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日本患者与药剂师对于社区药剂师作为药品使用顾问角色认知的差异:《药剂师法》修订前后的比较

Discrepancies between patients' and pharmacists' perceptions of the role of community pharmacists as advisors on the use of pharmaceuticals in Japan: A comparison prior to and following revision of the Pharmacists' Act.

作者信息

Oshima Shinji, Yamagishi Mari, Okita Mitsuyoshi, Akimoto Hayato, Negishi Akio, Horii Norimitsu, Mutoh Mizue, Sannomaru Yasuko, Numajiri Sachihiko, Inoue Naoko, Ohshima Shigeru, Wada Masahiro, Kobayashi Daisuke

机构信息

Laboratory of Analytical Pharmaceutics and Informatics, Faculty of Pharmacy and Pharmaceutical Sciences, Josai University, Saitama, Japan.

Josai University Pharmacy, Saitama, Japan.

出版信息

SAGE Open Med. 2019 Mar 21;7:2050312119838746. doi: 10.1177/2050312119838746. eCollection 2019.

DOI:10.1177/2050312119838746
PMID:30915219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6429651/
Abstract

OBJECTIVES

In 2014, immediately prior to the revision of Article 25-2 of the Pharmacists' Act, we conducted a survey on pharmacists' and patients' perceptions of pharmacists' roles. A role discrepancy between the two was identified. The objective was to examine changes in role perceptions and awareness of pharmacists as medication specialists following revision to the Pharmacists' Act.

METHODS

The survey was conducted using an Internet-based questionnaire. A total of 469 patients and 354 pharmacists responded to 12 questions about the perceived roles of pharmacists.

RESULTS

Analysis revealed that the only evaluation that changed as a result of revisions was pharmacists' role as "family or regular pharmacist," with scores dropping by about half. As in 2014, the high rating rate for pharmacists surpassed the high rating of patients for all other items. The greatest discrepancy in role perception was observed for the same three items ("Understanding the effects of the drugs the patients are taking," "Understanding the health changes caused by the drugs dispensed to the patients," and "Consciously protecting patients from the adverse effects of drugs") as 2014.

CONCLUSION

A major role discrepancy continues to exist between patients and pharmacists, and it is necessary for pharmacists to take on a more advanced role in patient care. Results suggest that pharmacists must monitor changes in patients' lifestyles and provide clear explanations for patients to rate them highly as medication specialists.

摘要

目的

2014年,就在《药剂师法》第25 - 2条修订之前,我们对药剂师和患者对药剂师角色的认知进行了一项调查。发现两者之间存在角色差异。目的是研究《药剂师法》修订后药剂师作为用药专家的角色认知和意识的变化。

方法

该调查通过基于互联网的问卷进行。共有469名患者和354名药剂师回答了关于药剂师角色认知的12个问题。

结果

分析显示,修订后唯一发生变化的评价是药剂师作为“家庭或常规药剂师”的角色,得分下降了约一半。与2014年一样,药剂师在所有其他项目上的高评价率超过了患者的高评价。与2014年相同的三个项目(“了解患者正在服用的药物的效果”、“了解配发给患者的药物所引起的健康变化”以及“有意识地保护患者免受药物不良反应的影响”)的角色认知差异最大。

结论

患者和药剂师之间仍然存在较大的角色差异,药剂师有必要在患者护理中发挥更先进的作用。结果表明,药剂师必须监测患者生活方式的变化,并向患者提供清晰的解释,以便患者将他们高度评价为用药专家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f6/6429651/23de27561301/10.1177_2050312119838746-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f6/6429651/eeb91b6fce19/10.1177_2050312119838746-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f6/6429651/23de27561301/10.1177_2050312119838746-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f6/6429651/eeb91b6fce19/10.1177_2050312119838746-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f6/6429651/23de27561301/10.1177_2050312119838746-fig2.jpg

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