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がん外来化学療法における
薬剤師の役割 
∼医師から見た薬薬連携への期待と課題∼
狭 間 研 至
1
平体、斜体などの変形は避けてください。
■ヨコ組
基本デザイン要素
■社名ロゴタイプ(一例)
■サブグラフィック
■グループロゴマーク
ここに示すロゴマーク、ロゴタイプ、サブグラフィックは、ハザマグループのコミュニケー
ション活動において、統一的なイメージを形成していくための重要な視覚的要素です。
これらの基本デザイン要素は、次頁以降に示した規定に従い、正確かつ効果的に使用し
てください。
02 Hazama Group Brand Identity Guideline
発表者氏名:
狭間研至
所属:ファルメディコ株式会社
研究責任者氏名:
所属:
役員・職員・顧問職
株式の保有
講演料
原稿料
研究費の寄付
その他報酬
発表者・研究責任者の利益相反開示事項はありません
日本臨床腫瘍薬学会
(厚生労働省 患者のための薬局ビジョン)
門前薬局
かかりつけ
薬局
地域薬局
(C) Kenji Hazama, M.D., Ph.D.
概念が変われば
印象が変わる!
(C) Kenji Hazama, M.D., Ph.D.
薬薬連携
医薬分業における
チーム医療 多職種連携
(C) Kenji Hazama, M.D., Ph.D.
診断
処方
監査
調剤? (C) Kenji Hazama, M.D., Ph.D.
分業
処方箋応需
医薬品調製
服薬指導
薬歴記載
?診断
処方
監査
調剤(C) Kenji Hazama, M.D., Ph.D.
分業
処方箋?
(C) Kenji Hazama, M.D., Ph.D.
どんな薬でも
調剤してやる!
(C) Kenji Hazama, M.D., Ph.D.
どんな薬でも
説明してやる!
(C) Kenji Hazama, M.D., Ph.D.
(C) Kenji Hazama, M.D., Ph.D.
1,000本ノック!?
私たちにお任せください!(C) Kenji Hazama, M.D., Ph.D.
それって対物じゃん!
15
対物業務 対人業務
業務内容 「物」を渡すこと 問題を解決すること
求められる要素 正確・迅速・解りやすさ 専門性・経験値・決断力
記録 望ましい:「物」が証明 必須:経過を追跡
薬剤師以外での
代用 容易 困難
(C) Kenji Hazama, M.D., Ph.D.
それは「対物業務」か「対人業務」か
16
現在の業務
薬学部で学ぶ内容
調剤技術
服薬指導
薬歴記載
薬理学
薬物動態学
製剤学
(C) Kenji Hazama, M.D., Ph.D.
薬物治療学
がん外来化学療法
治療も
副作用も
自宅で!(C) Kenji Hazama, M.D., Ph.D.
コンプライアンス不良
効果不十分
(C) Kenji Hazama, M.D., Ph.D.
副作用
早期発見
早期対応(C) Kenji Hazama, M.D., Ph.D.
ボールが違う?
(C) Kenji Hazama, M.D., Ph.D.
チームが違う!
患者
チーム
(C) Kenji Hazama, M.D., Ph.D.
分業
(C) Kenji Hazama, M.D., Ph.D.
診断
処方
調剤
評価
Plan
Do
Check
Act
処方監査
調剤/服薬指導
前回処方の妥当性検討
次回処方への提案・介入
旧来の
処方箋調剤業務
バイタルサイン
フィジカルアセスメント
これからの
処方箋調剤業務
薬理学
薬物動態学
製剤学
多職種協働
情報共有
(C) Kenji Hazama, M.D., Ph.D.
平成28年度調剤報酬改定及び 薬剤関連の診療報酬改定の概要(厚生労働省保険局医療課) (C) Kenji Hazama, M.D., Ph.D.
薬薬連携
(C) Kenji Hazama, M.D., Ph.D.
調剤
評価
調剤
評価
(厚生労働省 患者のための薬局ビジョン)
(C) Kenji Hazama, M.D., Ph.D.
かかりつけ
薬剤師
対物業務
対人業務
(薬中心)
(患者中心)
かかり-つけ
掛かる
頼りにする
いつも
(C) Kenji Hazama, M.D., Ph.D.
(厚生労働省 患者のための薬局ビジョン)
(C) Kenji Hazama, M.D., Ph.D.
薬局再編!
門前薬局
かかりつけ
薬局
(立地)
(機能)
0人
400,000人
800,000人
1,200,000人
1,600,000人
280,052
102,551
1,452,635
303,268
医師 看護師* 歯科医師 薬剤師
(平成24年度厚生労働白書)
57,071軒の薬局
+
(C) Kenji Hazama, M.D., Ph.D.
(平成25年度衛生行政報告例)
薬剤師のすべきこと
薬剤師のできること
薬剤師の
していること
30 (C) Kenji Hazama, M.D., Ph.D.
31 (C) Kenji Hazama, M.D., Ph.D.
@mdhazama
mdhazama
狭間研至

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