三重県における周術期での薬・薬連携の現状に関するアンケート調査

抄録

Cooperation between community pharmacies and hospitals in the perioperative period is critical. This study used a questionnaire survey to examine the current status of pharmacists’ contributions to the perioperative period in Mie prefecture. The response rates were 100％ (32/32) for hospitals and 53％ (396/752) for community pharmacies. Approximately 78％ hospitals confirmed prescriptions of preoperative withdrawal drugs prior to surgery primarily for outpatient care. Hospital pharmacists shared information about withdrawal drugs with attending physicians, anesthesiologists, and nurses. While only 33.3％ of hospitals provided information to community pharmacies, 63％ of community pharmacies offered information to hospitals, thereby indicating an imbalance in information sharing between community pharmacies and hospitals. Although hospital pharmacists supplied information to community pharmacies using medication notebooks (62.5％), the tracing report (54％) was most common in community pharmacies, suggesting that it is important to create sharing tools using both the medication handbook and tracing report. Hospital pharmacists need details on response to withdrawal drugs (20％), the degree of patient and family understanding (20％), history of allergies (17.1％), status of taking supplement or over the counter drugs (14.3％), and resumption of withdrawal drugs after the operation (14.3％) from community pharmacies. Furthermore, community pharmacists must be aware of hospital regulations for the withdrawal period (14.6％), operation date (12.3％), and details of operation procedure (10.9％). Based on these results, it may be necessary to create a separate information sharing tool for preoperative and postoperative periods using the medication notebook and tracing report.