著者

浦上 勇也 木村 功二 河田 由紀子 枯木 始 須﨑 晶子 河﨑 光彦 山本 和幸 飯原 なおみ

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.43, no.6, pp.344-350, 2017-06-10 (Released:2018-06-10)

参考文献数

12

被引用文献数

3 4

---

Pharmacists are expected to help reduce increasing healthcare costs. This study assessed the effects of pharmacists at community pharmacies checking for unused prescribed medications using a bag in which patients put medications (Setsuyaku Bag). We examined whether this check improved medication adherence and also measured the costs of the unused medications.Patients aged ≥ 20 years who brought the bag to community pharmacies were followed-up for 6 months. They took the bag to pharmacies if they had unused medications including those recently prescribed. Medication adherence scores at the first visit and after 6 months were assessed by patients (good 0–bad 4) and by pharmacists (good 1–bad 4). Changes in scores were analyzed using paired t-tests. Costs of unused medications were calculated, grouped as reused, saved, or discarded.The patient adherence score for 73 patients (mean age 71.3 years) decreased from a mean of 1.8, SE 0.1 at the first visit to 0.8, 0.1 at the 6-month visit (P < 0.001). The pharmacist adherence score also decreased over this period from a mean of 2.4, SE 0.1 to 1.5, 0.8 (P < 0.001). The mean cost of total unused medications during the 6-month per person was 9,962 yen: reused 6,523 yen (65.5%), saved 1,506 yen (15.1%), and discarded 1,933 yen (19.4%).Pharmacists' checkup for unused medications using a Setsuyaku Bag was likely to be effective for improving medication adherence, indicating that pharmacists can contribute indirectly to reducing healthcare costs through medication adherence and directly by lowering medication costs.

著者

浦上 勇也 山地 康文 篠永 浩 河田 由紀子 久家 哲也 山本 和幸 飯原 なおみ

出版者

一般社団法人 日本呼吸ケア・リハビリテーション学会

雑誌

日本呼吸ケア・リハビリテーション学会誌 (ISSN:18817319)

巻号頁・発行日

vol.29, no.1, pp.117-124, 2020-08-31 (Released:2020-09-02)

参考文献数

19

---

【背景】保険薬局において喘息患者に対する吸入指導を医師と連携して行うことは難しい.【目的】吸入指導連絡票を用いた,医療機関と連携した保険薬局における吸入実技指導が,臨床効果に与える影響を検討した.【方法】医療機関から吸入指導連絡票が発行された喘息患者に対し,薬剤師が吸入実技指導を実施した.吸入アドヒアランス,理解度・吸入手技,臨床効果指標(ACT,%PEF)を指標とし,指導1,2,3回目に測定して,その変化を全患者および年齢層別に解析した.【結果】解析対象31名において,全ての指標値は1回目に比べ2,3回目で有意に改善した.年齢層別では,60歳未満群では一部改善しない指標値があったが60歳以上群では全ての指標値が有意に改善した.【考察】吸入指導連絡票を用いた保険薬局における吸入実技指導は,医師と薬剤師の双方向の情報連携を可能とし,喘息コントロールを維持する上で有効である.

著者

浦上 勇也 髙島 秀人 篠永 浩 矢野 禎浩 飯原 なおみ

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.39, no.2, pp.58-62, 2020-12-10 (Released:2020-12-30)

参考文献数

10

---

Objectives: Collaboration among medical, nursing, and welfare staff members in a community is needed to promote community-based integrated care in Japan; however, these individuals have few opportunities to communicate. We held a Care Cafe®, which establishes face-to-face relationships among the staff members in a community, evaluated changes in the extent of community collaboration over time, and tracked the number of times each individual participated. Methods: Participants in the Care Cafe® were asked to complete a questionnaire measuring the extent of community collaboration among medical, nursing, and welfare staff members at the time of first participation and approximately one to two years later. Responses were evaluated with a 5-point rating scale to reveal the extent of collaboration (total score and six subscale scores), how the participants felt about the collaboration, and the number of staff members in the community who could support them. Results: Thirty-six participants responded, including 12 community pharmacists, 10 care managers, 5 physical therapists, 3 hospital pharmacists, and 6 others. Of them, 22 (61.1%) participated at least three times. The total score and the five subscale scores, the proportion of participants who rated their collaboration as good, and the reported number of staff members who could support them increased significantly from the time of first participation. Thirteen participants (36.1%), each of whom participated at least three times, responded that their participation resulted in practical collaboration. Conclusions: The Care Cafe® can improve collaboration among medical, nursing, and welfare staff members in a community. More frequent participation may promote collaboration.