| Summary: | 碩士 === 國立成功大學 === 臨床藥學研究所 === 85 === This study is to investigate the content of specialties which
including the following areas: the enhanced trends on
prescriptions released to NHI contract pharmacies,
pharmacist''s specialties, the specialties of
pharmacies and its proportions. Furthermore, to survey the
''pharmacists of NHI contact pharmacies'' in order to find out
their experiences, opinions and interactions with
physician regarding to the separation of physician
dispensing from medical practice. The subject is divided into
the acceptance of released prescriptions and the pharmacists of
NHI contact pharmacies.
The materials found in this research were gained from two
recourses;the cost detail file of ''released prescriptions of NHI
contact pharmacies'' and the ''questionnaires of pharmacists''
dated from June 1995 to Dec 1996. The analysis method adapted
here is a Microsoft package called ''SAS for windows 6.11.
There were 302,266 effective prescriptions and 265 effective
questionnaires used in this study. The conclusions were as
following .
In respect of the ''content specialties of prescriptions'': the
average of released prescriptions were just 0.09 percent of the
western physicians'' unreleased prescriptions. The average
growth rate of released prescriptions was 34.6 percent per month
in Taiwan, which seems to have a growth trend. This shows that
the ''separation of physician dispensing from medical practice''
has gradually becoming effective. However, the ratio of ''
released prescription'' is still low. The spread of spread of
'' acceptance released prescriptions to NHI contract pharmacy''
is not even, but only concentrated on few certain pharmacies.
During this 19 months research, on average the prescription fee
is NT$ 391.4per one, NT$ 54.1 per day, and the length of each
prescription is 7.2 days The total amount of the prescription
drugs taken place during this period is NT$ 123,771,000, which
represents 2.6 % of the applied amount from the GP in Dec,
1996. Furthermore, the spread of each prescription drug fee is
also not even. 93.9% prescription type is general type, 6.1% is
the chronic continuous prescription type.
The average age of the pharmacists of '' acceptance released
prescription to NHI contract pharmacies'' is 44.5, with average
service period of 14.7 years. Out of that, 74.0% are male
pharmacists. Furthermore, 84.0% NHI contract pharmacies are self
- owner without involved in the ''chain - store'' system. Out of
all NHI contract pharmacies, 50% stores taken space around 11 to
20 Pin (1 meter square = 0.3025 pin). Most of these pharmacies
are situated in 5 cities; Chia yi city, Hua Lian county, Pon
hu county, Taipei city and Tainan city.
The main reason why the patient bring the prescription to the
pharmacy is the trust to the professional pharmacists which
taking up the proportion of 22.1%. In respect of the
constructive interaction between the pharmacists and doctors are
as; 47.1% of the NHI contract pharmacist responds that they will
introduce patient to certain doctors. 18.1% of them think that
the doctors will release prescriptions in return In respect of
how to fully practice the ''separation of physician dispensing
from medical practice''; 17.5% think it depends on the mutual
confidence in each other and good cooperated relationship. The
major opinion regarding to '' what is the most area needed to be
improved'' ; 35.7% think both parties should put more emphasis on
government''s attitude, also that, government should announces
its confidence on this matter to increase people''s faith.
|
|---|
