Analysis of Pharmacist Communication with Patients in Triaging OTC Drugs
Analysis of Pharmacist Communication with Patients in Triaging OTC Drugs
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药师与患者在非处方药分诊中的沟通分析
DOI：
10.5649/jjphcs.33.693
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
M. Taniyama
中科院分区：
文献类型：
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作者：
Manako Hanya;A. Shibata;Hiroyuki Kamei;K. Matsuba;M. Asai;M. Taniyama
药剂师的一项重要任务是为患者筛选合适的非处方（OTC）药物，以实现疗效和安全性。在本研究中，我们调查了目前的情况，关于分诊非处方药的病人的基础上，药剂师采访病人的事实-通过问卷调查的方法，分析了药店药师与患者沟通的模式，并对药师与患者沟通的模式进行了分析在药店中，与购买OTC药品的患者进行对话的模式有3种，分别是：（1）“您的症状是什么？”2）“你想要的药物叫什么名字？”（3）“你得了什么病？”使用第一种模式，我们进行了一个角色扮演，模拟实际在药店工作的药剂师对标准化患者进行OTC药物的分诊。作为对患者对他或她当前症状的描述的回应，药剂师使用各种语言模式来解释所选药物的适用性和使用中的注意事项。在经验不足的药剂师进行的访谈中，时间浪费在沟通上，没有逻辑的流程，后来，一些药剂师表示，他们无法从患者那里获得足够的信息来分类OTC药物，另一些人认为有必要为此目的设置算法。这些意见表明，日本的药学教育应包括培训，使药剂师认识到他们的责任，在分流非处方药的病人。
It is an important task of the pharmacist to triage appropriate over-the-counter (OTC) drugs for patients to achieve efficacy and safety.In this study,we investigated the present situation regarding the triage of OTC drugs for patients based on pharmacists interviewing patients in a fact-finding survey which determined how pharmacists in a drugstore communicate with patients during such interviews.We analyzed patterns of pharmacist communication with patients for the purpose of triaging OTC drugs in the drugstore and compared them with typical recommended communication patterns in the United States.In the drugstore,there were 3 patterns of initiating dialog with patients purchasing OTC drugs which were (1)“What are your symptoms?”2)“What is the name of the drug that you want?”and (3)“What disease do you have?” Using the first pattern we conducted a role play simulating the triaging of OTC drugs by pharmacists actually working in drug stores to standardized patients.In response to the patient’s description of his or her current symptoms,pharmacists used various speech patterns to explain the suitability of drugs selected and the cautions in use.In interviews conducted by inexperienced pharmacists,time was wasted in communication and there was no logical flow in them.Afterwards,some pharmacists said that they had not been able to obtain enough information from patients for triaging OTC drugs and others thought it was necessary to set algorithms for this purpose.These opinions suggest that pharmacy education in Japan should include training that makes pharmacists realize their responsibility in triaging OTC drugs for patients.