著者

安里 芳人 筒井 大輔 杉田 康 上野 隼平 橋本 倫季 天羽 惠佑 上田 一志 中崎 正太郎 狭間 研至

出版者

一般社団法人 日本在宅薬学会

雑誌

在宅薬学 (ISSN:2188658X)

巻号頁・発行日

pp.2019.0029, (Released:2020-03-24)

参考文献数

9

---

2018 年度調剤報酬改定では,ポリファーマシー対策における薬剤師業務の評価を目的に服用薬剤調整支援料(以下,本支援料)が新設された.今回,当薬局にて本支援料を算定した123 名を対象に患者背景,減薬理由,薬効別内訳や薬剤師の経験年数などを解析するとともに,推定削減額と本支援料の関連を検証した.1 人当たりの薬剤数は,9.0 剤から6.0 剤に減少していた.うち,薬剤師の提案による減薬が274 剤(87.3%)を占めており,中止となった薬剤には消化器用剤と解熱鎮痛消炎剤の併用が多かった.服用薬剤数は80 歳から84 歳以下の10.7 剤がピークであったが,年齢と減薬数には大きな差はみられなかった.190 剤(69.3%)が漫然投与の改善であった.123 名で算定した本支援料は,延べ133 回166,250円であった.一方,本算定要件となる28 日間で薬剤費は461,680 円の削減となった.また,薬剤師の経験年数と本算定には関係性は認められなかった.薬剤師による服用後のフォローと薬学的見地からのアセスメント,医師へのフィードバックを基本サイクルとして,患者個々において薬剤師が医師や他の医療従事者と連携する環境を整えることは,服用薬剤数を減少させ,ポリファーマシーの改善に寄与するとともに,医療費の適正化にも貢献すると思われた.

著者

三木 有咲 波多江 崇 猪野 彩 井上 知美 上野 隼平 笠谷 君代 近藤 亜美 坂口 知子 佐々木 信子 田内 義彦 竹下 治範 辻 華子 中川 素子 野口 栄 長谷川 由佳 水田 恵美 矢羽野 早代 山根 雅子 濵口 常男

出版者

日本社会薬学会

雑誌

社会薬学 (ISSN:09110585)

巻号頁・発行日

vol.34, no.1, pp.24-33, 2015

---

We implemented a questionnaire survey targeting mothers who are in child care and had participated in consultations regarding drugs and diseases. We examined the future roles of community pharmacists by exploring the mothers' concerns and, anxieties about child cares and their backgrounds, and their expectations for profession of community pharmacist. Mothers have listed anxiety and concerns of child care about "dermatitis such as rash and atopic eczema"; "food allergies"; "infectious diseases such as measles, chicken pox, and mumps"; and "side effects of vaccination". In addition, most of them indicated their own concerns and anxiety about "solutions to children's illnesses." Despite their anxieties and concerns, however, approximately 60% of the mothers have never consulted with community pharmacists. Among them, approximately a half of them indicated the following three reasons why they have never consulted with pharmacists: "I have nothing to talk about,", "I do not know what I should talk about,", and "I was not sure if it was alright to talk about my concerns.". From these results, we concluded that community pharmacists in the future should improve their communication skills and inform their availability to consult about medicine and disease to local residents.

著者

三木 有咲 波多江 崇 猪野 彩 井上 知美 上野 隼平 笠谷 君代 近藤 亜美 坂口 知子 佐々木 信子 田内 義彦 竹下 治範 辻 華子 中川 素子 野口 栄 長谷川 由佳 水田 恵美 矢羽野 早代 山根 雅子 濵口 常男

出版者

日本社会薬学会

雑誌

社会薬学 (ISSN:09110585)

巻号頁・発行日

vol.34, no.1, pp.24-33, 2015-06-10 (Released:2015-10-16)

参考文献数

16

---

We implemented a questionnaire survey targeting mothers who are in child care and had participated in consultations regarding drugs and diseases. We examined the future roles of community pharmacists by exploring the mothers’ concerns and, anxieties about child cares and their backgrounds, and their expectations for profession of community pharmacist. Mothers have listed anxiety and concerns of child care about “dermatitis such as rash and atopic eczema”; “food allergies”; “infectious diseases such as measles, chicken pox, and mumps”; and “side effects of vaccination”. In addition, most of them indicated their own concerns and anxiety about “solutions to children’s illnesses.” Despite their anxieties and concerns, however, approximately 60% of the mothers have never consulted with community pharmacists. Among them, approximately a half of them indicated the following three reasons why they have never consulted with pharmacists: “I have nothing to talk about,”, “I do not know what I should talk about,”, and “I was not sure if it was alright to talk about my concerns.”. From these results, we concluded that community pharmacists in the future should improve their communication skills and inform their availability to consult about medicine and disease to local residents.