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
- 2017.1
- 수록면
- 158 - 165 (8page)
이용수
초록· 키워드
오류제보하기
Objective: Several factors, such as male gender, older age, type of insurance, comorbid conditions, and medication type, have been associated with attention-deficit/hyperactivity disorder (ADHD) medication adherence rates, but the results have been inconsistent. We analyzed data to answer several questions: 1) How old were patients who first refilled their treatment medications used primarily for ADHD, regardless of the medication type? 2) What socio-demographic factors are associated with medication adherence? 3) What medical conditions, such as medication type and comorbid diagnosis, influence adherence? Methods: We analyzed National Health Insurance data, which comprised continuously enrolled Korean National Medical Insurance children (6–18 years) with at least 2 ADHD prescription claims (January 2008–December 2011). The persistence of use regarding the days of continuous therapy without a 30-day gap were measured continuously and dichotomously. Adherence, using a medication possession ratio (MPR), was measured dichotomously (80% cut-off).
Results: The cumulative incidence of index cases that initiated medication refills for ADHD treatment during the 4 year period was 0.85%. The patients who exhibited a MPR greater than 80 comprised approximately 66%. The medication type, high school age groups, physician speciality, treatment at a private clinic, and comorbid conditions were associated with medication adherence during continuous treatment using a multivariate analysis.
Conclusion: A better understanding of ADHD treatment patterns may lead to initiatives targeted at the improvement of treatment adherence and persistence. Other factors, including the severity, family history, costs, type of comorbidities, and switching patterns, will be analyzed in future studies.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Barbaresi WJ / 2007 / Modifiers of long-term school outcomes for children with attention-deficit/hyperactivity disorder : does treatment with stimulant medication make a diff
Barkley RA / 2006 / Young adult outcome of hyperactive children : adaptive functioning in major life activities / J Am Acad Child Adolesc Psychiatry 45 : 192 ~ 202
Barner JC / 2011 / ADHD medication use, adherence, persistence and cost among Texas Medicaid children / Curr Med Res Opin 27 (Suppl 2) : 13 ~ 22
Biederman J / 2007 / Are girls with ADHD at risk for eating disorders? Results from a controlled, five-year prospective study / J Dev Behav Pediatr 28 : 302 ~ 307
Biederman J / 2008 / New insights into the comorbidity between ADHD and major depression in adolescent and young adult females / J Am Acad Child Adolesc Psychiatry 47 : 426 ~
Barkley RA / 2006 / Young adult outcome of hyperactive children : adaptive functioning in major life activities / J Am Acad Child Adolesc Psychiatry 45 : 192 ~ 202
Barner JC / 2011 / ADHD medication use, adherence, persistence and cost among Texas Medicaid children / Curr Med Res Opin 27 (Suppl 2) : 13 ~ 22
Biederman J / 2007 / Are girls with ADHD at risk for eating disorders? Results from a controlled, five-year prospective study / J Dev Behav Pediatr 28 : 302 ~ 307
Biederman J / 2008 / New insights into the comorbidity between ADHD and major depression in adolescent and young adult females / J Am Acad Child Adolesc Psychiatry 47 : 426 ~
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