Nonomura Kazuya, Toyama Kazuya, Kondo Yufu, Tamaki Hirofumi, Osanai Arihiro, Ino Yoko, Nakamura Mitsuhiro, Iguchi Kazuhiro
Laboratory of Community Pharmacy, Gifu Pharmaceutical University, Gifu, Japan.
Mamiya Dispensing Pharmacy, Gifu, Japan.
Integr Pharm Res Pract. 2024 Oct 4;13:181-190. doi: 10.2147/IPRP.S479164. eCollection 2024.
Providing medical, nursing, and welfare services in each community is becoming increasingly important as population ages in Japan, and the demand for aseptic preparation in community pharmacies is expected to increase. In this study, the disparity in the distribution of community pharmacies providing aseptic preparation services were examined to explore how the unequal distribution of the pharmacies can be improved in the future.
The regional inequality of community pharmacies providing aseptic preparation services was evaluated using Gini coefficients. The regional distribution was evaluated using a geographic information system application.
Only 8.0% of all insurance community pharmacies in Japan provided aseptic preparation services. The Gini coefficient of pharmacies providing aseptic preparation services for the total population of each municipality was 0.410. The population coverage, within 16 km of pharmacies providing aseptic preparation services, was 96.5% of the total population. The residential grid coverage, within 16 km of the pharmacies, was 75.2% of the total network, approximately one quarter not covered. It is estimated that the coverage ratios will improve by some percentage by 2050, although the projected population in 2050 is expected to decrease by approximately 20%.
The current number and distribution of pharmacies providing aseptic preparation services are inadequate, and measures need to be taken to avoid future problems.
随着日本人口老龄化，在每个社区提供医疗、护理和福利服务变得越来越重要，预计社区药房无菌制剂的需求将会增加。在本研究中，对提供无菌制剂服务的社区药房分布差异进行了调查，以探讨未来如何改善药房分布不均的问题。
使用基尼系数评估提供无菌制剂服务的社区药房的区域不平等性。使用地理信息系统应用程序评估区域分布。
日本所有医保社区药房中只有8.0%提供无菌制剂服务。为各市总人口提供无菌制剂服务的药房的基尼系数为0.410。提供无菌制剂服务的药房16公里范围内的人口覆盖率为总人口的96.5%。药房16公里范围内的居民网格覆盖率为总网络的75.2%，约四分之一未覆盖。据估计，到2050年覆盖率将提高一定百分比，尽管预计2050年的人口将减少约20%。
目前提供无菌制剂服务的药房数量和分布不足，需要采取措施以避免未来出现问题。
