著者

面谷 幸子 池嶋 俊貴 柴野 雅仁 勝井 保弘 初田 泰敏 向井 淳治 畑中 裕子 菊内 章夫 関 源一 名徳 倫明

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.46, no.9, pp.522-530, 2020-09-10 (Released:2021-09-10)

参考文献数

13

被引用文献数

1

---

Several hospitalized patients have a history of medication use; consequently, there are numerous reports on the importance of pharmacists managing their own medications. Conversely, there is a lack of information about the status of patients’ medication adherence. Therefore, we collected data on medicines brought to hospital by inpatients and investigated their medication compliance status. The medication compliance status of patients visiting the Kokuho Chuo Hospital from April 2017 to March 2018 was investigated using the identification sheets of medicines brought by these patients and patients’ medical records. The number of differentiations of medicines brought to the hospital by inpatients was 1,080, and the details of 889 medicines were used in this study. The average number of medicines brought per patient was 5.6 ± 3.5, with elderly patients bringing more medicines and exhibiting a low medication compliance. Compliance with antibiotics, chemotherapeutics, and oncology drugs was good, whereas that of vitamins, peripheral nervous system agents, and drugs for treating sensory organ issues was poor. The cost of medication per patient among non-adherent patients was approximately 3,836 ± 11,078 yen, amounting to a total cost of 3,409,914 yen. The medication compliance status inferred from this study was worse among elderly patients as well as for medicines used to treat chronic diseases. Pharmacists can provide appropriate drug treatments and contribute toward reducing healthcare costs by increasing awareness regarding the family pharmacist system and improving cooperation between community pharmacies and hospitals to improve polypharmacy and medication adherence.

著者

小磯 知之 阿部 洋丈 池嶋 俊 石川 宗寿 リチャードポッター 加藤 和彦

出版者

一般社団法人情報処理学会

雑誌

情報処理学会論文誌コンピューティングシステム(ACS) (ISSN:18827829)

巻号頁・発行日

vol.48, no.3, pp.13-26, 2007-02-15

被引用文献数

4

---

本論文では,大規模障害を含めた様々な障害を自律的に乗り越えて持続可能な(サステーナブルな)サービスを実現するための基盤ツールキットの設計について述べる.本方式は,多数の計算機を連合させ,それらにサービスの実行とサーバ機能の状態保存を自律的に分担させることでサービスのサステーナブル化を実現する.また,本提案方式は,仮想計算機を用いることで,既存のサービスを容易にサステーナブルにすることを可能にしている.In this paper, we describe our design of an infrastructure toolkit for realizing sustainable services, which can surmount various kinds of failures, including catastrophe. Our system consists of many federating computers. It enables the service to be sustained by making some of the computers run server functions, and the others share storing states of the service. And also our method is designed to be applicable for existing services by using virtual machines.