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2007 Fiscal Year Final Research Report Summary

Community medical cooperation : focusing on hospital-pharmacy and hospital-non-professional clinic cooperation

Research Project

Project/Area Number 16590767
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionSt.Marianna University School of Medicine

Principal Investigator

KOMASE Yuko  St.Marianna University School of Medicine, Respiratory Internal Medicine, associate professor (90215385)

Co-Investigator(Kenkyū-buntansha) YAMAMOTO Takahito  St. Marianna-University, School of Medicine Respiratory Internal Medicine, assistant (20350605)
Project Period (FY) 2004 – 2007
Keywordsself management of asthma patient / inhalation instruction / hospital-pharmacy cooperation / hospital-clinic cooperation / asthma patient record card
Research Abstract

In Japan, the insurance points for instructions on drug administration have been established for instructions given in external pharmacies. It is therefore preferable that instructions for outpatients should be provided by pharmacists of external pharmacies. Unfortunately the role of the pharmacists stops short at how instruction on inhalation methods should be provide. In order to convey directly the doctors' intension to pharmacists, we conducted system between the hospital and external pharmacies by using internet Certified doctors and pharmacists can attend the internet system by using password. Doctors can order pharmacists to provide inhalation guidance and pharmacists answer the full details of guidance by this internet system. By this system we made 66 guidance between October 2006 and March 2007.
The cost of this system is about 1, 000, 000 for 66 guidance and longer period of this system is needed to make better cost benefit effect.
Hospital-clinic cooperation was provided by using patients record cards. Our system is a reverse referral system in which mild persistent patients are first treated by a non-specialist, while non-specialists who are yet to become familiar with asthma treatment refer moderate persistent or severer patient to a hospital, and after asthma control is achieved, the patients is referred back from the hospital. For this, a differentiation form is prepared for classification between mild persistent patient and moderate persistent or severer patient in accordance with the guideline. We verified the merit of this system by the study of all visiting patients and use of medications in the hospital and GPs in 2005, 2006, and 2007. This is evidence that the different facilities fulfill different roles depending on the severity of the patients. Fostering hospital-clinic cooperation will help encourage the wider diffusion of the guideline.

  • Research Products

    (20 results)

All 2007 2006

All Journal Article (6 results) (of which Peer Reviewed: 1 results) Presentation (14 results)

  • [Journal Article] 横浜市西部地域における病診連携の効果2007

    • Author(s)
      駒瀬 裕子(他3名)
    • Journal Title

      アレルギー免疫 14

      Pages: 76-83

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] 患者が行う自己管理(よりよい管理のために)2007

    • Author(s)
      駒瀬 裕子(他1名)
    • Journal Title

      呼吸器科 11

      Pages: 547-552

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 地域における医療連携:特に医薬連携を中心に Community medical coorper ation:focusing in particular on hospital-pharmacy cooperation2007

    • Author(s)
      駒瀬 裕子(他1名)
    • Journal Title

      International review of asthma 9

      Pages: 34-45

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] The effect of coordination of general practitioners and specialists for asthmatic patients in western Yokohama2007

    • Author(s)
      Komase Y, Yamaguchi H, Ikehara M, Yamamoto T
    • Journal Title

      Allergy and Immnuology 14

      Pages: 76-83

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Patients' self management of asthma2007

    • Author(s)
      Komase Y, Yamaguchi H
    • Journal Title

      Respiratory Medicine 11

      Pages: 547-552

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Community medical coorporation : focusing in particular on hospital-pharmacy cooperation2007

    • Author(s)
      Komase Y, Yamaguchi H, Mukai H
    • Journal Title

      International review of asthma 9

      Pages: 34-45

    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] THE EFFECT OF COORDINATION OF GENERAL PRACTITIONERS AND SPECIALISTS FOR ASTHMATIC PATIENTS2007

    • Author(s)
      駒瀬 裕子(他3名)
    • Organizer
      第12回アジア太平洋呼吸器学会
    • Place of Presentation
      シドニー
    • Year and Date
      2007-12-02
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] The Effect of coordination or general practitioners and specialists for asthmatic patients2007

    • Author(s)
      Komase Y, Yamaguchi H, Yamamoto T, Ikehara M
    • Organizer
      12th Congress of Asian Pacific Society of Respirology.
    • Year and Date
      2007-12-02
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] 喘息管理の実際-喘息患者服薬コンプライアンスをいかに向上させるか2007

    • Author(s)
      駒瀬 裕子(他1名)
    • Organizer
      第57回日本アレルギー学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2007-11-10
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] How can we improve the compliance of asthma patients? rate.2007

    • Author(s)
      Komase Y, Yamaguchi H.
    • Organizer
      56th Congress of Japanese Society of Allergology.
    • Year and Date
      2007-11-10
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Easy Asthma Program(EAP)の有用性の検討:呼吸機能検査およびピークフロー値との比較2007

    • Author(s)
      駒瀬 裕子(他3名)
    • Organizer
      第47回日本呼吸器学会学術講演会
    • Place of Presentation
      東京
    • Year and Date
      2007-05-10
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Usefulness of easy asthma program(EAP) : comparison between lung function and peak flow rate.2007

    • Author(s)
      Komase Y, Yamaguchi H, Ikehara M, YamamotoT
    • Organizer
      47th Congress of Japanese Respiratory Society.
    • Year and Date
      2007-05-10
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Present status of asthma patinet's management in core hospital and clinics in the west region of Yokohama,Japan2006

    • Author(s)
      山口 裕礼(他3名)
    • Organizer
      第11回アジア太平洋呼吸器学会
    • Place of Presentation
      京都
    • Year and Date
      2006-11-21
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Present status of asthma patinet's management in core hospital and clinics in the west region of Yokohama, Japan.2006

    • Author(s)
      Yamaguchi H, Komase Y, Ikehara M, Yamamoto T, Mukai H
    • Organizer
      11th Congress of Asian Pacific Society of Respirology.
    • Year and Date
      2006-11-21
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Easy asthma program(EAP)と呼吸機能検査の相関2006

    • Author(s)
      山口 裕礼(他3名)
    • Organizer
      第56回日本アレルギー学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2006-11-02
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Relation of easy asthma program scores and lung function.2006

    • Author(s)
      Yamaguchi H, Komase Y, Ikehara M, Yamamoto T
    • Organizer
      56th Congress of Japanese Society of Allergology
    • Year and Date
      2006-11-02
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] 横浜市西部地域における喘息患者の受診状況と治療(専門医と非専門医の比較)2006

    • Author(s)
      山口 裕礼(他3名)
    • Organizer
      第18回日本アレルギー学会春期臨床大会
    • Place of Presentation
      東京
    • Year and Date
      2006-05-30
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] 患者支援の実践と問題点-コメディカルの立場から2006

    • Author(s)
      駒瀬 裕子
    • Organizer
      第18回日本アレルギー学会春期臨床大会
    • Place of Presentation
      東京
    • Year and Date
      2006-05-30
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Present status of hospital-clinic cooperation I : research on actual condition of patients'visit.2006

    • Author(s)
      Yamaguchi H, Komase Y, Ikehara M, Yamamoto T, Okada T, Imori K, Asukai Y, Fujii T, Hashiba T, Kayama H
    • Organizer
      18th Spring Congress of Japanese Society of Allergology.
    • Year and Date
      2006-05-30
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Practice on patients'aid and its problems-from the standpoint of co-medical staff2006

    • Author(s)
      Komase Y
    • Organizer
      18th Spring Congress of Japanese Society of Allergology
    • Year and Date
      2006-05-30
    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2010-02-04  

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