50歳以上の薬局来局者の在宅医療への薬剤師関与の希望と在宅医療における薬剤師業務に対する認識との関連性

抄録

We examined factors that increase requests from family caregivers for the involvement of pharmacists in home healthcare. We recruited community pharmacies at a Kanagawa Pharmaceutical Association-sponsored workshop in which 48 pharmacies participated. Respondents completed a questionnaire survey between July and August 2015 regarding 5 to 10 clients aged 50 and older; 201 questionnaires were analyzed. The median number who recognized pharmacists' work in home healthcare (16 items) was 10 (interquartile range: 4-12). Meanwhile, 8 items had a recognition rate of under 50％. More than 70％ of all respondents answered in all items that pharmacists' work in home healthcare was important. The percentage of people who answered “always request pharmacist home visits even for a fee” was 19.9％ when multiple medicines were used (Case 1), 20.4％ when there were unused medicines (Case 2), and 39.3％ when narcotic analgesics were used (Case 3). The factors related to requests for pharmacist visits for home-care-patient with a problem related to polypharmacy or leftover prescription drugs were analyzed using association analysis; maintaining drug, checking for side effects, checking for drug interactions, advice for drugs, advice for hygiene control, supply of home medical equipment and hygiene products and supply of nursing care products. Thus, understanding of these seven factors may increase requests for the involvement of pharmacists in home healthcare. Therefore, pharmacists should instruct the public on not only drug treatment but also their role in home healthcare.