The opinions and current status about providing pharmaceutical care to the nursing home in the eastern Taiwan surveyed by questionnaire answered by the administrative officer of the facility
Date Issued
2006
Date
2006
Author(s)
Lin, Tzu-Shun
DOI
zh-TW
Abstract
Background： Residents of nursing homes rely heavily on medication care, so pharmaceutical care plays an important role in this area of care services. The annual accreditation, which includes pharmaceutical care evaluation, for nursing home has been implemented regularly for a while, but the content and focus of evaluation still needs to be explored. Since relevant articles about pharmaceutical care in nursing home are limited, so it would deserve to be investigated.
Objective： This study surveys the administrative officer’s concept and current status of the pharmaceutical care in the nursing homes in the Eastern Taiwan. Another purpose of this study was trying to introduce a suitable model of pharmaceutical service model into the nursing home. The relationships between independent varibles such as the property of the facility, model of management, and scale of the facility (number of bed) and dependent variables such as pharmaceutical service model, items frequencies, and payment system were analyzed.
Method： Questionnaires regarding the opinions and current status of pharmaceutical services in the nursing home were sent to all of the nursing homes’s administrative offiers. The returned answers were then analyzed by non-parameter statistics about the relationships between independent variables and dependent variables.
Result and Discussion： The overall response rate of the questionnaire in this study is 64.3％（9/14）. Within the 9 responses 3 came from public nursing home, as a ratio of 33.33％. All of the administrative officers of the public nursing homes think that the model of pharmaceutical services delivered by the pharmacist assigned by cooperative hospital is the best model. In regard to frequency of providing pharmaceutical services, “once a week” is the pick of choice. The frequency became however to “once monthly” for the nursing home, which is usually affiliated with a hospital, with lesser beds (≦50). There are no significant relationships between the dependent and independent variables except service model and medication rate of the residents to the property of nursing home, and the item of pharmaceutical care and the model of installing pharmacist to the model of management. It deserved to be notified that the difference between opinion and current status about frequency of pharmaceutical services is significant. The same as in the opinion survey, there are no significant relationships between the most dependent and independent variables except payment to the business model.
Conclusion and Suggestion： Few nursing homes can afford a full-time pharmacist to deliver pharmaceutical services. There should be health insurances covering long term care in nursing home. This increases the incentive of the community pharmacist to participate in pharmaceutical services and improve the quality of medication in nursing home. Monthly pharmaceutical services may serve as an item of accreditation, and can be considered as the requirement for the nursing home. However, one should be cautious in extrapolating results of this study due to its small sampling size.
Subjects
護理之家
機構特質
藥事服務內涵
服務頻率
Nursing home
characteristics of the facility
items of pharmaceutical services
frequency of pharmaceutical services
Type
thesis
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