Medical Professionals' Perceptions of the Effect of Pharmacist Interventions in Care for HIV Patients:

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  • Kunimoto Yusuke
    Department of Hospital Pharmacy, Sapporo Medical University Hospital
  • Yoshino Munehiro
    Department of Pharmacy, National Hospital Organization Osaka National Hospital
  • Ohishi Yuki
    Department of Pharmacy, National Hospital Organization Kyusyu Medical Center
  • Harada Sachiko
    Department of Pharmacy, Hokkaido University Hospital
  • Inoue Masatomo
    Department of Hospital Pharmacy & Pharmacology Asahikawa Medical University
  • Sato Maki
    Department of Pharmacy, National Hospital Organization Sendai National Hospital
  • Uchiyama Mariko
    Department of Pharmacy, Niigata City General Hospital
  • Saito Naomi
    Department of Hospital Pharmacy, Niigata University Medical and Dental Hospital
  • Maruyama Ichiro
    Department of Pharmacy, Niigata Prefectural Shibata Hospital
  • Shimokawa Chikako
    Department of Pharmacy, Ishikawa Prefectural Central Hospital
  • Unei Hiroko
    Department of Pharmacy, Hiroshima University Hospital
  • Matsumoto Shunji
    Department of Pharmaceutical Services, Hiroshima City Hospital
  • Masuda Junichi
    Department of Hospital Pharmacy, National Center for Global Health and Medicine
  • Chida Masayuki
    Department of Hospital Pharmacy, National Center for Global Health and Medicine
  • Izumi Keishiro
    Department of Hospital Pharmacy, National Center for Global Health and Medicine
  • Miyamoto Atsushi
    Department of Hospital Pharmacy, Sapporo Medical University Hospital

Bibliographic Information

Other Title
  • HIV感染症診療における薬剤師介入が医療者側へもたらす効果に関する実態調査
  • ―エイズ治療ブロック拠点病院およびACCにおける検討―
  • A Questionnaire Survey in Regional AIDS Centers and AIDS Clinical Centers in Japan

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Abstract

In this study, a survey was conducted to examine a possible means by which pharmacists could intervene in the medical care of human immunodeficiency virus (HIV) patients. A questionnaire was distributed to 15 medical institutions in Japan, targeting relevant doctors and nurses. Among the respondents (45 doctors and 40 nurses), 92.5% of doctors and 91.1% of nurses were either “satisfied” or “somewhat satisfied” with the pharmacists' interventions. The responses of satisfied and dissatisfied professionals were compared. The results revealed that the satisfied group had significantly more doctors who understand the medication adherence support provided by pharmacists to patients (P = 0.006). Among doctors, items such as “improved quality of HIV medical care” or “reduction of the burden on doctors” were associated with various pharmacist interventions, particularly “proposing antiretroviral therapy (ART) prescriptions,” “support provided for side effects,” “support for drug interactions,” “proposing medical examination orders,” “strategic intervention in preventing opportunistic infections (OI),” “responding to consultations about drug information,” and “educating patients on ART” (P = 0.000 - 0.044). Among nurses, only “proposing ART prescriptions” was significantly associated with satisfaction (P = 0.040). To enhance pharmacists' contributions within the HIV medical care team, their role in the prescription of ART, medication examination orders, and OI preventive measures could be further encouraged. We believe that cooperation between pharmacists and other professionals is necessary in determining appropriate therapeutic strategies in HIV care.

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