Koyama Toshihiro, Onoue Hiroshi, Ohshima Ayako, Tanaka Yuri, Tatebe Yasuhisa, Zamami Yoshito, Shinomiya Kazuaki, Kitamura Yoshihisa
Department of Clinical Pharmacy, Graduate school of Medicine, Dentistry, Pharmaceutical Sciences, Okayama University, Okayama, Japan.
Clinical Pharmacy Education and Research Center, Graduate school of Medicine, Dentistry, Pharmaceutical Sciences, Okayama University, Okayama, Japan.
Int J Clin Pharm. 2018 Feb;40(1):101-108. doi: 10.1007/s11096-017-0559-7. Epub 2017 Nov 30.
Background The trends in medication reviews made by community pharmacies in Japan are currently unknown. Objective We aimed to comprehensively describe the national trends in medication reviews in Japan's community pharmacies in the backdrop of the country's ageing population. Setting Community pharmacies in Japan. Methods We analysed national health insurance claims data for 2010-2015. These data were provided by the Ministry of Health, Labour and Welfare as part of the Survey of Medical Care Activities in Public Health Insurance. Main outcome measures The national trends in community pharmacy visits involving medicine dispensing and medication reviews that involve consultations with a physician. Results Among the 365 million pharmacy visits for 2010-2015, we identified 373,429 medication reviews accompanied by consultations with a physician. The pharmacy visit rate per 1000 population increased from 427.2 in 2010 to 483.7 in 2015. Medication reviews also increased from 407 per million pharmacy visits in 2010 to 1445 in 2015. Among the 373,429 medication reviews during the study period, the prescription was changed through collaboration with a physician 338,982 times (90.4%). The proportion of medication review acceptance increased from 80.6% in 2010 to 94.8% in 2015. The prescription change rate was higher among older patients than among younger ones. Conclusions Medication reviews by community pharmacists involving consultations with a physician increased in Japan from 2010 to 2015, as did prescription changes following these reviews.
背景 目前尚不清楚日本社区药房进行用药评估的趋势。目的 我们旨在全面描述在日本人口老龄化背景下，日本社区药房用药评估的全国趋势。地点 日本的社区药房。方法 我们分析了2010 - 2015年的国家医疗保险理赔数据。这些数据由厚生劳动省作为公共医疗保险医疗活动调查的一部分提供。主要观察指标 涉及药品调配的社区药房就诊以及涉及与医生会诊的用药评估的全国趋势。结果 在2010 - 2015年的3.65亿次药房就诊中，我们确定了373,429次伴有与医生会诊的用药评估。每千人口的药房就诊率从2010年的427.2次增加到2015年的483.7次。用药评估也从2010年每百万次药房就诊407次增加到2015年的1445次。在研究期间的373,429次用药评估中，通过与医生合作改变处方338,982次（90.4%）。用药评估接受比例从2010年的80.6%增加到2015年的94.8%。老年患者的处方更改率高于年轻患者。结论 2010年至2015年期间，日本社区药剂师进行的涉及与医生会诊的用药评估有所增加，这些评估后的处方更改也有所增加。
