著者

伊勢 雄也 萩原 研 齋藤 節生 本城 和義 宋 静香 加藤 あゆみ 片山 志郎 西澤 健司 平野 公晟 吉行 俊郎 木山 輝郎 三橋 恭子 亀井 美和子 白神 誠

出版者

公益社団法人日本薬学会

雑誌

藥學雜誌 (ISSN:00316903)

巻号頁・発行日

vol.124, no.11, pp.815-824, 2004-11-01

被引用文献数

1 1

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米国では1983年よりMedicareの入院医療費の支払い方法として,医療費の診断群別定額支払い制度(Diagnosis Related Group/Prospective Payment System;DRG/PPS)が導入されているが,わが国でも平成15年4月より診断群分類(Diagnosis Procedure Combination;DPC)に基づく包括支払い制度が大学病院,国立がんセンター,国立循環器病センターなどの特定機能病院計82施設での入院医療において開始された.その結果,入院患者の在院期間の短縮と入院費用の削減並びに患者満足度の向上などを目的として,クリニカルパス(Clinical Pathway;CP)が日本の医療においてさらに注目されるようになった.日本医科大学付属病院(以下「当院」という)では1998年に「CP研究会」が設立され,患者ケアを医療スタッフがチームとなって行うシステムの構築を検討してきた.1)薬剤部では,その中でも胃癌の切除術患者CPに積極的に携わり,同CPに薬剤管理指導業務を導入することによる有用性並びにその費用対効果についての検討を行い,数多くの知見を得ている.

著者

矢島 領 今岡 楓太 輪湖 哲也 黒田 裕子 松元 一明 木津 純子 片山 志郎

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.1397-1402, 2015-12-01 (Released:2015-12-01)

参考文献数

18

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Stomatitis frequently occurs during chemotherapy and radiotherapy for cancer. Because of its pharmacological properties including anti-inflammatory activity and stimulatory effects on endogenous prostaglandin synthesis, rebamipide has been suggested as a potentially effective treatment against stomatitis. In the present study we tested the stability of oral rebamipide solutions prepared in our hospital pharmacy using sodium alginate as a thickener to increase retention of this agent in the oral cavity, and the addition of different flavoring mixtures intended for use in enteral diets to reduce the bitterness of rebamipide and sodium alginate. Samples of oral rebamipide solution prepared with 13 kinds of flavoring and sodium alginate were evaluated in terms of their appearance, redispersibility, pH, viscosity, and rebamipide content immediately after preparation and 1, 3, 7, and 10 days after storage at room temperature under ambient light or in a cool, dark place. After 10 days of storage, favorable stability was observed in four sample solutions supplemented with green apple, pineapple, yogurt, and tomato flavoring mixtures intended for use in Elental® diets. These oral solutions may have potential clinical application.

著者

中村 博子 伊勢 雄也 片山 志郎

出版者

日本医科大学医学会

雑誌

日本医科大学医学会雑誌 (ISSN:13498975)

巻号頁・発行日

vol.8, no.3, pp.195-198, 2012 (Released:2012-08-31)

参考文献数

15

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Patients with cancer-related anorexia (CRA) have a lack of appetite, early satiety, taste changes, poor performance status, and diminished quality of life. Megestrol acetate is a standard treatment for CRA. Recently, olanzapine has been reported to be effective for treating refractory nausea and vomiting induced by chemotherapy in patients with cancer. A clinical trial has found that the combination of megestrol acetate and olanzapine is effective for patients with CRA. In this article we describe the treatment of CRA using olanzapine.

著者

伊勢 雄也 恩田 光子 三浦 義彦 島崎 真知子 川田 佳子 萩原 研 片山 志郎 菊池 有道 亀井 美和子 小林 宏司 白神 誠

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.127, no.6, pp.1021-1025, 2007 (Released:2007-06-01)

参考文献数

9

被引用文献数

2 5

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The contents of pharmacist interventions, which were carried out by the ward pharmacists in their routine pharmacy service activities, were sorted and analyzed to evaluate the contributions of pharmacists. In the ward where pharmacists were stationed, there were a total of 196 cases of pharmacist intervention. The prescription was changed in 170 cases, giving a rate of prescription change of 86.7%. The breakdown of the pharmacist intervention was as follows: “efficacy/safety”, 106 cases, followed by “dosage regimen” (48 cases) and “compliance” (10 cases). Cost savings achieved during the investigation period were calculated to be 440,639 yen, and cost avoidance was valued at 1,941,847-3,883,695 yen using the Diagnosis Procedure Combination (DPC). The results of the present investigation showed that pharmacists contribute to through not only their pharmacy services, but also through the promotion of proper drug use and risk management, thereby contributing to hospital management through cost savings and avoidance.

著者

伊勢 雄也 片山 志郎 中野 博司 大庭 建三

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.14, no.3, pp.101-104, 2012 (Released:2012-12-13)

参考文献数

6

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Objective: The care of patients with Alzheimer’s disease (AD) has a significant impact on the life of caregivers.  Some of the major daily tasks for caregivers are the administering and management of patients’ medications.  The aims of the present study were to evaluate the current state of administering and management of medications by caregivers, and the usefulness of medicated patches for improving compliance.Methods: We sent questionnaires to 62 caregivers of AD patients, and 60 responses were analyzed (response rate: 96.8%).Results: We found that approximately half of caregivers had some difficulties with administering and managing medications.  A total of 80% of caregivers took less than 3 min to administer and manage medications.  Approximately half of caregivers responded that patches were useful, but 15% stated that current medications were not the cause of difficulties.  These respondents were concerned that patches may result in adverse skin reactions.Conclusions: The results of this survey indicate that caregivers do not have difficulties with administering and managing medications, and further concern is needed about the usefulness of medicated patches.