We performed operations research with the aim of devising measures to promote cooperative instructive operations at discharge from hospital.Our source data were individual data from a survey of the current status of instructive operations at discharge from hospital targeting the 998 member institutions of the Japanese Society of Hospital Pharmacists.
We performed one-way analysis of variance in which explanatory variables were set as attributes of institutions and determined factors associated with the presence or absence of cooperative instructive operations at discharge from hospital by performing multiple logistic regression analysis for the related items.We then grouped the institutions according to the institutional attributes and performed a correspondence analysis (III class in quantification) based on the cross-table results between the groups and the reasons why some institutions do not perform cooperative instructive operations at discharge from hospital.In our role as members of the Recuperation Sickbed Committee,we then drew up an action plan based on the survey results.
Both presence or absence of cooperative instructive operations at discharge from hospital and institutional attributes were significantly related to both the number of set operations (number in regional alliance section,etc.) and prescription types (in-hospital or out-hospital) within a hospital.Institutions which had more operation items and more out-of-hospital prescriptions tended to conduct cooperative instructive operations at discharge from hospital more (Odds ratio : 1.65 and 1.97).Such institutions are considered to be in a better position to perform cooperative instructive operations at discharge from a hospital.However,we felt that they would have more chances to conduct operations,if they remedied“inadequacies in their institutional systems”which was given as a reason for not conducting operations.

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