Effect of Patient Handouts on Use of the Family Pharmacist System —Comparison of Compliant and Non-Compliant Family Pharmacies— / 社会薬学

Objective : Recently, a directive that all pharmacies should have a family pharmacist by 2025 was announced. However, this directive has not been clearly communicated to patients. The purpose of this study was to examine the effect of patient information handouts on the number of patients who use the new family pharmacist system, using the evaluation index of family pharmacies (Key Performance Indicator [KPI]). Methods : We created and distributed patient handouts about family pharmacists. The number of new family pharmacists, the number of consultations, and the consultation content from June-August 2021 (pre-distribution period) and September-November 2021 (distribution period) were examined to compare the KPI group and non-KPI group. A cutoff score of the KPI index was used to determine compliant vs. non-compliant. Results : The median (interquartile range) number of new patients in the KPI group (7 pharmacies) increased from 0 (0.0, 1.5) in the pre-distribution period to 4 (2.5, 10.5) in the distribution period (P＝0.019). In the non-KPI group (4 pharmacies) it was 0 (0.0, 0.0) both before and after distribution. The number of consultations about unused prescribed medications and health increased (P＝0.031 and 0.047, respectively) in the KPI group during the distribution period, with no change in the non-KPI group. Conclusion : The use of handouts led to an increase in users of the family pharmacist system in the KPI group. The use of handouts at KPI pharmacies will help patients understand the pharmacist profession and the benefits of the family pharmacist system.

First-Time Use versus Continuing Use of Benzodiazepine Receptor Agonists in Japan / 医薬品情報学

Benzodiazepine receptor agonists (BZs) are medications to be used with caution, not only for long-time users, but also for first-time users. This study aimed to compare the use of BZs or central nervous system (CNS) agents in first-time BZs users (FU) and continuing BZs users (CU). Using a large health insurance claims database in Japan, BZs users aged ≥40 years in 2013 who were opioid non-users without hospitalization were classified into FU or CU, by use of BZs in the first half-year. BZs or CNS agent use at the index date (the first date BZs were dispensed in the latter year) was investigated as follows: (1) proportion of patients with prescriptions of BZs for use as needed (BZs-AN), (2) daily number of BZs or CNS agents, and (3) daily standardized dose of BZs or CNS agents. More individuals in the FU group (3,162/16,576; 19%) than in the CU group (7,627/46,088; 17%) received BZs-AN (p＜0.001); 87% of the FU group vs 62% of the CU group used single BZs (p＜0.001), and 53% vs 24% used less than 5 mg/day of equivalent diazepam (p＜0.001). A similar trend was found for CNS agents. Numbers or doses of BZs or CNS agents decreased with increasing age in both groups. However, some first-time users aged 70-74years started with ≥2 types of BZs or ≥10 mg/day of equivalent diazepam. Overall, BZs for outpatients without opioids were started carefully, but a prescription review was necessary for some patients, requiring more effort from healthcare providers.

Telephone questionnaire survey for recognition of palliative care in Okayama Prefecture─longitudinal assessment in educational activity before and after “Nonohana Project” for general citizens

<b>Background</b>: Palliative care has been advocated to be administered in the early phase of cancer treatment. However, little is known concerning the recognition of palliative care in general citizens. We have conducted promotional activities for palliative care as “Nonohana Project” since 2009. The aim of the current study was to investigate the awareness of palliative care in the general public in Okayama Prefecture. <b>Methods</b>: We performed telephone questionnaire survey about palliative care for a total of 600 general citizens aged 20 or over in Okayama Prefecture. This survey was conducted in 2009 and 2010, and we compared those results. <b>Results</b>: Two hundred twenty four people (37.3%) have heard of the phrase “palliative care” in 2009 and 219 people (36.5%) in 2010. The recognition of palliative care stayed at the same level as in the previous fiscal year. In those with a history of cancer of themselves or their family, the recognition was slightly increased (41.6% in 2009 and 43.2% in 2010). There were many people who were interested in palliative care in both 2009 (87.9%) and 2010 (86.3%). <b>Conclusion</b>: Our study indicated that many people still had no idea of palliative care in Okayama Prefecture, despite of our promotion and effort for 1 year. However, many were interested in palliative care, suggesting a need for continuous promotion to increase the understanding of palliative care.