To clarify the views and needs on Rx-to-OTC switches in patients afflicted with lifestyle-related diseases such as hypertension, diabetes and/or hyperlipidemia, our survey was conducted with 199 patients at a pharmacy in Tokyo, Japan. Of the 199 patients, 159 people were patients afflicted with lifestyle-related diseases. One hundred and ten patients afflicted with lifestyle-related diseases were seventy-year-old and older, and 149 of the patients have been to a hospital at least once in the past year. Thirty-six point five percent of the patients afflicted with lifestyle-related diseases replied that they wanted to use Rx-to-OTC switches when they had been ill and/or injured. The main reasons that they wanted to use Rx-to-OTC switches were “convenience” and “always the same drugs”. On the other hand, the main reason that they did not want to use Rx-to-OTC switches was “I want to have a detailed examination”. Twenty-three point nine percent of them replied that they wanted to switch their prescription drugs to Rx-to-OTC switches. We believe that the usage of Rx-to-OTC switches after the establishment of a support system to secure safety can be the answer to the issues of the rise in medical care expenditures and doctor shortage.

[Objectives] Visually impaired is assumed that the taking medicine is difficult. This study aimed to elucidate the actual status of using drugs as part of medication assistance for people with acquired visual disabilities. [Method] We conducted a questionnaire survey of 14 people with acquired visual disabilities who use the Fukuoka Welfare Center for the Disabled. [Results] The mean age of the subjects was 70.2 years. The reading method “voice” was the highest at 12 cases. Thirteen people (93%) managed their medications by themselves. Among medication-related problems, 10 were associated with “vision.” Regarding efforts in using drugs, 6 cases the efforts involved using “vision.” People who always carry around the medication notebooks was two people (14%). Three people (21%) had a family pharmacy. Among requests and dissatisfaction concerning medication notebooks, 8 cases citing dissatisfaction had factors attributable to “pharmacy’s actions.” [Discussion] From the fact that voice in the reading methods are most often used, as a means of communication of information to the acquired visual disabilities, it is considered a method using the sound is suitable. In order to resolve medication difficulties, pharmacies need to make efforts according to the remaining ability of each individual.

Approximately 14.1 million patients have dyslipidemia in Japan. Promotion of self-medication for the prevention of dyslipidemia is needed. After a change in law in 2014, residents of Japan are allowed to measure HbA1c, cholesterol, and triglyceride levels by self-blood sampling from the fingers under the guidance of pharmacists. In this study, we held an event to measure the lipid levels within a community and evaluated the usefulness of a simple measurement for the early detection of dyslipidemia. Furthermore, we surveyed community members’ knowledge of dyslipidemia by self-questionnaires. Of the 48 local residents who came to the event, 45 had their lipids measured and answered the questionnaires. In 12 applicants, HDL-cholesterol or non-HDL-cholesterol, which are not affected by meals, exceeded the standard range. In the questionnaire study, 89% of applicants selected arteriosclerosis as the main consequence of dyslipidemia. Additionally, over 82% of applicants selected blue-backed fish, dietary fiber, and soybeans as food items that inhibit the rise in lipid levels. However, only 31% of applicants recognized that fruits also affect lipid levels. Although it was disappointing that 60% of applicants did not know that they could measure HbA1c and lipids at community pharmacies, 62% desired measurement of those levels in the future. This study suggested that the simple lipid measurement is useful for the early detection of dyslipidemia but local residents need to be informed about it. Furthermore, improvement in the recognition of dyslipidemia by local residents is needed.

The awareness of many residents on generic drugs has increased recently, which is also reflected in their increased consumption. Enlightenment activities for citizens have become an important tool to further promote the use of generic drugs. We performed a questionnaire survey and assessed residents’ consciousness after a lecture on generic drug usage in a people’s forum. We received responses from 105 of the recruited 127 participants. Most questionnaire respondents were from the age group of 70 years and comprised about half of the sample. The respondents having undefined will to the question about use of generic drugs was the most frequent. Only a few participants answered that they hoped getting generic drugs from a pharmacy or hospital. The concerns and future requests for generic drugs were the cost of medicine, validity, safety, and quality. The middle group by which the participants were classified into a positive group, a middle group and a negative group among question on usage and request of generic drugs, in its percentage each age groups, was most. Many respondents answered that generic drug use “should be spread” after the lecture. However, it was identified that the communication between doctor, pharmacist, and the patient on generic drug use is insufficient in the open question. Enlightenment activities for citizens will become necessary because half of the respondents expressed negative opinions on the use of generic drugs.

In the areas of home medical care and self-medication, the role of the pharmacist is growing, partly as a result of Japan’s aging society and the need to reduce medical costs. In response, the Kinki University Faculty of Pharmacy implemented a physical assessment practical training seminar in order to improve the physical assessment skills of practicing pharmacists. A series of questionnaires were conducted among pharmacists to investigate their perceptions of physical assessment practical training seminars. The results of the questionnaires were analyzed using Customer Satisfaction (CS) analysis and text mining. Based on a 5-point scale (1-low∼5-high), questionnaires revealed satisfaction for physical assessment practical training seminars was 4.6±0.6 (Ave.±S.D.). CS analysis revealed that the items “lectures” and “case seminars” had the highest level of satisfaction. However, items showing low levels of satisfaction were “auscultation of respiratory sounds” and “SBAR (Situation, Background, Assessment, Recommendation).” Results of text mining suggested a relationship between “physical assessment” and “difficult”. Analysis of the questionnaires showed a high level satisfaction with physical assessment practical training seminars, notably physical assessment practice methods. However, CS analysis and text mining indicate the finer techniques of physical assessment were difficult to acquire.

本邦においては、国内未承認薬で代替品がなく、外国で受けた薬物治療を継続する必要がある場合等を想定し、医薬品の個人輸入が認められている。しかし、一般消費者がインターネット上の個人輸入代行サイトを介して、性機能改善薬（ED 治療薬）や抗肥満薬、点眼薬、抗アレルギー薬、 抗精神病薬などを購入している実態が報告されており、本来の枠組みから外れた医薬品の個人輸入が散見される。一般消費者が処方箋なしにネットを介し一般用医薬品以外の承認及び未承認医薬品を入手可能な現状に大きな問題がある。そこで、2017 年7 月31 日に「リスクが潜む医薬品の個人輸入：偽造医薬品だけにとどまらない危険性」をテーマとした社会薬学フォーラムを開催し、下記の演者による講演を行った。現在の医薬品個人輸入に係る制度のネット社会への適合性や、その監視体制のあり方を見直す機会となった。＜企画委員会＞