Investigation of Stockpile Medicine in Pharmacies and Dispensing Doctor
10.14925/33.30
- VernacularTitle:医師調剤医療施設と保険薬局における備蓄医薬品の調査
- Author:
Yutaka Inoue
;
Yuki Morita
;
Reimi Saitoh
;
Rumiko Amano
;
Sachihiko Numajiri
;
Ikuo Kanamoto
;
Kenji Sugibayashi
- Publication Type:Journal Article
- Keywords:
dispensing doctors;
stockpile medicines;
high-risk medicines;
pharmacists
- From:Japanese Journal of Social Pharmacy
2014;33(1):30-35
- CountryJapan
- Language:Japanese
-
Abstract:
In 2012, the external prescription rate was 66.1% of the national average. A dispensing doctor is recognized by the escape clauses of Article 22 of the Medical Law, Article 21 of the Dentist Medical Law, and Article 19 of the Pharmacists Act. In this study, the medicine inventories of dispensing doctors and pharmacies were compared. The medicine supplies of 7 dispensing doctors and 11 pharmacies in Saitama were classified according to the medicinal effects. We also investigated the conditions in which high-risk medicines, poisons, or drugs were stored. The average number of medicines in the medicine inventory of a dispensing doctor was 262.3 (range : 99, 439), whereas the average number of medicines in the medicine inventory of a pharmacy was 1179.7 (minimum, 275 ; maximum, 1980). Further, among these medicines, there were an average of 41.0 high-risk medicines (minimum, 18 ; maximum, 76) in the inventory of a dispensing doctor and an average of 176.7 high-risk medicines (minimum, 5 ; maximum, 299) in the inventory of a pharmacy. In addition, poisons (average, 0.3) and narcotics (average, 0.9) were found to be stored by dispensing doctors. The study results revealed that pharmacies as well as dispensing doctors stored high-risk medicines. The dispensing doctor may be indirectly associated with critical medical accidents to need cross-check by pharmacist exceedingly high-risk medicine. Thus, for patients to use medicines appropriately and for them to be reassured of the safety of medicines, only professionals such as pharmacists, rather than doctors, should dispense medicines.
