Sakurai Hidehiko
Faculty of Pharmacy, Hokkaido University of Science.
Yakugaku Zasshi. 2023;143(1):1-9. doi: 10.1248/yakushi.22-00126.
This review introduces two sets of research results, one regarding patients' and consumers' perceptions of the pharmacist profession and pharmacy function, and the other regarding factors that influence patients' medication-taking behavior. First, as an example of what was examined from patients' perspectives regarding the pharmacist profession and pharmacy function, an analysis of patient response data before the introduction of the family pharmacist/pharmacy system is presented. The results clarified that the quality of medication instruction influences patients' evaluations of pharmacists and further affects their evaluation of pharmacies, and that the main factor influencing patients' evaluation of pharmacies is their evaluation of the pharmacists. In particular, patients who continuously used the same pharmacist and the same pharmacy were highly statistically related, demonstrating the significance of recommending a family pharmacist/pharmacy. Next, regarding patients' medication-taking behavior, an empirical study of Japanese patients regarding the two-dimensional influencing factors was conducted. These factors, which have been the focus of recent overseas studies, included intentional nonadherence, such as skipping a dose, and unintentional nonadherence, such as forgetting to take a dose. The main influences were found to be from unintentional nonadherence and intentional non-adherence, with excessive information seeking and motivation to acquire knowledge potentially exacerbating intentional nonadherence in particular, as well as differences across diseases. These findings may contribute to supporting medication adherence in patients. In collaboration with graduate and postgraduate research students, future studies will continue to examine patients' and consumers' perspectives on medication adherence.
本综述介绍了两组研究结果,一组是关于患者和消费者对药剂师职业及药房功能的认知,另一组是关于影响患者用药行为的因素。首先,作为从患者角度审视药剂师职业和药房功能的一个研究实例,本文展示了在引入家庭药剂师/药房系统之前对患者反馈数据的分析。结果表明,用药指导的质量会影响患者对药剂师的评价,进而影响他们对药房的评价,而且影响患者对药房评价的主要因素是他们对药剂师的评价。特别是,持续使用同一位药剂师和同一家药房的患者在统计学上具有高度相关性,这证明了推荐家庭药剂师/药房的重要性。接下来,关于患者的用药行为,对日本患者就二维影响因素进行了实证研究。这些因素是近期海外研究的重点,包括故意不依从,如漏服一剂,以及非故意不依从,如忘记服药。主要影响因素被发现来自非故意不依从和故意不依从,特别是过度寻求信息和获取知识的动机可能会加剧故意不依从,以及不同疾病之间的差异。这些发现可能有助于支持患者的用药依从性。与研究生和博士后研究学生合作,未来的研究将继续考察患者和消费者对用药依从性的看法。