外来患者の薬物治療への参加意識と事故回避行動への認識 : 大阪府高槻市における質問紙調査

元データ 2009-02-10 日本医療薬学会

概要

Public initiatives involving patients have been conducted in an effort to ensure their safety but it is not it known whether patients are willing to take part in such initiatives or not and what actions can be taken. The aim of this study was to clarify outpatients' attitudes towards medication and medication error avoidance and to explore patient characteristics that may affect their behavior in this regard. To do this we devised a cross-sectional questionnaire based on educational materials, the results of a community questionnaire survey related to patient safety, and interviews of 11 patients. It was given to adult outpatients at five pharmacies in Takatsuki-city, Osaka and out of the 394 questionnaires distributed, 346 (87.8%) were eligible for data analysis. Factor analysis revealed four domains in the attitude construct, which were "understanding and monitoring", "relationship with doctor", "pharmacist and medicine", "barrier to medical care", and two domains in behavior construct which were "practitioner cooperating behavior" and "information seeking behavior". "Understanding and monitoring". "relationship with doctor", and "pharmacist and medicine" scored high marks (mean; 86.8, 81.4, 81.6, respectively). "Practitioner cooperating behavior" had a medium level score (56.4), but that for "information seeking behavior" was much lower (39.4). Age was associated with both attitude and behavior domains. There were also strong associations between "pharmacist and medicine" and "practitioner cooperating behavior" and between "understanding and monitoring" and "information seeking behavior" (p<0.01). The high scores obtained for attitude domains indicate that patients would be positive towards participating in their medication. Furthermore, pharmacist efforts to educate patients and enhancing their "understanding and monitoring" attitude would help in error prevention.

著者

中山 健夫 京都大学大学院医学研究科社会健康医学系専攻健康情報学
漆原 尚巳 京都大学大学院医学研究科社会健康医学系専攻医療疫学分野
宮崎 貴久子 京都大学大学院医学研究科社会健康医学系専攻健康情報学分野
中山 健夫 京都大学大学院医学研究科
中山 健夫 京都大学大学院医学研究科社会健康医学系専攻 健康管理学講座 健康情報学分野
中山 健夫 京都大学健康情報学
中山 健夫 京都大学大学院医学研究科社会健康医学系専攻
中山 健夫 京都大学大学院医学研究科社会健康医学系専攻健康情報学分野
中山 健夫 国立京都病院
中村(中岡) 祥子 京都大学大学院医学研究科社会健康医学系専攻健康情報学分野
宮崎 貴久子 京都大学大学院医学研究科健康情報学
中山 健夫 京都大学大学院医学研究科健康情報学
中山 健夫 京都大学健康情報学分野
中山 健夫 京都大学大学院医学研究社会健康医学系専攻健康情報学分野
中村(中岡) 祥子 京都大学大学院医学研究科社会健康医学系専攻健康情報学分野:高槻市保健所
中山 健夫 京都大学大学院健康情報学分野
中山 健夫 京都大学大学院

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