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[精神科门诊患者在医生检查前由药剂师主导的问诊评估]

[Evaluation of Pharmacist-led Interview before Doctor Examination for Psychiatry Outpatients].

作者信息

Shin Kenji, Kobayashi Daisuke, Kawashiri Takehiro, Ushijima Yuichi, Umeda Yuichi, Kanazawa Yasunori, Kamimura Hidetoshi, Shimazoe Takao

机构信息

Department of Clinical Pharmacy and Pharmaceutical Care, Graduate School of Pharmaceutical Sciences, Kyushu University.

Department of Pharmacy, Iizuka Hospital.

出版信息

Yakugaku Zasshi. 2019;139(2):317-325. doi: 10.1248/yakushi.18-00099.

Abstract

Psychiatric treatment is shifting from hospital to ambulatory care. It is important that pharmacists positively support outpatients. Pharmacist-led interviews with outpatients have been conducted in the psychiatric department of Iizuka Hospital before examination by the doctor since 2015. Few studies in this field have reported about the effect of the pharmacist-led interviews using subjective evaluation of outpatients prior to examination by doctors. The aim of this study was to reveal this effect by the evaluation of outpatients. We conducted a questionnaire survey. More than 80% of the patients responded that it was "Good" to have an interview with the pharmacist prior to examination by the doctor. Moreover, 71.7% of the patients were "Satisfied" with the pharmacist-led interview, while 81.7% of them responded to "Agree" about continuing the interview in the future. Patients who were satisfied and wished to continue the pharmacist-led interviews were more likely to report better rapport with the doctor as well, in comparison to the patients who answered negatively. Furthermore, the patients who answered "Satisfied" were significantly less likely to forget reporting to the doctor than those who answered negatively. The pharmacist-led interviews in the psychiatric department were appreciated by the patients. In conclusion, pharmacists can facilitate communication between patients and doctors through these interviews. These results indicate that the pharmacist-led interview before the doctor examination is a useful effort from the perspective of outpatients.

摘要

精神科治疗正从住院治疗转向门诊治疗。药剂师积极支持门诊患者非常重要。自2015年以来,在饭冢医院精神科,在医生检查之前,药剂师就对门诊患者进行了访谈。该领域很少有研究报告药剂师主导的访谈在医生检查之前使用门诊患者主观评价的效果。本研究的目的是通过门诊患者的评价来揭示这种效果。我们进行了问卷调查。超过80%的患者表示在医生检查之前与药剂师进行访谈“很好”。此外,71.7%的患者对药剂师主导的访谈“满意”,而81.7%的患者表示“同意”未来继续进行访谈。与给出否定回答的患者相比,对药剂师主导的访谈感到满意并希望继续进行的患者也更有可能报告与医生的关系更好。此外,回答“满意”的患者忘记向医生报告的可能性明显低于回答否定的患者。精神科药剂师主导的访谈受到患者的赞赏。总之,药剂师可以通过这些访谈促进患者与医生之间的沟通。这些结果表明,从门诊患者的角度来看,在医生检查之前药剂师主导的访谈是一项有益的举措。

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