- 期刊
門診患者對慢性病連續處方箋的認知
The Cognition of Chronic-Disease Refill Prescriptions of the Outpatients
摘要
本研究探討民國84年「全民健康保險慢性病連續處方箋調劑作業要點」公告以來，民眾對慢性病連續處方箋（以下簡稱慢箋）的認知情形。本研究以問卷調查方式，在民國93年9月29日至10月15日三週期間，於某醫學中心門診藥局領藥窗口前，針對持慢箋領藥民眾進行訪查，共回收有效樣本1,073份。研究顯示，受訪民眾之慢箋使用資訊主要來源是醫師(62.1%)。在使用者對慢箋認知調查上，顯示有相當的民眾對慢箋之正確使用認知仍待加強，特別是有關最長有效期限、遺失或過期之處理、接續領藥最短間隔、出國領藥權宜措施等問項上；而在赴社區健保特約藥局調劑領藥之認知調查上，有關社區藥局可調劑慢箋、各次領藥不限固定於同一處、健保卡戳章免加蓋、藥品免部分負擔、未註明不可替代之處方得以其他廠牌適當藥品替代等，發現有一半以上的民眾對社區藥局所能提供之慢箋調劑服務是不甚明瞭的，這些事實應值得主管機關或相關團體重視。建議未來亦宜透過合適之大眾傳播媒介普及宣導，以提昇社會大眾對慢箋及健保特約藥局調劑服務的了解。
並列摘要
The knowledge of the public toward chronic-disease refill prescription policy, implemented by the Bureau of National Health Insurance in Taiwan since 1995, was investigated via questionnaire survey. Those who held refills to be dispensed at the ambulatory pharmacy of a medical center in Taipei from Sep. 29 to Oct. 15, 2004 were randomly interviewed. A total of 1,073 complete self-filled questionnaires were collected. Our data indicate that most public (62.1%) acquired from physicians the refill information. The knowledge of refill usage, particularly the maximal valid duration, lost or overdue management, minimal interval between consecutive dispensing, and the two-month supply special to travelers going abroad, needs to be strengthened among a significant proportion of the public. Results from the users' understanding of the roles of NHI-contracted community pharmacies in the dispensing of refill prescriptions, such as allowable for being dispensed at community pharmacies, at sites other than its originally prescribed clinics or hospitals, exemption from stamping on NHI card, free from drug co-payment, and generic substitution permissible if without ”dispense as written” denotation, revealed that more than half of the public did not understand the refill-dispensing services and the added benefits provided by community pharmacies at all. We suggest that our health policy should be steered toward instituting more inspiring subsidy for the promotion of prescribing or releasing refills by physicians and health care institutions. The widespread dissemination of usage information through the press is also essential in enhancing the awareness of the society for chronic refills and community pharmacy services.