著者

木ノ下 智康 村田 史子 亀井 浩行 半谷 眞七子

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.41, no.12, pp.833-845, 2015-12-10 (Released:2016-12-10)

参考文献数

25

被引用文献数

2

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The study was conducted to qualitatively analyze the attitudes of pharmacists working in community pharmacies toward patients with dementia to examine the status of support provided for them and related problems. Semi-structured interviews with 15 pharmacists in Aichi Prefecture were conducted, and the results were analyzed using a grounded theory approach. The opinions of pharmacists were classified into “the status of consideration for dementia patients and responses to them at the pharmacy counter,” “problems related to the status of drug administration management for patients with dementia,” and “the status of support provided for dementia treatment.” Pharmacists must play various roles at the pharmacy counter and homes of patients: they should report “changes in dementia patients that they have identified” and conduct drug administration management for them. However, the pharmacists had difficulty due to their lack of knowledge and awareness of their roles, the current system of pharmacies only focusing on drug prescription, differences in problems attributed to specific symptoms unique to dementia and the specificity of individual cases, and a lack of understanding of other people and collaboration with them. To help pharmacists provide quality services for dementia patients, it is necessary to encourage them to: undergo training to improve their awareness, learn to provide services with emphasis on the establishment of relationships between patients and their families, and closely collaborate with other pharmacists and different healthcare professionals, as well as enhance the functions of pharmacies as bases for consultation.

著者

高野 裕佑 半谷 眞七子 立松 三千子 中村 千賀子 阿部 恵子 藤崎 和彦 亀井 浩行

出版者

公益社団法人 日本薬学会

雑誌

YAKUGAKU ZASSHI (ISSN:00316903)

巻号頁・発行日

vol.135, no.12, pp.1387-1395, 2015 (Released:2015-12-01)

参考文献数

32

被引用文献数

4

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We performed a survey of cancer patients' needs for drug treatment and support from pharmacists during treatment and evaluated the support that cancer patients can expect from community pharmacists in the future. The patients consisted of 16 members of the Cancer Patient Association in Aichi prefecture who underwent chemotherapy. The results of a semistructured group interview were qualitatively analyzed using the grounded theory method. Patients undergoing chemotherapy had high hopes for its effectiveness but were worried about side effects and medical costs. To overcome these problems, they hoped for a decrease in the economic burden, compassionate-use system, and development of novel drugs. The patients had anxiety because the side effects of chemotherapy often caused physical and psychological damage. Despite patients' confusion, pharmacists sometimes did not give adequate explanations to them. The patients expected more from pharmacists regarding medication support and hoped for a system allowing continuous side effect monitoring and consultation without hesitation. For patients undergoing cancer chemotherapy who are confused regarding side effects, pharmacists should understand the patient explanatory model and become more involved with patients as partners in treatment.

著者

半谷 眞七子

出版者

じほう

雑誌

月刊薬事 (ISSN:00165980)

巻号頁・発行日

vol.42, no.8, pp.2193-2196, 2000-07

被引用文献数

1

著者

野呂瀬 崇彦 有田 悦子 半谷 眞七子 後藤 惠子

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.37, no.2, pp.117-126, 2018-12-10 (Released:2019-01-19)

参考文献数

14

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【Objective】 Nowadays, the pharmacist’s work changed from product-centered to patient-centered care. In this research, we make it clear through patient’s talk what a patient expects of a family pharmacist and a pharmacy. We think it is utilized to construct a communication standard required for family pharmacists. 【Method】 Focus group interviews were conducted with 3 groups of 11 patients who utilize pharmacies, recruited through snowball sampling. Interview data were categorized using qualitative analysis method. 【Results】 As a result of analysis, 7 categories and 43 subcategories were generated. Based on these, a diagram was created representing the relationships between categories. 【Discussion】 The generated categories indicated “factors influencing patient’s relationship with pharmacists” and subcategories indicated “requests to or expectations from pharmacists by patients.” Many of them overlapped with the image of “family pharmacist/pharmacy” depicted in the “Pharmacy Vision for Patients” indicated by the Ministry of Health, Labour and Welfare in 2017. Meanwhile, patients wanted attitude, ethics, and sense of mission as basic qualifications originally required in a medical professional. Moreover, the research showed broader viewpoints and expectations for advanced communication skills such as support of patient’s self-determination of medication, relationship between the patient and the physician, and consideration of social and economic background of the patient.

