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

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
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

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
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

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
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

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
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
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
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

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.
著者
村上 雅裕 池本 憲彦 戸屋 成未 朴 美姫 奥山 美結樹 畠山 和子 桂木 聡子 大野 雅子 比知屋 寛之 座間味 義人 室 親明 木村 健 倉田 なおみ 天野 学
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.34-37, 2016-06-10 (Released:2016-07-06)
参考文献数
9

To administer oral anticancer drugs safely, the simple suspension method has been introduced in many hospitals. Therefore, concerning drugs for which it is unclear whether or not this method is applicable, testing must be able to be conducted at any time. In this study, we investigated 20 oral anticancer drugs to expand information on the application of the simple suspension method. Disintegration/suspension and permeability tests were conducted, as described in the 3rd version of the Tube Administration Handbook for Oral Drugs. All products were disintegrated/suspended after 10 minutes. On permeability tests, there was no residue in any tube for tubal feeding. On the final evaluation, the products were regarded as suitable (grade 1). Bicalutamide tablets (80 mg, TCK and KN), which were analyzed in this study, were regarded as suitable (grade 1) on the final evaluation. On the other hand, the simple suspension method is not applicable for a brand-name drug, Casodex® tablets (80 mg). This may be related to the different additives. Furthermore, the results suggest that, even when the simple suspension method is not applicable for a brand-name drug, it may become applicable for generic drugs. This may provide a new merit for promoting the use of generic drugs.
著者
川村 香織 中野 翔太 庄野 あい子 赤沢 学
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.128-131, 2015-12-10 (Released:2015-12-25)
参考文献数
8

Introduction: A new role for community pharmacists is to perform educational activities related to tobacco, alcohol, and drug abuse. It is important to consider schoolchildren and provide classes targeted to this age group. However, it is difficult for community pharmacists to provide these classes for students because they have few chances to gauge what students understand. Therefore, we explored a better way for community pharmacists to deliver their classes. Methods: We provided a “drug safety” class, which encouraged 9-12-year-old students at primary school to resist tobacco, alcohol, and drug abuse. To prepare for the class, we held several discussions with the primary school teachers. We incorporated their advice and comments into our slides and skit for the class. Their points and our process of preparation for the class are shown. Results: Three important points were identified in our discussions with the teachers. I. We should consider delivering an interactive class for the children, so they could participate in a skit and quizzes, instead of a one-sided talk from the teacher. II. We should use pictures and examples that are visually simple for children. III. We should take parents who smoke and drink into consideration. Discussion: There is an increase in opportunities for community pharmacists to contribute to classes about tobacco, alcohol, and drug abuse at schools because of the importance of encouraging children to resist tobacco, alcohol, and drug abuse. It is important for pharmacists to consult with teachers to recognize the needs of students in their classes. The community pharmacists could then ensure their classes met the school and schoolteachers’ needs by using their experience in educational activities.
著者
菊地 真実 辻内 琢也
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.10-22, 2016-06-10 (Released:2016-07-06)
参考文献数
22

A questionnaire-based survey was administered to determine how community pharmacists recognize the necessity for and frequency of touching their patients during care giving. The questionnaire was sent to 400 community pharmacies that practiced home care, and 147 valid responses were analyzed. The survey suggested that acts recognized by pharmacists to require touching were measuring vital signs and helping patients take oral medications. It was thought that pharmacists needed to help patients in taking oral medications and also needed to determine issues related to oral intake. The survey also indicated that the frequencies of measuring vital signs and applying plasters to patients were high. Measuring vital signs was considered routine work, and applying plasters to patients was considered occasional work. Many respondents stated the need for practical study sessions on measuring vital signs. The frequency of measuring vital signs has increased because pharmacists have increasingly recognized this need. Additionally, females tended to touch their patients more frequently than males. However, there was no relationship between the frequency of examining bedsores and applying ointments on them and gender because it was thought that knowledge and experience were more important. The recognition of necessity for touching their patients was high but the frequency was comparatively low, and there was a discrepancy between the recognition of necessity and frequency. It was suggested that practical study sessions on when patients should be touched should be a high priority.
著者
南 絢子 水野 智博 宮川 泰宏
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.97-107, 2015-12-10 (Released:2015-12-25)
参考文献数
11

