지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 1,058 - 1,067 (10page)
- DOI
- 10.30773/pi.2021.0169
이용수
초록· 키워드
오류제보하기
Objective Recently, rational polypharmacy approaches have been proposed, regardless of the lower risk and cost of monotherapy. Considering monotherapy as first-line treatment and polypharmacy as rational treatment, a balanced attitude toward polypharmacy is recommended. However, the high prevalence of polypharmacy led the Japanese government to establish a polypharmacy reduction policy. Based on this, the association between the policy and psychiatrists’ attitude toward polypharmacy has been under debate.Methods We developed an original questionnaire about Psychiatrists’ attitudes toward polypharmacy (PAP). We compared the PAP scores with the treatment decision-making in clinical case vignettes. Multiple regression analyses were performed to quantify associations of explanatory variables including policy factors and PAP scores. The anonymous questionnaires were administered to psychiatrists worldwide.Results The study included 347 psychiatrists from 34 countries. Decision-making toward polypharmacy was associated with high PAP scores. Multiple regression analysis revealed that low PAP scores were associated with the policy factor (β=-0.20, p=0.004). The culture in Korea was associated with high PAP scores (β=0.34, p<0.001), whereas the culture in India and Nepal were associated with low scores (β=-0.15, p=0.01, and β=-0.17, p=0.006, respectively).Conclusion Policy on polypharmacy may influence psychiatrists’ decision-making. Thus, policies considering rational polypharmacy should be established.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Möller HJ / 2014 / History, background, concepts and current use of comedication and polypharmacy in psychiatry / Int J Neuropsychopharmacol 17:983~996
Shinfuku N / 2014 / Research on Asian Prescription Patterns(REAP) : focusing on data from Japan / Taiwan J Psych 28:71~85
Yang SY / 2018 / Polypharmacy and psychotropic drug loading in patients with schizophrenia in Asian countries : Fourth survey of Research on Asian Prescription Patterns on antipsychotics / Psychiatry Clin Neurosci 72:572~579
Hirano Y / 2019 / Changes in prescription of psychotropic drugs after introduction of polypharmacy reduction policy in Japan based on a largescale claims database / Clin Drug Investig 39:1077~1092
Kingsbury SJ / 2001 / Psychopharmacology : rational and irrational polypharmacy / Psychiatr Serv 52:1033~1036
Shinfuku N / 2014 / Research on Asian Prescription Patterns(REAP) : focusing on data from Japan / Taiwan J Psych 28:71~85
Yang SY / 2018 / Polypharmacy and psychotropic drug loading in patients with schizophrenia in Asian countries : Fourth survey of Research on Asian Prescription Patterns on antipsychotics / Psychiatry Clin Neurosci 72:572~579
Hirano Y / 2019 / Changes in prescription of psychotropic drugs after introduction of polypharmacy reduction policy in Japan based on a largescale claims database / Clin Drug Investig 39:1077~1092
Kingsbury SJ / 2001 / Psychopharmacology : rational and irrational polypharmacy / Psychiatr Serv 52:1033~1036
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