著者

松葉 和久 半谷 眞七子 長谷川 信策 小池 香代

出版者

一般社団法人日本PDA製薬学会

雑誌

日本PDA学術誌 GMPとバリデーション (ISSN:13444891)

巻号頁・発行日

vol.2, no.1, pp.11-17, 2000 (Released:2006-08-01)

参考文献数

5

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During 1987-1997, Nagoya City University Hospital experienced 22 cases of claim/complaint and recall of the pharmaceutical products. This included 9 cases of abnormality of container and package, 6 cases of contamination, 3 cases of content excess/shortage, and 2 cases of content abnormality and mislabeling. When observing from dosage form, a lot of complaint and recall were the injections of 9, and, next, the external preparations of 7. After enforcing PL law, claims/complains have increased in our hospital. We made the pharmaceutical companies claims of upgrading them and we got the improvement plans as the answer books of how these pharmaceutical companies resolved these problems as follows: contaminations of parts of manufacturing processes, insects, denatured ingredients etc. By using these answers from the companies, each reason of specific and interesting incident was observed and analyzed with the idea of Human Factors. As the results, reasons of most incidents were in the relationship between Liveware and Software.

著者

峯田 保恵 半谷 眞七子 神谷 俊範 札軒 芽衣 亀井 浩行

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.44, no.2, pp.74-82, 2018-02-10 (Released:2019-02-10)

参考文献数

29

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Many pregnant and lactating patients taking medicine feel anxious about its negative effects on their fetuses and infants. To help pharmacists implement safe drug therapy for them, Aichi Pharmaceutical Association holds communication skill training (CST) sessions as part of a “Program for pharmacists to support pregnant and lactating females.” In the present study, pharmacists' communication skills were analyzed prior to and following the CST to examine its usability. The subjects were 34 pharmacists who participated in the CST in 2013 and played the roles of lactating patients and pharmacists. Following this, videos of the role playing were analyzed: analyses of the “implementation of the process for confirmation of an explanatory model consisting of three items” and the structure of conversations using the RIAS. Furthermore, patients' satisfaction, its relation with the structures of conversations, and the implementation of the process for confirmation of the explanatory model were examined. There was an increase in the number of pharmacists who had conducted the three processes for confirmation of the explanatory model following the CST, and the level of patients' satisfaction was higher in the CST group than in the non-CST group. There was also an increase in the number of pharmacists who had asked psycho-social questions following the CST. Since the CST requires pharmacists to conduct the process of confirmation of the explanatory model and understand it before providing pregnant and lactating patients with explanations of drugs, it is an effective method of helping pharmacists to develop their communication skills to reduce patients' anxiety.

著者

鈴木 彩夏 半谷 眞七子 亀井 浩行

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.45, no.12, pp.688-697, 2019-12-10 (Released:2020-12-11)

参考文献数

22

被引用文献数

3

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The medical system has been changing from medical institutions to home medical care with an increase in the number of elderly persons. Home medical care is a type of interprofessional team care, requiring pharmacists' participation. However, insufficient cooperation with other occupations makes participation difficult under some circumstances. In this study, we interviewed 5 pharmacists who had participated in home medical care in Aichi Prefecture with respect to the involvement of pharmacists in home medical care and opinions regarding multi-occupational cooperation (semi-structured interview), and qualitatively analyzed their responses using the Grounded theory approach. Concerning the involvement of pharmacists in home medical care, two characteristics were extracted: “pharmacists' viewpoint required for home medical care” and “relationship with other occupations”. In the field of home medical care, the number of requests for the management of terminal-stage patients has increased, and pharmacists must perform “viewpoint of medical staff”-based management, such as sterile preparation and emergency management. On the other hand, pharmacists' “viewpoint of living people” to support patients' feelings or lifestyle and “view of life and death” were required for the management of terminal-stage patients. With respect to the relationship with other occupations, the results showed that pharmacists' low-level recognition of the contents of home service affected cooperative work, suggesting the necessity of presenting the pharmacists' position to contribute to other occupations and establishing a face-to-face relationship.

