臺中市社區藥局藥師對執行中藥業務之認知、態度與執業行為之研究

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Title:	臺中市社區藥局藥師對執行中藥業務之認知、態度與執業行為之研究 Community Pharmacists’ Perceptions, Attitudes and Practices toward Pharmaceutical Care of Chinese Medicine in Taichung, Taiwan
Authors:	蕭力禓;Li-Yang Hsiao
Contributors:	中國藥學暨中藥資源學系碩士班
Keywords:	社區藥局;藥師;中藥;community pharmacy;pharmacist;Chinese medicine
Date:	2017-08-28
Issue Date:	2018-01-15 09:04:53 (UTC+8)
Publisher:	中國醫藥大學
Abstract:	目的：社區藥局是民眾最常取得傳統醫療產品的來源，社區藥局藥師則是第一線為此把關的醫療人員。本研究目的為探討社區藥局藥師對執行中藥業務之認知、態度與執業行為，期藉由研究結果提出建議，進而促進提升社區藥局藥師執行中藥業務之服務範疇。方法：採問卷調查法，參考國外文獻設計研究問卷。研究對象名單透過衛生福利部醫事查詢系統篩選，以臺中市藥師自營之藥局作為問卷發放之對象，共793家。本研究由中國醫藥大學暨附設醫院研究倫理委員會審核通過（/CMUH105-REC3-107）。調查時間自2016年12月9日至2017年2月12日止。結果：回收306份，回收率38.34%，有效問卷260份。分析資料的結果發現：多數社區藥局藥師皆有執行中藥業務，提供之產品類型以非處方藥為主，如食品、成藥、指示藥等。社區藥局藥師對執行中藥業務認知正向、態度表現積極，然而執業行為上稍顯被動。藥師對執行中藥業務的認知、態度與執業行為三者間均呈現正相關，其中態度與執業行為的相關性較強。主要影響藥師執行中藥業務之執業行為頻率上，呈現顯著差異的相關因素有：社區藥局藥師之教育程度（p<0.001）、有無修習中藥相關學分（p<0.05）、藥局提供之中藥相關產品的種類（p<0.001）。結論：本研究呈現臺中市社區藥師對執行中藥業務的認知、態度與執業行為及相關影響因素，並根據研究結果提出建議，供主管機關與相關團體參考，以利推廣社區藥師執行中藥藥事照護，俾利提升全民之用藥安全。 Objectives: The objectives of this study are to understand the community pharmacists’ perceptions, attitudes and practices towards pharmaceutical care of Chinese medicine, and to further explore the related factors affecting the results. Methods: This is a cross-sectional study across Taichung city. This research design was reviewed and approved by the China Medical University & Hospital Research Ethics Committee(/CMUH105-REC3-107). A structural questionnaire was designed and validated to be used as the study instrument. It was distributed among 793 qualified community pharmacists who are working in Taichung City, Taiwan. Results: Out of 306 questionnaires received, 260 questionnaires were valid which gave a response rate of 38.34%. The study showed that most of the community pharmacists were involved in the provision of over-the-counter Chinese medicine products during their daily practices. Respondents generally showed positive attitude towards Chinese medicine pharmaceutical care, but in terms of business involvement, they perform business with passive practices. According to the statistical results, respondents' practices were significantly different in three categories: the pharmacist’s education level (p<0.001), training received by pharmacists on Chinese medicine to an appropriate level (p<0.05) and the number of Chinese medicine product (varieties) available in pharmacies (p<0.001). Conclusion: Pharmacists are aware of their role as educators about both Chinese medicine and conventional medicine. Hence, there is a need for greater access to Chinese medicine resources and education on related field to help pharmacists to excel in Chinese medicine. These would enable pharmacists to provide competent, effective and holistic patient care to the communities.
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