著者

高梨 宏 岡沢 宏美 相原 史子 古賀 達郎 橋本 啓一 渡辺 朋子

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.35, no.2, pp.108-116, 2016-12-10 (Released:2017-02-21)

被引用文献数

1

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本邦においては、国内未承認薬で代替品がなく、外国で受けた薬物治療を継続する必要がある場合等を想定し、医薬品の個人輸入が認められている。しかし、一般消費者がインターネット上の個人輸入代行サイトを介して、性機能改善薬(ED 治療薬)や抗肥満薬、点眼薬、抗アレルギー薬、 抗精神病薬などを購入している実態が報告されており、本来の枠組みから外れた医薬品の個人輸入が散見される。一般消費者が処方箋なしにネットを介し一般用医薬品以外の承認及び未承認医薬品を入手可能な現状に大きな問題がある。そこで、2017 年7 月31 日に「リスクが潜む医薬品の個人輸入:偽造医薬品だけにとどまらない危険性」をテーマとした社会薬学フォーラムを開催し、下記の演者による講演を行った。現在の医薬品個人輸入に係る制度のネット社会への適合性や、その監視体制のあり方を見直す機会となった。<企画委員会>

著者

岡沢 宏美

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.36, no.1, pp.39-44, 2017-06-10 (Released:2017-06-20)

参考文献数

43

著者

前田 あゆみ 菅野 敦之

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.1, pp.35-39, 2020-06-10 (Released:2020-07-01)

参考文献数

20

被引用文献数

1

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The refill-prescription system widely implemented overseas has been discussed toward its legislation for many years but has not been enforced yet in Japan. In considering introduction of such a refill-prescription system, numerical economic effects of its introduction can be expected in this paper. Based on the survey by Kurata at al. in 2016, the first and second groups were defined for patients with prescriptions of the same medicine more than twice for 14 days or more (20.2%) and for patients in the first group who were prescribed medication for more than 180 days and visited the pharmacy over 330 days (4.4%), respectively. The number of refill-prescriptions were estimated from the total number of the prescriptions put out in 2016. In the first group 166.7 million prescriptions were replaced by refill prescription, resulting in the reduction of medical and insurance expenses by 155.6 and 108.9 billion yens, respectively, while in the second group the reduction of 36.31 million prescriptions as well as 33.9 and 23.7 billion yens for those expenses, respectively, were expected. The monthly working time of overworking doctors with poor working environment was also calculated to be shortened by 6.1〜12.1 and 1.3〜2.6 hours for these two groups, respectively. Additionally, the introduction of the refill-prescription system was estimated to reduce the physical burden of one patient by 2.7〜5.3 hours per year for consultation and waiting hours in the medical institutions. Therefore, the refill-prescription system is thought to be useful for efficient allocation of medical resources to patients.

著者

遠藤 きよ子 高橋 まり子 功刀 恵美子 野口 和孝 佐藤 政男

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.43-50, 2014-06-10 (Released:2015-08-11)

参考文献数

20

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The Fukushima Daiichi Nuclear Power Plant (FDNPP) Accident happened in Fukushima prefecture in March, 2011 and various efforts have been carried out to prevent health damage, including thyroid cancer, caused by radioactive-iodide. In this present report, we tried to discover whether stable-iodide for the prevention against the development of thyroid cancer was properly administered to radioactive-iodide-exposed persons or not. Since pharmacists play an important role in the treatment of stable-iodide, we investigated how the pharmacists in Fukushima contributed to the treatment of stable iodide in the FDNPP accident. In addition, we introduce a new revised method for the treatment of stable iodide published by the Nuclear Regulation Authority, discuss the important role of pharmacists in the Nuclear Power Plant Accident, and propose possible ways of preparation to protect the health of citizens.

