院外処方せんの広域拡散における問題点とその対応策

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The University of Tokyo Hospital started to issue INGAI-SHOHOSEN, a prescription fo outpatients, in 1957. In 1990, the KOJIN-KAI pharmacy, managed by the foundation of the University Hospital, moved to its new building off the campus. As that time, we made an effort to distribute INGAI-SHOHOSEN into the community pharmacies in the large-area, according to the National policy, IYAKU BUNGYO (separation of dispensing from medical practice). In 1995, the ratio of INGAI-SHOHOSEN issued to the total number of prescriptions for outpatients is more than 85%, with the average number of prescriptions per day is about 1500 sheets, and the distribution ratio to the community pharmacies in the large-area is about 45%, 600-700 sheets per day. The problems to the distribution of prescriptions into the large-area, are classified largely into two points, namely "IYAKU BUNGYO" and "the circulation of medical supplies". In IYAKU BUNGYO, we found four problems, ; 1 ) eificiency of the community pharmacies network system, 2 ) incorrect prescriptions, 3 ) difference In the charge amount between the hospital pharmacies and community pharmacies, and 4 ) insufficient understanding of IYAKU BUNGYO. With the circulation of medical supplies, we discovered the problems of ; 1 ) coping with unstocked medical supplies, and 2 ) eificiency in the transmission of drug information. In order to establish conveniently a family pharmacy for each patient and to distribute INGAI-SHOHOSEN to the large-area, all of the hospitals, the community pharmacies, the association of pharmacists, the medical supply centers, pharmaceutical companies, wholesalers and administrations must clearly conprehend each part of IYAKU BUNGYO and complate the essential procedural steps.
日本医療薬学会の論文
1996-02-10

院外処方せんの広域拡散における問題点とその対応策

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