外来慢性疾患患者における投薬日数制限の緩和の影響

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タイトル別名
  • Effects of deregulation on prescription term for outpatients' drug therapy
  • ガイライ マンセイ シッカン カンジャ ニ オケル トウヤク ニッスウ セイゲン ノ カンワ ノ エイキョウ

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抄録

[Objective] In April 2002, restrictions on the prescription term that can be dispensed to outpatients were in principle abolished. This study analyzed conditions under which outpatients obtain their medications in order to determine what factors should be kept in mind when prescribing long term supply of medication at one time.<BR>[Methods] Questionnaires were distributed to outpatients visiting 19 stores belonging to a pharmacy chain in the Kansai and Hokuriku regions during a one-week period in mid-May 2002. Responses from outpatients who have chronic diseases were used for the analysis.<BR>[Results& Discussion] Of the 1, 745 questionnaire distributed, 1, 226 were returned. Among these, responses from the 696 respondents were used for the analysis. The majority of patients (85.3%) had been receiving treatment for a year or more, and 9.8% of them had obtained an increase in duration of medication supply per prescription since April 2002. The results of linear regression analysis revealed that the factors having some bearing on patients' desire to “pick up medications without having to see the doctor first” included age of respondent, frequency of visits to hospital to pick up medications or prescriptions, desired duration of medication supply at one time, and compliance with prescription regimen. Results also suggest that patient compliance is influenced by the occupation of respondent, certain specific diseases, the length of time for which the patient has been receiving regular outpatient treatment, and his/her preferences regarding how the medications are to be picked up.<BR>[Conclusion] These findings indicate that increasing the duration of medication supply at one time purely in response to the demands of patients risks deterioration in the quality of drug therapy.

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