著者

男全 恵里花 岸本 桂子 福島 紀子 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.36, no.2, pp.78-87, 2017-12-10 (Released:2018-01-05)

参考文献数

23

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The purpose of this research was to clarify the factors influencing the approval or disapproval and evaluative opinions of the public concerning separation of dispensing and prescribing functions. We conducted a Web survey with 2006 participants (September 2016). We conducted multiple logistic regression analysis and quantitative analysis of freely recorded their reasons about approval or disapproval. The approval rating was 29.2% in persons who had had some prior experience with at the pharmacies (n=1,778) and 41.9% in participants who made regular clinic visits and always filled prescriptions at the pharmacy (n=430). Multiple logistic regression analysis of the data of participants who visited pharmacies (n=1,778), identified that compared to participants who experienced side effects (OR=1.34), the frequency of used pharmacies (OR:Odds ratio=1.47), the filling burdened by having to fill prescriptions at the pharmacy (OR=0.19, 1/OR=5.18), there was a significant positive association for the approval. Analysis of qualitative data of the group that approved identified many labels related to ‘quality of results’, however no labels related to ‘quality of results’ were generated in the group which disapproved. Public approval or disapproval of non-hospital based prescription is mainly determined based on the burden or inconvenience incurred (due to waiting times, mobility-incurred time and energy, inconvenience associated with travel, inconvenience of repeated visits) when filling prescriptions at the pharmacy rather than on opinions regarding the pharmacy’s drug therapy service. Measures are required to increase the level of merit compared to the burden experienced in the use of pharmacy.

著者

平賀 秀明 草野 真雪子 山﨑 彩菜子 緒方 美咲 植草 秀介 菅澤 彩香 多賀谷 理央 秋本 義雄 眞鍋 知史 木内 規之 大橋 綾子 早田 佳奈 久山 登

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.41, no.1, pp.10-27, 2022-06-10 (Released:2022-06-21)

参考文献数

22

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Owing to the fear of worsening their relationship with physicians, several pharmacists hesitate to contact physicians regarding prescription-related questions. We investigated the personal factors of pharmacists contributing to their hesitation to contact physicians regarding prescription-related questions. We analyzed the responses of 213 pharmacy pharmacists. A comparison of the degree of hesitation to contact physicians regarding prescription-related questions revealed that the most hesitant questions were pertaining to “the same prescription content from before”; insurance questions (3.37) were higher than medical questions (3.20) (P=0.006). The multiple regression analysis results revealed that “pharmacy work is busy and there is no time” was influenced by regular employees (medical (β=−0.181, P=0.030) and insurance (β=−0.257, P=0.002)). “A co-pharmacist said no questions needed” was influenced by the sex of pharmacists (medical (β=0.194, P=0.011) and insurance (β=0.177, P=0.020)). Overall, type of questions (medical or insurance) and individual backgrounds (prescription issuing medical institution, pharmacy scale, location, age, sex, employment type, years of service, current management pharmacist, and hospital work experience) have a complex effect on the pharmacists’ psychology. To facilitate pharmacists to contact physicians regarding prescription-related questions, physicians and pharmacists should share information and communicate on a daily basis, such as actively participate in joint training programs. It is also important to create an environment where regular employees and female pharmacists can work comfortably. The smooth resolution of prescription-related questions by relieving the psychological pressure of pharmacists will improve patient safety.

著者

岡田 浩 鈴木 渉太

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.93-99, 2020-12-10 (Released:2020-12-30)

参考文献数

11

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During the COVID-19 pandemic, community pharmacies provided reliable information to the public as well as masks, disinfectants and drug supplies. This review article first describes the information and support provided to pharmacists and pharmacies by the U.S. CDC, FIP, and Pharmaceutical associations in USA, UK, Canada, and Australia. Lastly, the activities of Kyoto University SPH, which provided information on infection control to community pharmacies in Japan during the COVID-19 pandemic.