Following the Great East Japan Earthquake, many pharmacy students conducted support activities which was no requirement of pharmacist’s license. Although some pharmacy students reported their activities, there are no studies comprehensively analyzing this phenomenon. The purpose of this study was to survey the support activities of pharmacy students and to analyze the corresponding conditions. We conducted personal interviews with 22 pharmacy students involved in the support activities. The questionnaire included items about a student’s general attributes, activities, activity duration, and relevant locations. Further, we analyzed data on their attributes and personal information with respect to the support activities. Data on the activities were classified into 10 categories and evaluated based on pharmaceutical knowledge levels required for the support activities. According to the results of the interviews, the phases of the activities were classified into “sub-acute phase” and “chronic phase.” The relevant locations were medication collection points, shelters, and transit points for medical teams, temporary clinics, and temporary housing. Furthermore, according to the classification of activities by knowledge levels, activities depended on the students’ pharmaceutical knowledge; if they appropriately selected the activities (based on their pharmaceutical knowledge level), they could effectively participate in the support activities. The results of our survey suggest that pharmacy students can assist healthcare professionals, although the relevant activities are limited by the duration and pharmaceutical knowledge.
著者
長谷川 フジ子 狭間 研至 池田 俊也
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.80-87, 2014-12-10 (Released:2015-09-04)
参考文献数
14
被引用文献数
3

A number of pharmaceutical colleges have adopted a training program for the vital signs in their 6 year-education curriculum. However, few hospitals or pharmacies carry out vital signs monitoring or physical assessment at present, and graduate pharmacists cannot utilize the techniques that they are skilled in fully. In this study, in order to clarify the situation for implementing vital sign monitoring by pharmacist and what is necessary for pharmacy education, we carried out a web survey for two months, from October 4th to December 3rd, 2012, targeting 1026 pharmacists who attended the vital signs training program hosted by The Japanese Association of Home Care Pharmacies. The Survey item were; (1) basic information of a respondent; (2) situation of homecare conducted by pharmacists; (3) seminar attendance status; (4) vital signs monitoring status after the seminar; (5) hope for future pharmacy education. From the result of the survey, it became clear that over 40% of pharmacists had a chance to perform vital sign monitoring, leading to proper use of medicines. In total, 183 responses to the questions concerning future pharmacy education were obtained from 135 pharmacists and were classified into 11 categories. A request for “a purpose and the significance” was the most common. In the education of pharmacy schools, it is thought that having lectures from on-site pharmacists with an abundance of experience in cases will be effective.
著者
吉田 健 小武家 優子 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.33, no.2, pp.61-66, 2014-12-10 (Released:2015-09-04)
参考文献数
4

We performed waiting time prediction using the data collected from prescription pick-up. A regression equation was used to predict waiting time. An explanatory variable was adopted as “a number of retention prescriptions at the time of acceptance”, “the variety of drug to dispense”and “the presence or absence of a particular task of time-consuming work in computing multiple medications into one package”. Using waiting time as an objective variable, three regression equations were formulated. Method ①: A single regression equation using the number of retention prescriptions with only one explanatory variable. Method ②: Multiple regression equation using factors such as number of prescriptions and variety of drugs to be dispensed as explanatory variables. Method ③: Multiple regression equation using number of prescriptions, variety of drugs and the presence or absence of particular tasks involved in the preparation of the prescription. Compared to the prediction of Method ①, the prediction of Method ② resulted in better accuracy. Compared to Method ①, Method ② resulted in better accuracy, and Method ③ resulted in even better accuracy than Method ②, as predicted.
著者
大鳥 徹 井上 知美 細見 光一 中川 博之 高島 敬子 近藤 尚美 高田 亜美 伊藤 栄次 中山 隆志 和田 哲幸 石渡 俊二 前川 智弘 船上 仁範 中村 真也 窪田 愛恵 平出 敦 松山 賢治 西田 升三
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.94-101, 2016-12-10 (Released:2017-02-09)
参考文献数
12

