Onodera Ryo, Tominaga Atsuko, Sato Kenta, Ichijyo Hiroshi, Hirasawa Noriyasu
Laboratory of Social Pharmacy Management, Graduate School of Pharmaceutical Sciences, Tohoku University.
Health Care Management Institute LTD.
Yakugaku Zasshi. 2021;141(2):273-279. doi: 10.1248/yakushi.20-00191.
In Japan, the aging of the population is serious problem. The Ministry of Health, Labour and Welfare is constructing a new support system for elderly people called "Community-based integrated care system". In this system, community pharmacists are expected to play an important role as healthcare professionals for the whole community, including elderly people. Since pharmacists will be needed to manage community health in addition to their daily tasks, it is required to reassess the distribution of community pharmacies and pharmacists. In this study, we surveyed their distribution in Miyagi prefecture by using statistical data from public institutions and reevaluated the distribution to raise problems. Based on the numbers of community pharmacies and pharmacists per 1000 population in the whole Miyagi prefecture, each area was ranked to 2 categories and analyzed regarding population, aging rate and inhabitable land area. It was disclosed that the higher aging rate areas had the higher rate of category below the average of whole Miyagi prefecture, especially in the number of pharmacists. When the numbers of pharmacies and pharmacists per the inhabitable land area were used, the uneven distribution became clearer than when those per population were used. These findings suggested that it was important to characterize the areas by not only the ratios of community pharmacies and pharmacists to population numbers but also by the aging rates and inhabitable land area, which were related to the work efficiency of pharmacists and accessibility for resident to pharmacies.
在日本,人口老龄化是一个严重的问题。厚生劳动省正在构建一个名为“社区综合护理系统”的新型老年人支持体系。在这个体系中,社区药剂师有望作为包括老年人在内的整个社区的医疗保健专业人员发挥重要作用。由于药剂师除日常工作外还需要管理社区健康,因此需要重新评估社区药房和药剂师的分布情况。在本研究中,我们利用公共机构的统计数据调查了宫城县社区药房和药剂师的分布情况,并重新评估了分布情况以发现问题。根据宫城县全境每千人口的社区药房和药剂师数量,将每个地区分为两类,并就人口、老龄化率和可居住土地面积进行了分析。结果显示,老龄化率较高的地区低于宫城县全境平均水平的类别比例更高,尤其是在药剂师数量方面。当使用每可居住土地面积的药房和药剂师数量时,分布不均比使用每人口数量时更为明显。这些发现表明,不仅要根据社区药房和药剂师与人口数量的比例,还要根据与药剂师工作效率和居民到药房的可达性相关的老龄化率和可居住土地面积来对地区进行特征描述,这一点很重要。