著者

波多江 崇

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.2, pp.98-100, 2014-12-10 (Released:2015-09-04)

著者

岸本 桂子 福島 紀子

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.34, no.1, pp.7-19, 2015-06-10 (Released:2015-10-16)

参考文献数

34

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We explored the association between understanding a proper use of over-the-counter cold medicines and a choice of information source to purchase such medicines. We conducted an internet survey in March 2011 regarding false perceptions about cold medicines as well as understanding of package inserts. Respondents (20〜69 years old) to the main survey were individuals who purchased cold medicines based on TV commercials (CM group) and those who purchased these medications in consultation with pharmacists (consultation group). We surveyed 121 and 159 respondents in the CM and consultation groups, respectively. We calculated the principal component scores for false perceptions of cold medicines and the respondents’ understanding of the package inserts. The median scores were 0.20 (CM group) and -0.08 (consultation group) false perceptions, and -0.18 (CM group) and 0.15 (consultation group) for understanding. The Mann-Whitney U-test revealed that the CM group had more misconceptions regarding cold medicines compared with the consultation group (P<0.001). Furthermore, the consultation group acquired greater understanding of the package inserts than the reference CM group (P=0.005). These results suggest an association between understanding the proper use of over-the-counter cold medicines and choice sources of information on purchasing these medicines. They further suggest that a lack of knowledge or understanding of cold medicines does not lead to consultations with a pharmacist about the purchase.

著者

秋山 滋男 土井 信幸 武田 有芽 堀 祐輔 宮本 悦子

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.40, no.1, pp.20-26, 2021-06-10 (Released:2021-06-29)

参考文献数

16

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Adverse Drug Reaction Relief System is intended for people who suffer adverse health effects from drugs despite their proper use, including over-the-counter (OTC) drugs. The decision-making data for the payment of relief benefits associated with OTC drugs and the instructions-for-use provided by community pharmacists and registered retailers were investigated. The results showed that the relief benefit nonpayment rate for OTC drugs was 3.9% and the number of cases was 9, of which 5 were due to improper use. Among the OTC drugs covered by relief benefits, the most common were schedule II pharmaceuticals, which were sometimes used in combination with prescription drugs. These results suggest that pharmacists and registered retailers should check for the use of concomitant drugs (e.g., with drug notebooks) at the time of the OTC drug sale. Pharmacists and registered retailers should provide a detailed explanation of the drugs to consumers and confirm that the information is understood, especially when schedule II pharmaceuticals or psychotropic drugs are sold. Additionally, information on the initial symptoms of an adverse drug reaction and treatment should be provided to prevent serious reactions. Follow-up with consumers during OTC drug use may also reduce the risk of misuse.

著者

中島 理恵 白神 誠

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.37, no.1, pp.9-18, 2018-06-10 (Released:2018-07-10)

参考文献数

14

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When establishing new pharmacy services, they must be in line with the needs of individual community residents. In our research, it was clear that services provided by the newly implemented health support pharmacies and primary care pharmacist system in recent years satisfy the needs of patients as well as the public in general. We collected information via a survey that used a structured questionnaire. In addition to basic information (age/sex), it also covered details of their pharmacy use, their thoughts on pharmacy services, and the actual usability of pharmacy services. Differences in respondent’s opinions and the actual usability of each pharmacy service were compared between age groups and sexes. Female respondents had more favorable opinions about the antismoking, nutrition, and sickness prevention consultation services than male respondents did. The proportion of survey respondents in their 40s and 50s who proactively used pension and welfare consultation services was significantly higher than for other age groups. The younger generation perceived 24-hour pharmacies and the primary care pharmacy system as necessary. There is a large disparity between people’s thoughts and opinions on the actual usability of the services that primary care pharmacies aim to offer, and this differ in people’s ages and sexes. The younger generation tend to expect the pharmacy services. It is important for pharmacies to address the needs of the generation which is skeptical toward the separation of medical and dispensary practice and recognize them the new role of pharmacies.

