Preparation of Parenteral Nutrition in Korea: 2014~2020)
Date

2022년 Vol.39 No.01

Authors
박효정a,b†, 오상현c, 김정태d, 성예원e, 남재현c,f, 배혜정g, 정재민h, 김선화i, 정지은c†(삼성서울병원 약제부a, 성균관대학교 약학대학b, 한양대학교 약학대학c, 강동경희대학교병원 약제실d, 충남대학교병원 약제부e, 한양대학교병원 약제부f, 서울대학교병원 약제부g, 세브란스병원 약무국h, 중앙대학교병원 약제팀i)
Keyword
NST consultation fee, Fee for aseptic preparation of parenteral nutritio, Korea
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.

Full-Text
069-080학술보고5박효정.pdf