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薬剤師と患者の性別の不一致は 性別特有の疾患の薬剤指針に影響しますか?
Manato Nomi1,2, Ryota Kumaki2, Rieko Takehira3
1Saera Co., Ltd., Saera Pharmacy Todakōen Branch, Japan.
Exploratory research in clinical and social pharmacy
|August 20, 2025
まとめ
性別が一致する場合でも,ジェンダーに特異的な疾患に対する薬剤指針を提供するのに,コミュニティの薬剤師は大きな障壁に直面しています. 薬剤師の暗黙の仮定に 取り組むことは 医療の改善に不可欠です
科学分野:
- 薬局の実践
- 医療におけるジェンダー研究
- 患者とのコミュニケーション
背景:
- ジェンダーに特化した健康状態に対する薬剤指針を提示するにあたって,コミュニティの薬剤師は課題に直面しています.
- 薬剤師と患者の性別の合致/不合致を理解することは,これらの障壁を特定するための鍵です.
研究 の 目的:
- ジェンダーに特化した疾患に対する薬剤指針を提供する際に,コミュニティ製薬師の間で認識される障壁を調査する.
- 薬剤師と患者のジェンダーの一致と不一致が,これらの認識された障壁に与える影響を決定する.
主な方法:
- オンライン調査で,薬剤師の躊躇性と知識の不確実性は,ジェンダー固有の疾患と非ジェンダー固有の疾患について,7ポイントのライカートスケールで評価されました.
- この研究では,薬剤師と患者の間の性別一致と不一致の条件下で障壁を調査した.
- 多変数ロジスティック回帰は,見られる障壁に寄与する要因を特定した.
主要な成果:
- 多くの性別の疾患において,特に性別の不一致性において,高い躊躇と不確実性が観察されました.
- 性別が一致している場合でも,重要な障壁が認められた.
- 薬剤師の暗黙の仮定は,患者の嫌がらせのように,より高い障壁と強く相関していました.経験とガイドの頻度はそれらを減少させませんでした.
結論:
- ジェンダーに特異的な疾患に対する薬剤指針の提供には,ジェンダーの一致性に関係なく,コミュニティの薬剤師は大きな障壁に直面しています.
- 既存の経験と指導の頻度は,これらの障壁を克服するのに不十分です.
- 薬剤師の暗黙の仮定をターゲットにした教育的な介入は,ジェンダー特有のケアを強化するために必要である.
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