학술논문
Therapeutic Outcome of Inhalation-support Team Collaboration with Hospital and Community Pharmacists / 病診薬連携で行う吸入支援のアウトカムの評価
Document Type
Journal Article
Author
Atsushi Yonezawa; Hiroki Yamamoto; Hisako Matsumoto; Kanae Hokoyama; Kayoko Asakura; Kazuo Matsubara; Kazuya Tanimura; Makoto Terao; Mitsuhiro Sugimoto; Noriaki Kitada; Sachio Fukatsu; Shunsaku Nakagawa; Susumu Sato; Toyohiro Hirai; Yuko Yoshida; 中川 俊作; 佐藤 晋; 北田 徳昭; 吉田 優子; 寺尾 真琴; 山本 浩貴; 平井 豊博; 朝倉 佳代子; 杉本 充弘; 松原 和夫; 松本 久子; 深津 祥央; 米澤 淳; 谷村 和哉; 鋒山 香苗
Source
医療薬学 / Iryo Yakugaku (Japanese Journal of Pharmaceutical Health Care and Sciences). 2020, 46(8):405
Subject
Language
Japanese
ISSN
1346-342X
1882-1499
1882-1499
Abstract
The inhaler technique and medication adherence are highly important for the management of asthma and chronic obstructive pulmonary disease (COPD), but they are often inadequate due to highly variegated and complicated inhalation drug devices. Kyoto University Hospital established a collaborative inhalation support team which consisted of pulmonologists, hospital- and community-pharmacists to support outpatients taking inhalation drugs since December 2013. In this study, we evaluated clinical outcomes of the collaborative team services. After the implementation of services, the patients who were hospitalized urgently due to the exacerbation significantly decreased among patients with COPD, and the ratios of urgently hospitalized patients / total outpatients were 2.4％ (22 / 919) to 1.2％ (15 / 1,233) after one year, and to 1.0％ (14 / 1,446) after 4 years. On the other hand, the number of urgently hospitalized patients with asthma remained unchanged. This collaborative system by medical doctors, hospital- and community- pharmacists may contribute to the therapeutic outcomes of inhalation medicines.