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

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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

石井 正和 育己 育己 加藤 大貴

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.42, no.1, pp.17-25, 2023-06-10 (Released:2023-06-28)

参考文献数

24

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A questionnaire survey was conducted to investigate the use of goreisan for headaches caused by weather and atmospheric pressure changes, and to clarify issues in promoting treatment with goreisan. The subjects were men and women in their 20s to 40s who developed headaches due to changes in weather and atmospheric pressure. Medication was used by 58.0% of the migraine group and 42.5% of the other headaches group. Among them, 27.5% of the migraine group and 15.1% of the other headaches group had used goreisan. Regarding the method of use of goreisan, the most common answer for the migraine group was “used after feeling a sign that headache is likely to occur,” whereas for the other headaches group, the most common response was “used after headache has occurred.” In the migraine group, the most frequent premonitory symptom was “stiffness in the shoulders and neck.” More than 80% of both groups were satisfied with the use of goreisan. In addition, 77.8% of migraine group and 59.5% of the other headaches group of those who had never used goreisan answered that they would like to use goreisan for headaches caused by weather or atmospheric pressure changes in the future. As a reason for not wanting to use goreisan, over half of both groups answered that they did not like the taste of herbal medicines. It is necessary to offer tablets to patients that do not like the taste.

著者

新田 明美

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.34, no.2, pp.149-151, 2015-12-10 (Released:2015-12-25)

参考文献数

3

著者

逸見 孝広 石下 真也 谷 秀彰 桶谷 満 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.40, no.2, pp.105-112, 2021-12-10 (Released:2022-02-08)

参考文献数

38

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The number of diagnosed hypertensive patients in Japan is estimated to be 9.93 million according to a 2017 patient survey, and the potential number of actual hypertensive patients is estimated to be 43 million. The purpose of the present study was to clarify the actual condition of the Do-shoho (refill of the previous prescription) period for antihypertensive drugs prescribed for a long duration, and to obtain basic data for considering the introduction of a refill system in Japan. Data were collected from the patient medication profile of patients who were prescribed amlodipine OD tablets (Chemiphar®) from July 2012 to December 2019, and the Mann-Whitney U test or Kruskal-Wallis test were performed with the Do-shoho period as the test variable. A generalized linear model was used to analyze the items for which significant differences were obtained. The results of the analysis showed that the factors affecting the duration of the Do-shoho were the prescribing source, diagnosis, and the maximum number of prescription days. Of the patients surveyed (N=321), 199 (62.0%) had a Do-shoho duration of 6 months or longer, which was more than half of the total number of patients. The results suggest that many patients may be eligible for the refill prescription system if pharmacists are able to properly assess the continuation of prescriptions.

著者

山谷 明正

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.35, no.1, pp.38-43, 2016-06-10 (Released:2016-07-06)

参考文献数

7

著者

下根 光香子 岸本 桂子 福島 紀子

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.34, no.2, pp.63-71, 2015-12-10 (Released:2015-12-25)

参考文献数

21

被引用文献数

1

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In this study, we conducted a questionnaire survey among community pharmacists in Japan, to explore how they and the pharmacy’s management support a fellow pharmacist who has committed a medical error. Using stratified random sampling, we selected 900 pharmacies from national community pharmacies. The response rate for pharmacies was 31.7%, and we analyzed data from 572 pharmacists. It was observed that after a pharmacist committed a medical error, the subsequent treatment was relevant to the years of experience. Supervising pharmacists with little experience tended to answer that they “do not know how to get along with the colleague”. The backup to supervising pharmacists with little experience should be considerable to give care to pharmacist caused dispensing error. A few pharmacies have a support system for pharmacists concerned in an error; 38.9% of supervising pharmacists emphasized the significance of mental support. Therefore, it was suggested that concluded that head offices of pharmacies and the community pharmaceutical association should review their mental support system for pharmacists to work after committing an error.

