著者
森川 剛 久保田 健 寺島 孝徳 岡澤 香津子 湯本 みゆ紀 柄澤 裕 塚田 晃裕
出版者
一般社団法人 日本臨床救急医学会
雑誌
日本臨床救急医学会雑誌 (ISSN:13450581)
巻号頁・発行日
vol.22, no.6, pp.768-775, 2019-12-31 (Released:2019-12-31)
参考文献数
18

目的:当院の夜間緊急入院対応病棟における薬剤師業務において,薬剤関連入院の実態を調査し,また薬剤師の介入による医療経済的評価を行った。方法:対象は,2016年4月〜 2018年3月までの2年間で,夜間緊急入院対応を主とする病棟で薬剤管理指導を実施した1,754例とした。薬剤師の介入によって薬剤関連問題が原因の入院であると医師が診断した症例とその入院費,処方中止・減量を提案した薬剤のうち費用最小化分析が適応できる症例を調査した。結果:薬剤関連問題による入院と診断された症例は3.6%(64例/1,754例)あり,その入院医療費は計約5,454万円であった。薬剤師による中止・減量提案は410薬剤あり,費用最小化分析が適応できる医薬品削減費は計約710万円であった。結論:入院早期に薬剤師が介入することで,薬剤関連問題が明確化され,医療経済効果も明らかとなった。
著者
森川 剛 花岡 容子 小池 恵理 清野 義一 寺島 孝徳 久保田 健 岡澤 香津子
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.41, no.1, pp.32-36, 2022-06-10 (Released:2022-06-21)
参考文献数
18

Home-based and in hospital pharmacists at our hospital pharmacy participated in this study. A survey of the home-based pharmacists’ work contents was tabulated from November 2019 to May 2021. Furthermore, a questionnaire survey was administered within the pharmacy in May 2020. 90% of the hospital pharmacists would consider some drug information management to be able to work from home. Moreover, evaluation of the questionnaires revealed that more than 90% of the in-hospital pharmacists were “satisfied” or “somewhat satisfied” with deliverables of home-based pharmacists. The in-hospital pharmacists found communication tools (e.g., social networking services, telephone, and web-conferencing systems) to be useful for facilitating collaboration with the home-based pharmacist. Therefore, it is necessary to improve the internet environment to work from home. Moreover, it is important to create an environment where pharmacists can work from home according to their desire and needs in cases such as childcare, nursing care, during treatment, and during a pandemic. This study indicates that hospital pharmacists can carry out their responsibilities and demonstrate their work abilities not only in the hospital pharmacy setting but also in a remote working environment.
著者
ボーン コルネリア 森川 剛光
出版者
関東社会学会
雑誌
年報社会学論集 (ISSN:09194363)
巻号頁・発行日
vol.2015, no.28, pp.1-17, 2015-08-07 (Released:2016-10-12)
参考文献数
85

This paper explores the relationship between the money medium and the analysis of mechanisms of inclusion and exclusion. Such mechanisms currently follow a logic of plural or multiple inclusion as opposed to assimilation. In a full-grown monetary economy, money and property have emerged as regulative structures for the participation in economic practice. Discussing the approach of Luhmann, a distinction is drawn between center, semi-periphery, and periphery of the economic system. While the money medium includes the general population into the periphery of the economy through consumption, this contribution can show that the inclusionary mechanism of the center is creditworthiness. It can be demonstrated that in its historical formation the form of credit is organized in a twofold fashion itself: to make profit and to promote social inclusion. Microcredits are analyzed as a global form of inclusion into the center that does not bear on the distinction poor/wealthy.