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A study on patient-pharmacist risk communication in Japan

日本患者与药剂师风险沟通的研究

基本信息

批准号：
18390161
负责人：
HAGIHARA Akihito
金额：
$ 2.93万
依托单位：
Kyushu University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2006
资助国家：
日本
起止时间：
2006 至 2007
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-18390161/
关键词：
Risk communication Pharmacist Patient Medical compliance

项目摘要

Although pharmacists subjectively judge the level of the explanation that they provide in actual practice, little is known about this judgment. Therefore, we investigated the association between patient and pharmacist evaluations of pharmacist explanations of drugs. We also identified factors relating to the accuracy of pharmacist judgments as to the level of the explanation delivered to patients.The subjects were 1500 patient-pharmacist pairs in Fukuoka, Japan. The study was conducted from November, 2006 to March, 2007. Of 250 pharmacists and 1500 patients selected randomly, 134 pharmacists and 644 patients returned questionnaires (response rates, 53.6% and 42.9%,respectively). We analyzed 666 patient-pharmacist pairs.We got the following findings. (1) With respect to "level of pharmacist explanation", "level of patient understanding of pharmacist explanation", and "adequateness of pharmacist's explanation, guidance and communication", when a pharmacist judges the level or degree is higher than a patient does ("pharmacist better"), the situation is more likely to lead to a poor patient outcome. (2) This finding was in line with the previous finding based upon patient-physician interactions. (3) Factors related to the "pharmacist better" situation were pharmacist age, number of patients per day, and the number of pharmacists at a drugstore.We first identified factors relating to the accuracy of pharmacist judgment with regard to their explanations to patients. In order to verify the present findings, more studies will be necessary.

尽管药剂师在实际操作中会主观判断自己所提供的解释水平，但人们对这种判断知之甚少。因此，我们调查了患者和药剂师对药剂师解释药物的评价之间的关系。我们还确定了与药剂师判断准确性有关的因素，即向患者提供解释的水平。研究对象是日本福冈的1500对患者-药剂师。研究时间为2006年11月至2007年3月。在随机抽取的250名药师和1500名患者中，共有134名药师和644名患者回复问卷，回复率分别为53.6%和42.9%。我们分析了666对患者-药剂师。我们得到了以下发现。(1)在“药师解释水平”、“患者对药师解释的理解程度”和“药师的解释、指导和沟通是否充分”方面，当药师判断的水平或程度高于患者（“药师更好”）时，更容易导致患者预后较差。(2)这一发现与先前基于医患互动的发现一致。(3)影响“药师更好”的因素有药师年龄、日均就诊人数、药店药师人数。我们首先确定了与药剂师判断准确性有关的因素，以及他们对患者的解释。为了验证目前的发现，还需要进行更多的研究。