全民健保特約藥局執業藥師（生）對醫藥分業認知、態度及相關經驗之初探

本研究主要目的為配合臺灣省推動醫藥分業計畫－五家省立醫院釋出慢性病處方箋期間（86年1月1日至8月31日），針對該五家省立醫院所在縣市執業的健保特約藥局藥師（生），所進行的問卷調查，以瞭解執業藥師對醫藥分業的認知、態度及相關經驗。結果發現：受試者對醫藥分業的認知程度頗高，但僅不及六成的受試者贊成實施醫藥分業，其中以藥劑師、年齡在40歲以上、教育程度為大專以上、在中、南部執業、執業年數在十年以上者，贊成醫藥分業的比率較高。進一步分析發現，藥劑師與藥劑生之間，對醫藥分業的許多問題看法都有相當大的出入，不論是對醫藥分業的支持態度，或是在與醫師之間的互動以及處方箋的接獲與處置情形，藥劑生的表現均不若藥劑師來的正面與積極。結論：對於本研究之發現，醫藥分業實施初期，健保藥局藥師（生）在觀念及作法上可能存在的一些差異，藥政管理單位應予以重視，並鼓勵各級藥事從業人員，積極利用各種進修管道，以不斷提昇整體藥事專業能力與服務品質，進而促進社區藥局之健全發展，是今後刻不容緩的努力方向！

關鍵字

醫藥分業；全民健康保險；藥師

並列摘要

This investigation cooperated with Taiwan Provincial Government's program of promoting the separation of dispensing practice from medical practice as a part of program evaluation. Questionnaires were sent to pharmacists and associate pharmacists who work at National Health Insurance contracted pharmacies in 5 selected counties and cities. Results show that almost all pharmacists and associate pharmacists understood the meaning and the purpose of separation of dispensing practice from medical practice (SDPMP). However, less than 60% of them were in favor of the policy. Those who showed not in favor of the policy were mostly associate pharmacists, under 39 years of age, high school level of education, working at Taipei country and less than 9 years of practice. Furthermore, in comparison with pharmacists, associate pharmacists were less active in communicating with physicians and dealing with prescription related problems. It is suggested that continuing education program should be emphasized to improve pharmacists and associate pharmacists' professional skills and pharmaceutical care qualities. After all, the success of the SDPMP policy depends on not only the release of prescription from physicians, but also the quality of pharmaceutical services provided by pharmacists and associate pharmacists.

並列關鍵字

separation of dispensing practice from medical practice ； National health insurance ； pharmacist

國際替代計量

全民健保特約藥局執業藥師（生）對醫藥分業認知、態度及相關經驗之初探

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