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The Current Status of Utilizing a Medication Record Handbook for Evaluating Shared Medication History: A
Hiroyuki Ura1, Makoto Senoo2, Kiyoshi Kubota1
1Department of Clinical Pharmacy, Shonan University of Medical Sciences, Yokohama, JPN.
Insights
The COVID-19 pandemic did not change Japan's prescription and dispensing separation rates. Increased use of the medication record handbook (MRH) in medical settings may boost its dental use.
Area of Science:
- Health Services Research
- Pharmaceutical Policy
- Public Health
Background:
- The COVID-19 pandemic influenced healthcare access and medication management globally.
- Japan's medical practice and dispensary separation system's response to the pandemic, particularly regarding the medication record handbook (MRH), remains understudied.
- Understanding these impacts is crucial for optimizing pharmaceutical care delivery.
Purpose of the Study:
- To analyze the impact of the COVID-19 pandemic on the separation of prescription and dispensing in Japanese medical and dental practices.
- To evaluate the utilization of the patient-carried medication record handbook (MRH) in sharing drug information.
- To assess the correlation between external prescription (EP) rates, internal prescriptions (IPs), and MRH utilization.
Main Methods:
- Utilized the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB).
- Analyzed the external prescription (EP) rate as the primary indicator for prescription-dispensing separation.
- Correlated EP rates, medical IPs, and dental IPs with MRH utilization rates during outpatient medication guidance.
Main Results:
- No significant changes in EP rates were observed in either medical or dental fields during the pandemic.
- Significant positive correlations were found between EP rates and medical IPs, and between medical and dental IPs.
- No significant correlation was identified between EP rates and dental IPs, suggesting a disconnect in information sharing.
Conclusions:
- The COVID-19 pandemic did not substantially alter prescription-dispensing separation patterns in Japan.
- Active implementation and promotion of the MRH in medical facilities may enhance its utilization in dental settings.
- Further strategies are needed to improve information sharing and MRH use in dentistry to achieve integrated pharmaceutical care.
Abstract:
While the coronavirus disease 2019 (COVID-19) pandemic has impacted medication adherence and consultation patterns, its effects on the medical practice and dispensary separation system of Japan remain unclear. Thus, the utilization of the medication record handbook (MRH) in both medical and dental areas remains uncertain. This study uses the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB); we analyzed the separation of medication prescription and dispensing in both medicine and dentistry, as well as estimated how much drug information is shared by utilizing a patient-carried MRH. The external prescription (EP) rate was used as the main indicator. We then analyzed the MRH utilization rate during outpatient medication guidance. During the pandemic, there was no distinctive change in the rate of EPs in both medicine and dentistry. Furthermore, an analysis between EPs, medical internal prescriptions (IPs), and dental IPs relative to the MRH utilization rate revealed significant correlations between EPs and medical IPs as well as medical and dental IPs. Conversely, no significant correlation was found between EPs and dental IPs. Therefore, our results suggest that active MRH implementation within healthcare facilities may lead to an increase in its utilization in dentistry.
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