著者

佐島 進 櫻井 秀彦 我妻 拓哉 佐藤 陽介 早瀬 幸俊

出版者

一般社団法人日本医薬品情報学会

雑誌

医薬品情報学 (ISSN:13451464)

巻号頁・発行日

vol.17, no.3, pp.118-124, 2015-11-30 (Released:2015-12-18)

参考文献数

19

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Objective: Many studies on patient satisfaction are conducted in community pharmacies.  In contrast, the present study assess the community pharmacy function and to the best of our knowledge, appears to be the first to evaluate the professional functions of pharmacists.Methods: In September 2010, in 1 week, we conducted a survey that focused on pharmacists’ professional abilities.  I subjected the responses to factor analysis and covariance structure analysis.Results: We obtained 2,506 effective responses (appropriately completed and returned questionnaires) of the 4,633 questionnaires originally distributed.  Data of seven dimensions were obtained for factor analysis.  In all, the various information provision services rendered by a pharmacist were not significant.  According to the covariance structure analysis, “safety” (a pharmaceutical management item) and “responsiveness” (a complimentary element) were significant factors.  Differences in the degree of influence were confirmed for each parameter in the analysis, depending on the parameter.  In addition, the information provision services were significant during the acute period.Conclusion: Because the information provision services were not significant, the influence of “asymmetric information” warrant further analysis according to the specialty.  I believe that it is necessary to examine asymmetric information in greater detail in the future.  In addition, I think that an interventional study that is based on these results is also necessary.

著者

野呂瀬 崇彦 木村 雄太 野津 諭志 櫻井 秀彦

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.33, no.1, pp.15-20, 2014-06-10 (Released:2015-08-11)

参考文献数

15

被引用文献数

1

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A “Okusuri-techo,” which refers to a prescription record, is utilized in medical institutions as an information tool necessary for the prevention of side effects, drug-interaction, and/or in case of emergency medication. However, the record is not shared sufficiently between patients and pharmacists and thus remains underutilized. To explore how the record could be used more effectively, a survey was conducted with the pharmacists of 73 community pharmacies that were members of the Otaru Pharmaceutical Association, and patients who received prescriptive medicines from these pharmacies. A total of 148 pharmacists and 157 patients responded. Approximately 80.9% of the patient group responded that the prescription record was useful, whereas 100% of the pharmacists answered that it was helpful. In the cross-analysis of the patients’ responses, the presentation of the prescription record to medical staff was correlated with the degree of helpfulness of the record. It was suggested that the function and effective usage of the record were rarely shared between patients and pharmacists. Sufficient understanding of the value and effective usage of such a record will therefore promote its active utilization among patients and pharmacists.

著者

一瀬 哲夫 小島 諭 宮崎 彩記子 宮崎 忠史 林 英守 伊藤 誠悟 川村 正樹 諏訪 哲 櫻井 秀彦 住吉 正孝

出版者

公益財団法人 日本心臓財団

雑誌

心臓 (ISSN:05864488)

巻号頁・発行日

vol.40, no.9, pp.806-810, 2008

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症例は64歳,男性.数日前に左上肢を枕にして昼寝をしていたところ,突然の左上肢浮腫を認めたため来院.明らかな血栓性素因,悪性疾患を認めなかったが,左上肢の静脈造影,造影CTで左腋窩静脈の高度狭窄と,左鎖骨下静脈の遠位部の完全閉塞と近位部に浮遊血栓を認めた.肺動脈血栓塞栓症(pulmonary thromboembolism;PTE)の予防のため上大静脈に一時留置型静脈フィルター(ニューハウスプロテクト)を留置し,7日間のウロキナーゼ投与,およびヘパリン療法を開始した.線溶療法後の静脈造影では浮遊血栓は消失し,左鎖骨下静脈に器質化した血栓を認めた.フィルターは10日目に合併症なく抜去した.原発性鎖骨下静脈血栓症(Paget-Schroetter症候群)によるPTE予防に一時留置型フィルターは有用であると思われた.

著者

丹野 忠晋 山田 玲良 櫻井 秀彦 林 行成

出版者

跡見学園女子大学

雑誌

基盤研究(C)

巻号頁・発行日

2013-04-01

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理論パートでは医薬品卸と医療機関の間の交渉力の差によってどのように上流の製薬メーカーの利潤に影響を与えるかについて定性的な結果を得た.現行の薬価制度では卸の交渉力が高いほど上流の製薬メーカーの利潤は高くなる.実証分析による主要な結論は,病院や薬局の規模が大きいほど総価取引になる確率が高まることである.一方で,取引する卸の数が多くまたは後発医薬品の利用割合が高いほど単品単価取引に移行する確率が高くなる.四大医療用医薬品卸は上流の製薬メーカーに様々な情報を提供しており,その対価が大きな利益の源泉になっていることが明らかになった.