頁籤選單縮合
題 名 | Studies on Medication Use Behaviors of Frequent-Medication-Use Patients with Interventions of Pharmacist's Pharmaceutical Care |
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作 者 | 許斐凱; 陳怡; 李炳鈺; 蔡佩瑜; 王四切; | 書刊名 | 藥學雜誌 |
卷 期 | 27:4=109 2011.12[民100.12] |
頁 次 | 頁14-22 |
分類號 | 418.1 |
關鍵詞 | 藥事服務網; 用藥安全; Pharmacy home-care; Pharmacy service network; Frequent-medicine-use patients; Drug and medical expenditures; |
語 文 | 英文(English) |
中文摘要 | 以嘉南藥理科技大學藥學系為中心,與台南市立醫院、新樓醫院及高雄長庚醫院醫療團隊暨社區藥事人員共同建構完善藥事服務網,增進用藥安全。本計畫共收案66名個案,其中38名個案來自高雄長庚醫院,14名個案來自台南市立醫院、14名個案來自新樓醫院。個案的平均年齡為:67.32±13.02,個案年紀偏向中高齡個案。由17位藥師負責照護,平均每位藥師照護3.9位個案。而到99年9月之前,已經有58位個案進入訪視第6個月。藥師介入後的第六個月藥費降低10.83%;醫療總費用則減低23.15%。同時,個案的就診次數與輔導前比較也降低了29.67%,整體次數的趨勢觀察,可發現就診次數呈現持續降低。且在用藥數量的改變以 ACT 藥品英文代碼前7碼為計算基準,介入前平均每個個案使用了9.49樣藥品,但是介入後,用藥品項已下降超過20%。經過人格特質分析,將所收集到38位之有效高診次訪視民眾前後測結果發現,在典型高診次個案裡有高達78.8%害怕死亡 (p=0.008),伴隨著91.2%對看診醫師滿意度低 (p=0.007) 導致了高診次產生;同時發現典型高診次病人中每月訪視的滿意度有下降趨勢,顯示訪視藥師可能因研究時間較短需在短時間達到成效,而造成訪視對象壓力 (p=0.001)。但經由這次計畫,個案意識到高診次對於其健康危害 (p=0.002) 與造成醫療資源成本浪費認知 (p=0.001) 有顯著性提高,最重要的是典型高診次個案因此計畫而改變其醫療行為高93% (p=0.003),顯示本計畫有達成其研究目的。 |
英文摘要 | Department of Pharmacy in Chia Nan University of Pharmacy and Science as the core leader, Tainan Municipal Hospital, Sin-lau Hospital and Kaohsiung branch in Chang Gung Memorial Hospital combined with a complete service network of Community pharmacists work together to improve drug safety as team care.This project enrolled 66 cases, including 38 cases from Kaohsiung branch in Chang Gung Memorial Hospital, 14 cases from Tainan Municipal Hospital, 14 cases from Sin-lau Hospital. The average age of cases was 67.32 ± 13.02 (mean ± s.d.) so that our cases were most elders. We totally enrolled 17 Pharmacists in average 3.9 patients per pharmacist. Before 2010 September, 58 cases were scheduled in our services at least 6 months. 10.83% of drug cost and 23.15% of medical expenditures were found. Meanwhile, the visiting numbers dropped down to 29.67%. Overall, the frequent attendances were decreased. Based on English Drug Code, ACT, 9.49 kinds of drugs were used before our intervention but it was changed by 20% of decrease after our intervention. After analysis of targets personalities, the pre- and post-tests of the collected 38 cases were found that 78.8% of cases feared death (p = 0.008) accompanied by a 91.2% low satisfaction toward their doctors (p = 0.007). At the same time, patients’ satisfaction with this service was also reducing , which means pharmacists made pressure to their visiting targets due to time limitation (p = 0.001). Through this research, targets’ awareness of the health risks occurred from frequent consults (p = 0.002) and the cost effectiveness (p = 0.001) were significantly increased. The most important thing was that our intervention did a great effect on typical frequent attenders 93% (p = 0.003) that means this study has reached its original purposes. |
本系統中英文摘要資訊取自各篇刊載內容。