Abstract
This research aims to study the current situation of the community pharmacists¡¦ services, such as the collaboration mode with hospitals and medical institutes corresponding to the ¡§Separation of Prescribing and Dispensing¡¨ (Separation of P&D) in Taiwan and prescription dispensing policies, the service orientation, and the operation results in Kaohsiung City, where the Separation of P&D was implemented as early as March 1997. Furthermore, this research also aims to understand the cognition of the community pharmacists upon Pharmaceutical Services and their service orientation.
It was discovered from 67 effective samples that the amount of prescriptions dispensed to those registered National Health Insurance (NHI) pharmacies were still few, hence the current situation of Separation of P&D is not that satisfying. In addition, the amount of prescriptions dispensed to community pharmacies joining the NHI were significantly more than those who did not join. Moreover, as far as for those registered NHI pharmacies collaborating with hospitals and medical institutes are concerned, the opportunity for them to receive prescriptions is far from those registered NHI pharmacies that did not collaborate with hospitals and medical institutes. The amount of prescriptions dispensed has a significant and positive correlation to the increasing of pharmacy business. In light of this, it can be said that the collaboration mode between registered NHI pharmacies and hospitals and medical institutes helps with the implementation of the Separation of P&D.
The cognition of pharmacist¡¦s practicing can be divided into five categories according to factor analysis, and they are; ¡§Health Maintaining¡¨, ¡§Health Enhancing¡¨, ¡§Pharmaceutical Professional Service¡¨, ¡§Pharmaceuticals Management ¡¨, and ¡§Specialists Consultation¡¨. This research discovered that when the practicing credential is a pharmacist instead of pharmaceutical student, the service cognition on health maintaining, health enhancing, pharmaceutical professional service, and specialist¡¦s consultation were significantly different. The cognition of a pharmacist upon health enhancing and pharmaceuticals control showed significant and positive correlation to his/her business volume.
Although the Separation of P&D has been implemented for over six years, and most of the regions in this country have conformed to the P&D separation regulations and the business has been carried out, the outcomes have not met the expectation, and the medicine circle alone cannot solve such problem. It needs a comprehensive consideration and review to effectively implement the existing policies.
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0730102-191351 |
| Date | 30 July 2002 |
| Creators | Chan, Li-Chen |
| Contributors | Kim-Jean Chow, Shu-Chuan Jennifer Yeh, Bih-Shiaw Jaw |
| Publisher | NSYSU |
| Source Sets | NSYSU Electronic Thesis and Dissertation Archive |
| Language | Cholon |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.nsysu.edu.tw/ETD-db/ETD-search/view_etd?URN=etd-0730102-191351 |
| Rights | unrestricted, Copyright information available at source archive |
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