In the areas of home medical care and self-medication, the role of the pharmacist is growing, partly as a result of Japan’s aging society and the need to reduce medical costs. In response, the Kinki University Faculty of Pharmacy implemented a physical assessment practical training seminar in order to improve the physical assessment skills of practicing pharmacists. A series of questionnaires were conducted among pharmacists to investigate their perceptions of physical assessment practical training seminars. The results of the questionnaires were analyzed using Customer Satisfaction (CS) analysis and text mining. Based on a 5-point scale (1-low∼5-high), questionnaires revealed satisfaction for physical assessment practical training seminars was 4.6±0.6 (Ave.±S.D.). CS analysis revealed that the items “lectures” and “case seminars” had the highest level of satisfaction. However, items showing low levels of satisfaction were “auscultation of respiratory sounds” and “SBAR (Situation, Background, Assessment, Recommendation).” Results of text mining suggested a relationship between “physical assessment” and “difficult”. Analysis of the questionnaires showed a high level satisfaction with physical assessment practical training seminars, notably physical assessment practice methods. However, CS analysis and text mining indicate the finer techniques of physical assessment were difficult to acquire.
著者
酒井 理紗 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.33, no.1, pp.8-14, 2014-06-10 (Released:2015-08-11)
参考文献数
28

This study examines the effect on junior high school students’ understanding and usage frequency of medicines gained from education about medicines during elementary school. This education which we provided is tailored to the developmental stage of the child. We conducted a questionnaire directed at the first year students of a junior high school in Tokyo. We compared the responses to questions regarding the understanding and correct usage frequency of medicines between groups of students who had graduated from the elementary school (Group A : students who graduated from the elementary school where we provided the education about medicines, Group B : all students except those in Group A). In order to compare these, we calculated the scores about questions regarding the understanding and correct usage frequency of medicines using principal component analysis (PCA). The PCA score for understanding of medicine by group A was higher than that of group B ; a significant difference was found (P<0.001). Therefore, this suggests that receiving education about medicines may be a factor that enhances students’ understanding of medicines. The PCA score for correct usage frequency of medicine by group A was higher than that of group B; a significant difference was found (P=0.043). Therefore, this suggests that receiving education about medicines may be a factor that increases students’ correct usage frequency of medicines.
著者
三木 有咲 波多江 崇 猪野 彩 井上 知美 上野 隼平 笠谷 君代 近藤 亜美 坂口 知子 佐々木 信子 田内 義彦 竹下 治範 辻 華子 中川 素子 野口 栄 長谷川 由佳 水田 恵美 矢羽野 早代 山根 雅子 濵口 常男
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.34, no.1, pp.24-33, 2015

We implemented a questionnaire survey targeting mothers who are in child care and had participated in consultations regarding drugs and diseases. We examined the future roles of community pharmacists by exploring the mothers' concerns and, anxieties about child cares and their backgrounds, and their expectations for profession of community pharmacist. Mothers have listed anxiety and concerns of child care about "dermatitis such as rash and atopic eczema"; "food allergies"; "infectious diseases such as measles, chicken pox, and mumps"; and "side effects of vaccination". In addition, most of them indicated their own concerns and anxiety about "solutions to children's illnesses." Despite their anxieties and concerns, however, approximately 60% of the mothers have never consulted with community pharmacists. Among them, approximately a half of them indicated the following three reasons why they have never consulted with pharmacists: "I have nothing to talk about,", "I do not know what I should talk about,", and "I was not sure if it was alright to talk about my concerns.". From these results, we concluded that community pharmacists in the future should improve their communication skills and inform their availability to consult about medicine and disease to local residents.