著者
赤木 佳寿子
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.32, no.2, pp.33-42, 2013-12-10 (Released:2015-06-26)
参考文献数
52

In this paper, I propose to look at the separation of prescription and dispensing in Japan(Iyakubungyo)from the point of view of social science and aim to clarify factors of promotion of Iyakubungyo. Today, the separation rate reached over 60%, and it shows Iyakubungyo comes into a common system. However the system has not been judged socially, because there is no paper about the social evaluation of Iyakubungyo while there are some papers about the factors of the satisfaction of patients. There are some investigations of how to promote Iyakubungyo, but no investigations of why. I will figure out factors of promotion of the separation of prescription and dispensing in Japan by verifying two policies, “the divorce between things and technique” and “proper use of pharmaceutical products”. A change of these policies makes the change of contents and rates of Iyakubungyo. By showing the possibility that the two policies were the factors of the development of Iyakubungyo, we can get a hint for finding the pharmacists’ function in social.
著者
赤木 佳寿子 石居 人也
出版者
日本薬史学会
雑誌
薬史学雑誌 (ISSN:02852314)
巻号頁・発行日
vol.55, no.1, pp.83-91, 2020 (Released:2020-08-02)

[Objective] This treatise is a part of a study on how self-medication should be supported by pharmacists. Self-medication is gaining attention as the result of rising medical expenses in Japan. On the other hand, I think it is important for people to protect their health autonomously. We need to clarify how pharmacists, as professionals, support self-medication. [Methods] We researched the actual situation of placement medicines by reviewing 59 records from one of the placement medicine suppliers (Y) in former Niwa County, Aichi Prefecture. We focused on a placement medicine, because it is said that the medicine had played an important role as a form of self-medication during the Taisho to early-Showa eras before the establishment of Japanese national insurance. We reveal the name and the prescription of the medicine that was sold by the placement medicine supplier. [Results] The medicines managed by Y and how they were changed have been clarified. In addition, historical influences related to them were recognized. [Conclusions] (1) The company managed balanced home medicines. An investigation should be conducted to examine whether or not the list is generalized. (2) The Home Medicine Sales Act has changed private companies. Further investigations covering a wider area are required. (3) Article 6 of the Home Medicine Sales Act stipulates that sales are made by pharmacists. However, the pharmacist was not actually involved. An investigation should be made into why pharmacists were not needed on-site. (4) No effect of policy shift from invalid harmless to effective harmless. The impact of effective harmless policies should be investigated. (5) Quinine was commonly used. Knowing more will give us clues about illnesses and how people were treated at that time
著者
赤木 佳寿子
出版者
日本保健医療社会学会
雑誌
保健医療社会学論集 (ISSN:13430203)
巻号頁・発行日
vol.29, no.1, pp.33-39, 2018-07-31 (Released:2019-08-08)
参考文献数
7

かかりつけ薬局・薬剤師や健康サポート薬局など近年は薬剤師の役割についての議論が活発である。特に地域包括ケアシステムの中での薬剤師は従来からの仕事である医薬品の販売や調剤とは異なる在宅業務などの仕事も期待されている。本稿では従来の薬剤師を「正しい薬の供給者」と定義し、それに対して地域包括ケアの中での薬剤師を「患者のQOLの向上を目指す薬物療法に責任を持つ医療者」と再定義した。再定義される薬剤師はその立場を「供給者」から「医療者」に、その業務は対物から対人に、その目的は正しい薬の規格管理から患者のQOLの向上という規格やマニュアルでは決められないものに変化している。