居家藥事服務：高價值新思維──以服藥配合度為例

New Thinking on High-Value Service in Home Pharmacy Care: A Case Study on Drug Adherence

過往的藥事服務著重於成本及成效，然而價值基礎導向的服務囊括的不只是疾病治療，個案的價值觀、思考邏輯、生活習慣也都應納入一併考量。本文以居家個案服藥配合度為例，分析根本原因及解決之道，進一步探討藥師-個案關係，並導入習慣心理學的架構，說明欲根本改善個案用藥問題，必須考慮到個案的心理感受，加上藥學專業，確保協助個案獲得足夠資訊，做出最符合其內心期待的治療選擇。以此說明何謂高價值之藥事服務，並提供一套建議標準流程，供有需要者參考。

Pharmacy care in the past has emphasized mostly on the cost and its outcome. A value-based service, however, should not only provide disease treatment but also take the patient’s value system, way of thoughts and living habits into consideration. This essay, with a case study on medical adherence, looks into the pharmacist-patient relationship, seeking to understand the influencing factors and trying to provide possible solutions. By applying psychological theories of habit, it is concluded that the feelings and mental state of patients are imperative to medical adherence, and pharmacists should provide patients with proper consultation to ensure that the chosen remedy meets the expectation of the patients. In that regard, this essay intends to illustrate pharmacy care with a high value and to offer a standard of procedures for future reference.