110年社區藥局藥師藥事照護服務執行成效分析   全文下載

Outcomes Evaluation on Pharmaceutical Care Service Provided by Community Pharmacists in Taiwan

我國高齡化社會來臨，老年人常因多重慢性病服用多種藥品，用藥問題需要專業藥事人員介入與照護。衛生福利部食品藥物管理署自105年起，持續與中華民國藥師公會全國聯合會及各地方衛生局合作，推動藥師提供藥事照護服務，包括社區式藥事照護及機構式藥事照護服務。經分析110年之藥事照護成果，社區式藥事照護服務共完成3,593位個案，其中處方判斷性服務442案，藥師提供596個疑似藥物治療問題予醫師，醫師接受率為62.65%；用藥配合度諮詢服務共完成3,151位個案，藥師共教育民眾16,503個用藥知識，於接受照護約一個月後，整體個案之用藥配合度有明顯增加；機構式藥事照護服務共完成1,382位住民，針對所發現之1,939筆疑似藥物治療問題，給予醫師及相關人員建議，接受率達72.5%。透過本研究顯示，由藥師介入民眾之用藥問題，提供藥事照護服務，能有效改善民眾用藥情況，並提升其用藥安全知能。

With the advent of an aging society in Taiwan, the elderly often takes multiple medications because of suffering from many chronic diseases. Therefore the medicine related problems need to be intervened and cared by professional pharmacists. Taiwan Food and Drug Administration has team up with Federation of Taiwan Pharmacists Associations and each county (city) government health bureau to promote pharmaceutical care services since 2016, including community-based pharmaceutical care and institutional pharmaceutical care. After analyzing the results of pharmaceutical care in 2021, there were 3,593 cases completed in the community-based pharmaceutical care service, including 442 cases of cognitive service. 596 medicine related problems were found from physicians. The average of physician acceptance rate was 62.65%. In addition, medication adherence counselling was performed on 3,151 cases and 16,503 items of medication knowledge were provided by pharmacists. Institutional pharmaceutical care services completed 1,382 residents with 1,939 medicine related problems were found. The average of physician acceptance rate was 72.51%. It was expected that pharmaceutical care interventions could enhance the knowledge of drug safety and build more appropriate medication environment in Taiwan.