内容紹介
Summary
Red Cross Pharmaceutical Association conducted a questionnaire-based survey to evaluate the status of implementation of pharmaceutical intervention as well as personal counseling for outpatients with cancer undergoing chemotherapy. Based on the survey results from 93 hospitals across the country, it was found that pharmacists performed an intervention on outpatients receiving chemotherapy in 68 hospitals(73.1%)and conducted personal counseling for outpatients with cancer in 48 hospitals(51.6%). Out of the 68 hospitals, 20 did not conduct personal counseling for outpatients with cancer. This was attributable to the fact that 14 hospitals did not have a qualified pharmacist, 3 did not have sufficient manpower, and 3 did not have the required system. The results of a logistic regression analysis showed that the number of pharmacists significantly affected implementation of pharmaceutical intervention as well as personal counseling for outpatients with cancer undergoing chemotherapy(p=0.042, p=0.023, respectively). The pharmacists can receive a fee for medical services only after conducting personal counseling for outpatients with cancer undergoing chemotherapy. However, in hospitals with a small number of pharmacists, they could not claim their fees owing to lack of manpower. This survey found that lack of manpower is currently the most important issue.
要旨
外来がん患者に対する薬剤師の関与とがん患者指導管理料3算定の現状について,日赤薬剤師会でアンケート調査を実施した。全国93施設から回答が得られた結果,外来でがん患者に関与しているのは68施設(73.1%),がん患者指導管理料3を算定しているのは48施設(51.6%)であった。外来でがん患者に関与している68施設のうち20施設は,がん患者指導管理料3を算定していなかった。その理由として,有資格者不在14施設,人員不足3施設,システムの未構築3施設であった。ロジスティック回帰分析の結果,外来がん患者に対する薬剤師の関与およびがん患者指導管理料3の算定に有意な影響を及ぼすのは薬剤師数であることがわかった(p=0.042,p=0.023)。がん患者指導管理料3は薬剤師の外来指導に対する唯一の診療報酬であるが,薬剤師数が少ない施設では人員的な問題で算定することが困難であり,今後の課題であることがわかった。
目次
Red Cross Pharmaceutical Association conducted a questionnaire-based survey to evaluate the status of implementation of pharmaceutical intervention as well as personal counseling for outpatients with cancer undergoing chemotherapy. Based on the survey results from 93 hospitals across the country, it was found that pharmacists performed an intervention on outpatients receiving chemotherapy in 68 hospitals(73.1%)and conducted personal counseling for outpatients with cancer in 48 hospitals(51.6%). Out of the 68 hospitals, 20 did not conduct personal counseling for outpatients with cancer. This was attributable to the fact that 14 hospitals did not have a qualified pharmacist, 3 did not have sufficient manpower, and 3 did not have the required system. The results of a logistic regression analysis showed that the number of pharmacists significantly affected implementation of pharmaceutical intervention as well as personal counseling for outpatients with cancer undergoing chemotherapy(p=0.042, p=0.023, respectively). The pharmacists can receive a fee for medical services only after conducting personal counseling for outpatients with cancer undergoing chemotherapy. However, in hospitals with a small number of pharmacists, they could not claim their fees owing to lack of manpower. This survey found that lack of manpower is currently the most important issue.
要旨
外来がん患者に対する薬剤師の関与とがん患者指導管理料3算定の現状について,日赤薬剤師会でアンケート調査を実施した。全国93施設から回答が得られた結果,外来でがん患者に関与しているのは68施設(73.1%),がん患者指導管理料3を算定しているのは48施設(51.6%)であった。外来でがん患者に関与している68施設のうち20施設は,がん患者指導管理料3を算定していなかった。その理由として,有資格者不在14施設,人員不足3施設,システムの未構築3施設であった。ロジスティック回帰分析の結果,外来がん患者に対する薬剤師の関与およびがん患者指導管理料3の算定に有意な影響を及ぼすのは薬剤師数であることがわかった(p=0.042,p=0.023)。がん患者指導管理料3は薬剤師の外来指導に対する唯一の診療報酬であるが,薬剤師数が少ない施設では人員的な問題で算定することが困難であり,今後の課題であることがわかった。