著者

櫻井 秀彦 恩田 光子 野呂瀬 崇彦 柳本 ひとみ 古田 精一

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.35, no.1, pp.23-33, 2016-06-10 (Released:2016-07-06)

参考文献数

51

被引用文献数

2

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In addition to the notion of promoting generic drugs to lower pharmaceutical costs, another approach that has gained attention as vital to policy reform is that of utilizing health insurance pharmacies to decrease over-prescription and surplus of drugs. Such a move would perforce require separating medical and dispensary practices. There is increased need for more efficient provision of pharmaceuticals, including proper inventory control, outpatient clinics that function as family pharmacies, and support of home-bound patients’ medication regimens. However, chronic ailments in particular tend to lack subjective symptoms, and decreased intake of medication and surplus medication compound to make these larger policy issues difficult to solve. This has led to the Revised Dispensing Service Fee changes in 2012 and 2014 putting stricter controls on medication regimens and checks of surplus medication. This research examines in parallel the issues of patient satisfaction and loyalty alongside adherence to medication regimens, issues that have been previously treated in isolation in the existing literature. By comparing their respective inter-relationships and influencing factors, we conducted a re-analysis of the relationship between insurance pharmacies and patients. We collected data from patients with diabetes and high blood pressure via an Internet survey. Responses on loyalty, patient satisfaction, overall perceived quality, and degree of medication adherence were obtained, as well as responses on the factors believed in a cross-sectional sense across research disciplines to contribute to the above, and the results measured on a quantitative scale. Path analysis was then used, with a model defined using overall perceived quality as a parameter and measuring the degree of satisfaction, loyalty, and medication adherence. In addition, a multiple-group analysis was simultaneously performed. Although there was variance by ailment in terms of patient satisfaction and loyalty, factors contributing to perceived quality were the strongest, followed by the rating of the prescribing doctor. However, for adherence, only self-efficacy and prescribing doctor rating contributed. Ultimately, no correlation was found between patient satisfaction, loyalty, and adherence, and the contributing causes were found to vary, so improving these various vectors would seem to require respectively differing strategies. In terms of medication adherence, the results suggested the need for strategies to increase patients’ self-efficacy, partner with prescribing doctors, and improve the perceived rating of prescribing doctors; different quality improvements are needed by medical area, whether medicine or dispensary practice.

著者

笹原 明日香 小武家 優子 村井 未来 大光 正男 吉武 毅人

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.35, no.2, pp.69-79, 2016-12-10 (Released:2017-02-09)

参考文献数

39

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[Objectives] Visually impaired is assumed that the taking medicine is difficult. This study aimed to elucidate the actual status of using drugs as part of medication assistance for people with acquired visual disabilities. [Method] We conducted a questionnaire survey of 14 people with acquired visual disabilities who use the Fukuoka Welfare Center for the Disabled. [Results] The mean age of the subjects was 70.2 years. The reading method “voice” was the highest at 12 cases. Thirteen people (93%) managed their medications by themselves. Among medication-related problems, 10 were associated with “vision.” Regarding efforts in using drugs, 6 cases the efforts involved using “vision.” People who always carry around the medication notebooks was two people (14%). Three people (21%) had a family pharmacy. Among requests and dissatisfaction concerning medication notebooks, 8 cases citing dissatisfaction had factors attributable to “pharmacy’s actions.” [Discussion] From the fact that voice in the reading methods are most often used, as a means of communication of information to the acquired visual disabilities, it is considered a method using the sound is suitable. In order to resolve medication difficulties, pharmacies need to make efforts according to the remaining ability of each individual.

著者

藤井 基博 菊池 知美 岡田 まさ子 渡邊 美絵 長南 謙一

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.2, pp.67-72, 2014-12-10 (Released:2015-09-04)

参考文献数

14

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Relationships between physicians and pharmaceutical companies have received considerable attention regarding the professionalism of health care professionals in recent years. Pharmacists may also have a conflict of interest if they are provided some benefits from pharmaceutical companies. We conducted a survey of pharmacists in hospitals, clinics, and pharmacies in mid 2011. The response rate was 58.8%(235/400). Most pharmacists(94%) reported some type of relationship with pharmaceutical companies, which included receiving ballpoint pens and notebooks(88.5%), or receiving food in a meeting(56.6%). Managerial level pharmacists received more “textbooks and guidelines”, “gifts” than other pharmacists. The results of this survey indicate that relationships between pharmacists and companies is common. The formulation of guidelines and more responsible behaviors are needed.