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2007 Fiscal Year Final Research Report Summary

A study on patient-pharmacist risk communication in Japan

Research Project

Project/Area Number 18390161
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionKyushu University

Principal Investigator

HAGIHARA Akihito  Kyushu University, Faculty of Medicine, Professor (50291521)

Co-Investigator(Kenkyū-buntansha) NOBUTOMO Koichi  Kyushu University, Faculty of Medicine, Professor (90037424)
Project Period (FY) 2006 – 2007
KeywordsRisk communication / Pharmacist / Patient / Medical compliance
Research Abstract

Although pharmacists subjectively judge the level of the explanation that they provide in actual practice, little is known about this judgment. Therefore, we investigated the association between patient and pharmacist evaluations of pharmacist explanations of drugs. We also identified factors relating to the accuracy of pharmacist judgments as to the level of the explanation delivered to patients.
The subjects were 1500 patient-pharmacist pairs in Fukuoka, Japan. The study was conducted from November, 2006 to March, 2007. Of 250 pharmacists and 1500 patients selected randomly, 134 pharmacists and 644 patients returned questionnaires (response rates, 53.6% and 42.9%,respectively). We analyzed 666 patient-pharmacist pairs.
We got the following findings. (1) With respect to "level of pharmacist explanation", "level of patient understanding of pharmacist explanation", and "adequateness of pharmacist's explanation, guidance and communication", when a pharmacist judges the level or degree is higher than a patient does ("pharmacist better"), the situation is more likely to lead to a poor patient outcome. (2) This finding was in line with the previous finding based upon patient-physician interactions. (3) Factors related to the "pharmacist better" situation were pharmacist age, number of patients per day, and the number of pharmacists at a drugstore.
We first identified factors relating to the accuracy of pharmacist judgment with regard to their explanations to patients. In order to verify the present findings, more studies will be necessary.

  • Research Products

    (10 results)

All 2007 2006 2005

All Journal Article (9 results) (of which Peer Reviewed: 3 results) Book (1 results)

  • [Journal Article] Association between physicians' communicative behaviors and judges'decisions in lawsuits on negligent care2007

    • Author(s)
      Hagihara A, Tarumi K
    • Journal Title

      Health Policy 83

      Pages: 213-222

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Association between physicians'communicative behaviors and judges' decisions in lawsuits on negligent care2007

    • Author(s)
      Hagihara, A., Tarumi, K
    • Journal Title

      Health Policy 83

      Pages: 213-222

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Structure of the association between patient and physician evaluations of the level of physician explanations2007

    • Author(s)
      Hagihara, A., Tarumi, K., Nishi, M
    • Journal Title

      In Psychology of Decision Making in New Medicine and Health Care, P C Tolana(ed). New York (Nova Science)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Doctor and patient perceptions of the level of doctor explanation and quality of Datient-doctor communication2006

    • Author(s)
      Hagihara A, Tarumi K
    • Journal Title

      Scandinavian Journal of Caring Sciences 20

      Pages: 143-150

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Physician and patient perceptions of the physician explanations inmedical encounters2006

    • Author(s)
      Hagihara A, Odamaki M, Nobutomo K, Tarumi K
    • Journal Title

      Journal of Health Psychology 11

      Pages: 91-105

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Doctor and patient perceptions of the level of doctor explanation and quality of patient-doctor communication2006

    • Author(s)
      Hagihara, A., Tarumi, K
    • Journal Title

      Scandinavian Journal of Caring Sciences 20(2)

      Pages: 143-150

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Physician and patient perceptions of the physician explanations in medical encounters2006

    • Author(s)
      Hagihara, A., Odamaki, M., Nobutomo, K., Tarumi, K
    • Journal Title

      Journal of Health Psychology 11(1)

      Pages: 91-105

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Physicians' and patients' recognition of the level of the physician's explanation in medical encounters2006

    • Author(s)
      Hagihara, A., Tarumi, K., Nobutomo, K
    • Journal Title

      Health Communication 20(1)

      Pages: 101-104

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] A signal detection approach to patient-doctor communication and doctor-shopping behaviour among Japanese patients2005

    • Author(s)
      Hagihara, A., Tarumi, K., Odamaki, M., Nobutomo, K
    • Journal Title

      Journal of Evaluation in Clinical Practice 11(6)

      Pages: 556-567

    • Description
      「研究成果報告書概要(欧文)」より
  • [Book] Structure of the association between patient and physician evaluations of thelevel of physician explanations.In Psychology of Decision Making inMedicine and Health Care, P C Tolana (ed.)2007

    • Author(s)
      Hagihara A, Tarumi K, Nishi M
    • Total Pages
      30
    • Publisher
      Nova Science
    • Description
      「研究成果報告書概要(和文)」より

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Published: 2010-02-04  

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