Japanese

Title	がん化学療法における薬薬連携による処方提案の障壁に関するアンケート調査
Subtitle	原著
Authors	杉本智哉1,11, 地引勝2,11, 佐々木俊則3,11, 山口智江4,11, 佐藤由美子5,11, 井上裕貴6,11, 小川純明7,11, 中村敏史8,11, 村上仁志9,11, 堀田和男10,11, 宮崎雅之7,11, 遠山幸男1,11
Authors (kana)
Organization	1トヨタ記念病院 薬剤科, 2日本調剤 名市大前薬局, 3三河乳がんクリニック 薬剤部, 4関西労災病院 薬剤部, 5名古屋市立大学医学部附属西部医療センター 薬剤部, 6国立病院機構豊橋医療センター薬剤部, 7名古屋大学医学部附属病院 薬剤部, 8春日井市民病院 薬剤局, 9豊橋市民病院 薬局, 10愛知医科大学病院 薬剤部, 11愛知県病院薬剤師会がん部会
Journal	日本臨床腫瘍薬学会雑誌
Volume	40
Number
Page	1-11
Year/Month	2025 / 4
Article	原著
Publisher	日本臨床腫瘍薬学会
Abstract	「要旨和訳」外来がん化学療法において, 保険薬局薬剤師による処方提案等の薬学的介入が患者のアウトカムを改善する可能性がある. 一方で保険薬局薬剤師の処方提案の実態は不明であり, 環境の違いから多くの障壁が存在すると考えられる. 本研究は愛知県薬剤師会会員を対象に無記名Webアンケートを実施した. 対象から抗がん剤の調剤・服薬指導経験のない152名を除外し, 処方提案経験群26名と未経験群92名に分け, 処方提案の障壁スコアを比較した. また,薬薬連携改善のための医療機関への要望を調査した. 結果, 処方提案未経験群は, 経験群と比較してがん化学療法に関する知識や経験の不足, がん化学療法について相談できる指導者の不在, 情報共有ツールの使いにくさ, 提携先病院との関係の希薄さ, 患者状態の安定の項目において有意(p<0.05)に障壁スコアが高かった. また, 薬薬連携改善にレジメンや症例検討方式の勉強会を要望する意見が多かった.
Practice	薬学
Keywords	処方提案, 薬学的介入, 薬薬連携, 外来がん化学療法, 保険薬局薬剤師, 障壁, suggesting prescriptions, pharmaceutical interventions, collaboration between hospitals and community pharmacists, outpatient cancer chemotherapy, community pharmacists, barriers

English

Title	A Questionnaire Survey on the Barriers to Prescription Suggestions by Cooperation between Community Pharmacists and Hospitals in Outpatient Chemotherapy
Subtitle
Authors	Tomoya Sugimoto1,11, Masaru Jibiki2,11, Toshinori Sasaki3,11, Satoe Yamaguchi4,11, Yumiko Sato5,11, Hirotaka Inoue6,11, Sumiaki Ogawa7,11, Satoshi Nakamura8,11, Hitoshi Murakami9,11, Kazuo Hotta10,11, Masayuki Miyazaki7,11, Yukio Toyama1,11
Authors (kana)
Organization	1Department of Pharmacy, Toyota Memorial Hospital, 2Nihon Chouzai-MEISHIDAIMAE Pharmacy, 3Department of Pharmacy, Mikawa Breast Cancer Clinic, 4Department of Pharmacy, Kansai Rosai Hospital, 5Department of Pharmacy, Nagoya City University West Medical Center, 6Department of Pharmacy, Toyohashi Medical center, 7Department of Hospital pharmacy, Nagoya University Hospital, 8Department of Pharmacy, Kasugai Municipal Hospital, 9Department of Pharmacy, Toyohashi Municipal Hospital, 10Department of Pharmacy, Aichi Medical University Hospital, 11Division of Oncology, Aichi Prefectural Society of Hospital Pharmacists
Journal	Journal of Japanese Society of Pharmaceutical Oncology
Volume	40
Number
Page	1-11
Year/Month	2025 / 4
Article	Original article
Publisher	Japanese Society of Pharmaceutical Oncology
Abstract	[Abstract] Community pharmacist-driven pharmaceutical interventions in outpatient cancer chemotherapy have the potential to improve patient outcomes. However, the current state of such interventions remain unclear, due to numerous environmental differences posing as barriers. This study used an anonymous web-based questionnaire targeting members of the Aichi Pharmaceutical Association. After excluding 152 participants who lacked experience in dispensing anticancer drugs or providing medication guidance, the remaining participants were divided into two groups: 26 with experience in suggesting prescriptions and 92 without. We compared the degree of barriers experienced by the two groups to suggesting prescriptions and surveyed their requests to improve collaboration between hospitals and community pharmacists. The results showed that the inexperienced group faced significantly higher barriers (p<0.05) than the experienced group in the following areas: limited knowledge and experience in cancer chemotherapy, lack of supervisory support, difficulty in using information-sharing tools, weak relationships with partner hospitals, and patient status stability. Additionally, many respondents requested study sessions on cancer chemotherapy regimens and case study methods to improve the collaboration between hospitals and community pharmacists.
Practice	Pharmaceutical sciences
Keywords	suggesting prescriptions, pharmaceutical interventions, collaboration between hospitals and community pharmacists, outpatient cancer chemotherapy, community pharmacists, barriers

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