社區健保藥局成為提供民眾領取藥物的最佳去處，且漸漸成為民眾熟悉的第一線醫療保健單位。社區健保藥局藥師不僅調劑處方箋藥物，提供專業的藥事服務更是其職責。氣喘（asthma）與慢性肺阻塞性肺病（Chronic Obstructive Pulmonary Disease，簡稱COPD）這二種呼吸道疾病是目前社區健保藥局最常見問題之慢性疾病，病情控制得宜除了需要病人的用藥順從性高之外，吸入劑使用得當亦是關鍵所在。為能了解社區健保藥局醫事人員在這方面之專業服務，本研究藉由蒐集藥局門市病患提出之問題，討論分析後依員工專業（藥師或藥師助理）不同設計不同之測驗問卷並進行且分別進行測驗，藥師的測驗重點放在疾病與藥品知識以及吸入劑的使用方法（20題），藥師助理的20題則為疾病相關常識。此研究目的欲了解參與研究的社區藥局藥師及藥師助理對於asthma與COPD這二種疾病及用藥的基本概念，測驗結果經分析後再依其最不足之處邀請專家給予適當之教育訓練，之後再給予後測並分析教育訓練成果。
前測結果意外發現藥師對於吸入劑之使用流程非常不熟悉，尤其是新型吸入劑。這個現象在超過40歲以上的藥師尤其明顯，但是經過專業訓練之後，這些藥師的專業改善則令人滿意（由平均得分48.1進步至76.9分），而30歲以下的藥師則由70.5進步至89.1分。中間還是有差距但是顯示社區藥局藥師的持續教育訓練是維持藥師專業能力之所需，尤其應該針對該社區藥局欲發展是特色加以設計更為適當。藥師助理的呼吸道疾病常識則普遍優良（前測得分為88.9至91.3），因此只要針對其答錯率較高之部分加強其正確觀念即可。藥師助理之角色為協助藥師在門市的一些非專業之協助，對於民眾之服務有時比藥師有更多機會，因此提供藥師助理正確疾病及用藥觀念對於社區藥局之經營亦有其必要性。此研究整體而言可以歸納出，不論是藥師或是藥師助理都應定期接受持續教育及訓練以維持其在執行業務時的專業形象。 Community pharmacy bureaus are the best choice for general population to receive their prescription medicines and obtain the related drug information. The community pharmacy bureau gradually becomes a frontline health care unit. The pharmacist in the community pharmacy bureaus are the professional persons to fulfill these duties. Asthma and chronic obstructive pulmonary diseases (COPD), two of most common chronic respiratory diseases seen in the community pharmacy bureaus. Proper use of inhaler medicines are the key control of the disease. In order to improve these professional services, both pharmacists and pharmacy assistants were required to perform pre-tests and post-test. In this study, most asked questions by asthma and COPD patients were collected, sorted, discussed and formed to be the testing materials. There were 20 questions based on the knowledge of disease, medicines and the use of inhalants for pharmacists. There were also 20 questions based on common sense of the diseases for Pharmacy assistants. Pre-test were carried out without any notice. By doing so, a basal level knowledge of Asthma and COPD could be obtained. After analyzing the results of the pre-test, the experts of Asthma and COPD were invited to give appropriate education and training according to the most inadequate staff. A post-test was then carried out and the results were analyzed and compared to that of the pre-test.
It was surprised to find out that inhaler uses were not familiar by pharmacists, especially for those newer inhalers. This was particularly poor in the older than the younger pharmacists. However, after training program, the older pharmacists improved (their scores from average 48.1 increased to 76.9) and the younger pharmacists also improved further (the scores from average 70.5 increased to 89.1). Although there was still some gap between these two groups, continuous education and training were considered as necessary fair. For pharmacy assistants, they had better overall scores in the pre-test (88.9 and 91.3 between two groups), therefore, education program was only focus on their poorest concept regarding the diseases. It can effectively improve the cognition of training personnel. Pharmacy assistants sometimes have more opportunities to interact with customs than pharmacists, thus training of pharmacy assistants are also important to up-today their knowledge about diseases and medicine can somehow improve professional image of community pharmacy bureaus.
