Chen Shih-Chang, Lee Kuan-Han, Horng Der-Juinn, Huang Po-Jui
Department of Business Administration, National Central University, Taoyuan 32001, Taiwan.
Department of Pharmacy, Chia Nan University of Pharmacy and Science, Tainan 71710, Taiwan.
Healthcare (Basel). 2021 Nov 19;9(11):1589. doi: 10.3390/healthcare9111589.
Taiwan is expected to become a superaged society by 2026. Community pharmacies have recently joined Taiwan's primary care system; they have great potential to provide professional healthcare services. This study examined whether the services provided by community pharmacists enhance medication adherence, enable the identification and solution of drug therapy problems, and are accepted by community residents. The Department of Public Health, Taoyuan City, collaborated with the Taoyuan Pharmacist Association over 11 months in 2018 in enabling pharmacists to dispense prescriptions and provide medication adherence consultations, cognitive services, and home and institutional medical care services. This study designed four satisfaction questionnaires to assess the feasibility and performance of these services. Regarding the services related to medication knowledge and adherence, 92.10% of the patients reported overall satisfaction, and all understanding and ability scores were improved in more than 95% of patients. The number of patients highly cooperative regarding their medication had risen from 14 to 234 after the intervention, and the number with low medication adherence had dropped from 533 to 33. More than 90% of respondents indicated that the institutional medical care services had significantly improved their medication knowledge and behaviors. The feasibility of the incorporation of integrated the public health services model into age-friendly pharmacies was confirmed by this study.
预计到2026年台湾将成为超老龄化社会。社区药房最近已加入台湾的基层医疗体系；它们在提供专业医疗服务方面具有巨大潜力。本研究调查了社区药剂师提供的服务是否能提高用药依从性、能否识别和解决药物治疗问题以及是否为社区居民所接受。桃园市卫生局在2018年与桃园药剂师公会合作了11个月，使药剂师能够配发处方并提供用药依从性咨询、认知服务以及居家和机构医疗服务。本研究设计了四份满意度调查问卷来评估这些服务的可行性和效果。关于与用药知识和依从性相关的服务，92.10%的患者表示总体满意，超过95%的患者在所有理解和能力得分方面都有所提高。干预后，用药高度配合的患者人数从14人增加到234人，用药依从性低的患者人数从533人降至33人。超过90%的受访者表示机构医疗服务显著改善了他们的用药知识和行为。本研究证实了将公共卫生服务模式纳入老年友好型药房的可行性。
