医薬品適正使用のための処方薬剤情報提供の有用性と評価 ［お薬手帳］を利用した処方情報の一元管理の有用性とその評価

Abstract

We conducted a survey to evaluate a system adopted by the Pharmacy Department of Tokyo University Hospital to address the problem of drug compliance under this system, patients are provided with a “Drug History Handbook”, or drug notebook. This survey attempted to determine the extent to which a “Drug History Handbook” helped patients understand the drug they were taking, and the extent to which it was utilized during visits to other institutions. Based on the results of the survey, we evaluated the efficacy of “Drug History Handbook” as a means to enable patients themselves to perform comprehensive drug information management.Out of 288 patients responding to the survey, 149 (52%) had a “Drug History Handbook” 149 out of 286 respondents or 40% had been diagnosed at other institutions. The respondents who said they had shown their “Drug History Handbook” to pharmacists or physicians at other pharmacies, hospitals, or medical institutions were numbered 71 out of 149 (48%), including duplicate responses.At community pharmacies conducted at the same time, responses were obtained from 48 pharmacies. Of the 48 responding pharmacies, 21 (44%) said that patients had presented either “Drug History Handbook” or “prescription cards” .From these results, it is clear that the patients thus realized the importance of keeping a complete record of the drugs they had taken, and that presenting information about drug history can be a very valuable aid in both prescribing and preparing appropriate medications.From thus survey, it was found that the use of a “Drug History Handbook” can help prevent the dispersal of information about purchase of over the counter drugs as well as prescription drugs. As a means of patient education, it can also be extremely effective for avoiding the duplicated administration of medications and drug-drug interactions.