著者

荒木 美輝 半谷 眞七子 亀井 浩行

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.45, no.2, pp.63-75, 2019-02-10 (Released:2020-02-10)

参考文献数

36

被引用文献数

6

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Despite the demand for pharmacists' active participation in home medical care and cooperation with other professionals, their role in home medical care is not properly understood by other professionals. This study qualitatively analyzed the opinions of other professionals about their perceived need to cooperate with pharmacists.A semi-structured interview was conducted involving 4 visiting nurses and 2 certified care workers providing home medical care services in Aichi Prefecture, and the obtained data were qualitatively analyzed using a grounded theory approach.As medication management of patients at home was difficult due to not only patients' physical factors, but also emotional and social factors, as well as living, environmental, and institutional factors, the ability to care for such patients is essential. Home medication management was performed mainly by care workers, nurses, and pharmacists; however, a difference in the attitude of sharing information with pharmacists was observed between care workers and nurses. Thus, pharmacists must consider emotional barriers, such as concerns and hesitations towards pharmaceutical knowledge among other professionals, as well as emotional conflicts over the overlap of professional domains in the management of medications. Also, since home medical care is provided in the patient's personal domain, excessive emphasis is often placed on the patient's and family's intentions. It is, therefore, important that pharmacists acquire the ability to endure emotional difficulties and dissonance caused by the patient's rejection of professional involvement, and learn and develop an attitude to accept the feelings of patients and their families.

著者

福井 愛子 半谷 眞七子 吉見 陽 野田 幸裕 亀井 浩行

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.44, no.10, pp.516-525, 2018-10-10 (Released:2019-10-10)

参考文献数

14

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We investigated the educational effects of fourth-year pharmacy studentsʼ participation in the case presentation performed by senior students during clinical practice. Two hundred eight fourth-year students participated in the case presentation using Meijo Distance Education System (MDES), and a total number of 509 fourth-year students was administered questionnaires. Of the total number of students, 93.7% answered “watching the case presentation was useful,” 91.2% answered “question-and-answer was useful,” 86.6% answered “I gained useful knowledge,” and 79.7% answered “I was satisfied with the content.” Joining the case presentation is an opportunity for fourth-year students to think about how to apply basic knowledge and appropriate interventions for individual patients. It is useful for junior students to consider senior students as role models to gain further understanding of clinical practice and to improve their motivation to study.

著者

半谷 眞七子 柴田 章代 亀井 浩行 松葉 和久 浅井 雅浩 谷山 正好

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 = Japanese journal of pharmaceutical health care and sciences (ISSN:1346342X)

巻号頁・発行日

vol.33, no.8, pp.693-701, 2007-08-10

参考文献数

13

被引用文献数

2 8

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It is an important task of the pharmacist to triage appropriate over-the-counter (OTC) drugs for patients to achieve efficacy and safety.In this study,we investigated the present situation regarding the triage of OTC drugs for patients based on pharmacists interviewing patients in a fact-finding survey which determined how pharmacists in a drugstore communicate with patients during such interviews.<br>We analyzed patterns of pharmacist communication with patients for the purpose of triaging OTC drugs in the drugstore and compared them with typical recommended communication patterns in the United States.In the drugstore,there were 3 patterns of initiating dialog with patients purchasing OTC drugs which were (1)&ldquo;What are your symptoms?&rdquo;2)&ldquo;What is the name of the drug that you want?&rdquo;and (3)&ldquo;What disease do you have?&rdquo; <br>Using the first pattern we conducted a role play simulating the triaging of OTC drugs by pharmacists actually working in drug stores to standardized patients.In response to the patient&rsquo;s description of his or her current symptoms,pharmacists used various speech patterns to explain the suitability of drugs selected and the cautions in use.In interviews conducted by inexperienced pharmacists,time was wasted in communication and there was no logical flow in them.Afterwards,some pharmacists said that they had not been able to obtain enough information from patients for triaging OTC drugs and others thought it was necessary to set algorithms for this purpose.These opinions suggest that pharmacy education in Japan should include training that makes pharmacists realize their responsibility in triaging OTC drugs for patients.