薬剤師に最大100日間の緊急処方を認める(加・サスカチュワン州)

　カナダのサスカチュワン州では4日より、最大100日間の緊急処方を認められるようになったそうです。

IMPROVING ACCESS TO HEALTH CARE BY ENHANCING PHARMACISTS’ PRESCRIBING AUTHORITY（Goverment of Saskatchewan 2011.03.04）
http://www.gov.sk.ca/news?newsId=8fdd32e2-a63b-43a1-b480-5b54be396516

　一見すると、単なるリフィルと思いきや、今回のいわゆる処方権の拡大はあくまで第一段階で、6月頃には第二段階として軽度の病気への処方も認めらるようになるそうです.

　地元の職能団体(？)のThe Saskatchewan College of Pharmacistsは、
専用のサイト（www.mypharmacistknows.com）を立ち上げて内容の説明を行っているので、興味がある方はご参考下さい。

Prescriptive Authority for Pharmacists Information for Patients
Frequently Asked Questions
http://www.mypharmacistknows.com/site/wp-content/uploads/2011/03/Q-and-As-for-Patients.pdf

Level 1 – Includes all qualified pharmacists, allowing them to prescribe medications for:

Continuing therapy – interim supplies and maintenance
Previously prescribed drugs in emergency situations
Incomplete or inaccurate prescriptions
Refills during physician’s absence
Self-care of minor ailments where a prescription drug is more effective
Medications are continued when moving from one setting in the health care system to another

Level 2 – for pharmacists with advanced skills, allowing them to make prescriptions related to:

Oral contraception and lifestyle and health promotion (deferred for further study)
Collaborative prescribing agreements
Therapeutic substitution
Altering dosage of dosage regimen
Selecting the drug therapy within pre-determined parameters (i.e. upon receiving a diagnosis, selecting the drug therapy within the limits of the agreement)

　医師に対しても今回の規則変更について、理解を求めています。

Continuing Therapy – interim supplies and maintenance therapy (the lesser of the amount of the last fill, or 100 days supply);
Drugs in emergency circumstances (previously prescribed or dispensed medication within the last 6 months – sufficient quantity to meet the emergency needs of the
patient up to 100 days supply);
Incomplete or inaccurate prescription (the lesser of the amount of the last fill, or 100 days supply);
Refills of medications during practitioner absence (as specified by the practitioner up to 100 days supply);
Non-prescription drugs (to obtain third party coverage) up to 100 days supply;
Seamless care (up to 100 days supply); and,
For the self care treatment by the patient of minor and/or self-limiting ailments,prescription drugs in accordance with the protocols approved by the SCP Council.
Amongst other things these protocols will assist the pharmacist in assessing the accuracy of the patient’s self-diagnosis and recommend drugs of choice.Implementation is delayed until pharmacists are trained on using the protocols and will be phased in as conditions for treatment are approved.

　実際にどの範囲まで処方権が認めれるかは、もう少し情報を収集しないとお伝えできませんが、同州では、今回の処方権の拡大にあたって、3年間にわたり検討を行った他、第ニ段階の実施に向けた準備も行われているようです。

　なおカナダでは、アルバータやブリテッシュコロンビアなどの州ではすでに一定の条件の下で薬剤師による処方が認められています。（うらやましいな）

2011年03月09日 01:31 投稿