Onda M, Kono K, Watanabe T, Watanabe M, Dote T, Usuda K, Shirai Y, Mima C
Dep. of Hygiene & Public Health, Osaka Medical College.
Nihon Koshu Eisei Zasshi. 2001 Jul;48(7):534-42.
In order to clarify functional characteristics of pharmacy services related to home care in a suburban area, a questionnaire survey regarding home-care services was conducted for all 75 pharmacies belonged to T-City Pharmaceutical Association. The following services were investigated; A) prescription (medication guidance for patients and their families, provision of drug information to patients, management of the patient's drug history, dispensing, advice to physicians, inquiries, management of prescriptions for home infusion services); B) supply (sales of items such as over-the-counter [OTC] drugs [commercially available drugs that do not require a physician's prescription], display and catalogue sales of nursing items); C) consultation (consultation on home care, holding events such as health education programs); D) management (guidance for drug management by home visit); and E) information exchange (information exchange with other medical professionals and social workers). The results of the present study were as follows. (1) The following services were considered important and therefore regularly performed; A) prescription: medication guidance for patients and their families, provision drug information to patients, management of the patient's drug history, dispensing, advice to physicians, inquiries; and B) supply: sales of items such as OTC drugs. (2) The following services were considered important, but not sufficiently regularly performed; B) supply: display and catalogue sales of nursing items; C) consultation: consultation on home care, holding events such as health education programs; D) management: guidance for drug management by home visits; and E) information exchange. (3) On factor analysis, among home care-related pharmacy services, display and catalogue sales of nursing items as well as consultation on home care were present in the same factor group as contained sales of items such as OTC drugs, which showed a high accomplishment rate. Guidance for drug management by home visits and information exchange with other social workers were present in the same factor group as contained information exchange with other medical professionals, which showed a relatively low accomplishment rate. In summary, home care-related pharmacy services were found to be associated with information exchange and supply/consultation functions. This suggests that to improve home care-related services in pharmacies, information exchange among health, medical practices, and social welfare-associated professionals, not previously promoted, should be stimulated and supported.
为了阐明郊区家庭护理相关药学服务的功能特征，对隶属于T市药剂师协会的所有75家药店进行了关于家庭护理服务的问卷调查。调查了以下服务内容：A）处方（为患者及其家属提供用药指导、向患者提供药品信息、管理患者用药史、配药、向医生提供建议、咨询、管理家庭输液服务处方）；B）供应（销售非处方药[无需医生处方的市售药品]等物品、展示和目录销售护理用品）；C）咨询（家庭护理咨询、举办健康教育项目等活动）；D）管理（家访药物管理指导）；E）信息交流（与其他医疗专业人员和社会工作者进行信息交流）。本研究结果如下：（1）以下服务被认为很重要，因此经常开展：A）处方：为患者及其家属提供用药指导、向患者提供药品信息、管理患者用药史、配药、向医生提供建议、咨询；B）供应：销售非处方药等物品。（2）以下服务被认为很重要，但开展频率不够：B）供应：展示和目录销售护理用品；C）咨询：家庭护理咨询、举办健康教育项目等活动；D）管理：家访药物管理指导；E）信息交流。（3）在因子分析中，在家庭护理相关药学服务中，护理用品的展示和目录销售以及家庭护理咨询与非处方药等物品的销售属于同一因子组，完成率较高。家访药物管理指导和与其他社会工作者的信息交流与与其他医疗专业人员的信息交流属于同一因子组，完成率相对较低。总之，发现家庭护理相关药学服务与信息交流以及供应/咨询功能相关。这表明，为改善药店的家庭护理相关服务，应促进和支持此前未得到推动的健康、医疗实践和社会福利相关专业人员之间的信息交流。
