Akazawa Manabu, Mikami Akiko, Tamura Yuri, Yanagi Natsuyo, Yamamura Shinichi, Ogata Hiroyasu
Meiji Pharmaceutical University, Noshio 2-522-1, Kiyose-city, Tokyo 204-8588, Japan.
Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Inohana 1-8-1, Chuo-ku, Chiba 260-8670, Japan.
Pharmacy (Basel). 2018 Jan 25;6(1):12. doi: 10.3390/pharmacy6010012.
In Japan, an increasing number of patients are prescribed a large amount of long-term medications by large hospitals that are then dispensed by a community pharmacy. This practice often leads to considerable wastage of medicine. As part of their professional role, community pharmacists are expected to contribute more to the appropriate use of medication by patients. Using a prospective cohort, we aimed to evaluate pharmacists' role in the community. We created a patient registry system for community pharmacies to monitor long-term medication use by patients with chronic conditions. Patient drug adherence and potential problems were monitored through regular home visits or telephone calls by the pharmacist at least once a month between patient hospital visits. Patient data were collected and stored in an internet-based system. Over a one-year follow-up, 28 out of 37 registered patients from 14 community pharmacies were continuously monitored. In total, we extracted 19 problems relating to medication use, 17 to physical complaints, eight to patient concerns, and two others. The registry system was useful for identifying medication-related problems as well as patient concerns and changes in their condition. Pharmacists might play a key role in improving patient care in the community.
在日本，越来越多的患者由大型医院开具大量长期药物，然后由社区药房配药。这种做法常常导致大量药品浪费。作为其职业角色的一部分，社区药剂师应在患者合理用药方面做出更多贡献。我们采用前瞻性队列研究，旨在评估药剂师在社区中的作用。我们为社区药房创建了一个患者登记系统，以监测慢性病患者的长期用药情况。在患者就诊期间，药剂师每月至少通过定期家访或电话对患者的药物依从性和潜在问题进行监测。患者数据被收集并存储在一个基于互联网的系统中。在为期一年的随访中，对来自14家社区药房的37名登记患者中的28名进行了持续监测。我们总共提取了19个与用药有关的问题、17个身体不适问题、8个患者关切问题以及另外两个问题。该登记系统有助于识别与用药有关的问题以及患者的关切和病情变化。药剂师可能在改善社区患者护理方面发挥关键作用。
