医薬品適正使用のための処方情報の有用性とその評価 : 「処方カード」による患者への医薬品情報の能動的提供

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Concurrently with a revision in the format of prescription orders and the construction and introduction of an outpatient ordering system, we examined a number of ways to provide patients with information about their prescriptions. We decided to introduce a"prescription card"containing the information printed on the prescription order. To evaluate the effectiveness of this program, which enables patients to track their own drug histories. we conducted surveys of patients and physicians. The surveys were carried out in four stages. Patient surveys were carried out through personal interviews at the Pharmacy Department counter between the hours of 10:00 a.m. and 4:00 p.m. The results showed that 56% of all patients surveyed were being treated by several departments or at other institutions. With respect to what patients did with their prescription cards, the percentage of respondents who said that they saved the cards in"okusuri techo" was about 30% (103 patients') in the first stage, about 10% (162 patients) in the second stage, and about 40% (297 patients) in the third stage. However, about 10% of patients in all three stages said that they discarded their prescription cards. The percentage of patients who said that they showed their cards to their physicians or pharmacists was about 40% in the first stage, about 80% in the second stage, and about 50% in the third stage. These results show that further education is needed to instruct patients in the benefits provided by their prescription cards. In the survey of physicians, almost all respondents (66 physicians) answered that the prescription cards were effective and beneficial. However, some responses pointed out limits to their effectiveness. for example, cases in which patients did not show their cards to physicians at other institutions because they did not want it to be known that they were receiving psychological care. In the fourth stage of the survey, carried out eight months after the prescription card program was introduced, responses were obtained from 1,195 patients. About 41% said that they saved their prescription cards in a notebook, and of those about 40% said they showed the cards to their physicians. The provision of drug information to patients through the prescription card program constitutes the first step toward a system that will enable patients to track their own drug histories and to participate in their own drug treatment. Comprehensive menagement of drug information by patients themselves may contribute to improved drug therapy through the prevention of over-prescriptions and mutual side effects.
日本医療薬学会の論文
1996-06-10

医薬品適正使用のための処方情報の有用性とその評価 : 「処方カード」による患者への医薬品情報の能動的提供

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